How to Obtain Vaccine Proof for Travel When Records Are Missing? - Family Medicine

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Vaccination certificate


I need a vaccination certificate for traveling abroad.
When I went to the health center to request the certificate, they informed me that the records for individuals born in 1979 (Republic of China year 68) no longer exist.
What should I do? Do I have to get all the vaccines redone?

tina, 30~39 year old female. Ask Date: 2006/04/11

Dr. Xu Li'an reply Family Medicine


Dear Tina,
In Taiwan, medical records are only required to be kept for ten years, so any records older than ten years can be legally destroyed.
Many international students encounter the same issue.
In my family medicine practice, I can only document vaccination dates based on regulations and the patient's memory.
Fortunately, abroad, there is a belief in the professionalism of physicians, and they do not pursue these matters.
Moreover, even if they did, there would be no records to verify, so it cannot be considered forgery.
I suggest you seek assistance from a family medicine physician at a hospital.
Wishing you a smooth journey.
Best regards,
An 9504121209
Hualien Hospital, Family Medicine Department

Reply Date: 2006/04/11

More Info


Obtaining proof of vaccination can be a challenging situation, especially when records are missing or have been destroyed due to the passage of time. In your case, since you were born in 1979 (民國68年), and your vaccination records are no longer available, there are several steps you can take to address this issue.

First, it is important to understand that vaccination records are essential for international travel, especially in light of recent global health concerns. Many countries require proof of vaccination against certain diseases, such as measles, mumps, rubella (MMR), hepatitis A, and others, before allowing entry. If you cannot provide this proof, you may face difficulties when traveling.

Here are some steps you can take to obtain proof of vaccination or to address the lack of records:
1. Contact Your Primary Care Physician: If you have a primary care physician or a family doctor, reach out to them. They may have access to your vaccination history or could help you reconstruct your vaccination records based on their records or your health history.

2. Check with Local Health Departments: Contact your local health department or the health bureau in your area. They may have access to immunization registries that could contain your vaccination records, even if the records from your childhood are no longer available.

3. Consider Blood Tests: If you cannot find your vaccination records, you might consider getting blood tests to check for immunity to certain diseases. Tests like the measles, mumps, and rubella (MMR) titer can determine if you have sufficient immunity from past vaccinations. If you are immune, you may not need to get re-vaccinated.

4. Consult Travel Medicine Clinics: Many travel medicine clinics specialize in vaccinations and travel health advice. They can assess your vaccination needs based on your travel itinerary and may provide vaccinations if necessary. They can also help you understand the requirements for the countries you plan to visit.

5. Re-vaccination: If you cannot obtain proof of vaccination and your blood tests indicate that you are not immune, you may need to receive the vaccinations again. This is particularly important for vaccines that are required for travel. For example, if you need proof of MMR vaccination and cannot provide it, you may need to receive the MMR vaccine again.
6. Documentation of New Vaccinations: If you do receive vaccinations, ensure that you obtain proper documentation from the healthcare provider. This documentation should include your name, date of birth, the vaccines received, and the dates they were administered. This will serve as proof for your travel.

7. Keep Records Updated: Going forward, keep a personal record of your vaccinations. This can be a simple document where you note down the vaccines you receive, along with dates and healthcare provider information. This will help you avoid similar issues in the future.

In summary, while it can be frustrating to deal with missing vaccination records, there are several avenues you can explore to obtain proof of vaccination or to ensure you are adequately protected before traveling. It is advisable to start this process as soon as possible, especially if you have upcoming travel plans, to ensure you meet all necessary health requirements.

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