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Vaccinations and Health Prep: Where the Money Goes

By Sam Okonkwo · June 26, 2025 · 3 min read

What the Shots Actually Cost Vaccination costs swing wildly depending on where you get them. A full course covering yellow fever, hepatitis A and B, typhoid…

What the Shots Actually Cost

Vaccination costs swing wildly depending on where you get them. A full course covering yellow fever, hepatitis A and B, typhoid, diphtheria and malaria tablets runs about $319 when you convert from euros. That is one traveller’s real total for the whole set. Some people pay nothing at all. One couple reported $0 for yellow fever, rabies and tetanus because their healthcare covered it.

Per dose, the range is brutal: less than $10 on the low end, $150 or more on the high end. Hepatitis A and typhoid alone, the two most commonly recommended, land somewhere between $100 and $200 depending on your home country. Same injection. Different price tag.

Then there is the geography hack. One traveller paid $563 total for yellow fever, typhoid, hepatitis A and Japanese Encephalitis. The Japanese Encephalitis portion alone would have cost $400 to $500 in the US. In Bangkok, that same vaccine cost $58. The flight to get there is not free, obviously, but if you are already passing through Southeast Asia, the arithmetic changes fast.

Timing and Side Effects

Get to a healthcare provider six to eight weeks before departure. That is the window where the vaccines have time to work and you still have room to adjust if something needs a booster or a second dose.

Side effects vary by person. One traveller felt rough after their shots. Their partner Glenn had the identical vaccinations and felt “a bit sick” for exactly one day. Then he was fine. Same needles, different bodies. Not much you can do about that except not book a 14-hour flight for the day after your appointment.

The Morocco Water Problem

Tap water in Morocco is not recommended for drinking. Bottled water runs 5 to 10 MAD per liter, which is $0.50 to $1.00. Over a few weeks, that adds up in a way people do not plan for. Two liters a day at the higher end is $14 a week just to stay hydrated. Laundry through a riad or a local laundry costs 30 to 50 MAD per load, so roughly $3.25 to $5.40. Neither of these will break a budget, but neither shows up in the flight price either.

The Hidden Line Items

Visa fees run $25 to $150 per country. Travel insurance runs $2 to $5 per day. Vaccinations, as covered above, total $100 to $300 for most people. ATM fees take $3 to $5 per withdrawal. SIM cards and data cost $10 to $30 per month. Laundry is $2 to $5 per load. Budget an extra 10 to 15 percent on top of your daily spend for these.

That percentage is not padding. It is the difference between a plan that survives contact with reality and one that does not.

Doing the Math Before You Go

The structure is simple. Take your per-day cost and multiply it by the number of days. Then add the fixed costs: flights, visas, vaccinations, gear, insurance. Then add a contingency of 10 to 20 percent. One couple travelling for 167 days through Thailand, Laos, Malaysia, Indonesia and Cambodia took just over $9,720, with flights, insurance and vaccinations already paid. That is the full picture in one number.

Vaccinations are a fixed cost. You pay them once, before you leave, and then they are done. The variable costs are the ones that follow you around: water, laundry, ATM fees, a SIM card every month. Those are the ones that quietly eat a budget from the inside.

The $319 course, the $0 course, the $563 total with a $58 Bangkok shortcut. None of these are wrong. They are just different answers to the same question, and the question is worth asking before you book anything else.

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