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I am worried about the flu vaccine. We are elderly and flu could kill us.

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Have your passports up to date. You may be able to travel to another country to get your flu shot (as well as any other vaccines you may need).

And get any other vaccines you're not up to date on (such as the new RSV vaccine, and Shingrex) NOW, while they are still available! You can get them at a pharmacy, and you don't need a prescription!

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I can only tell you about Italy. Vaccines are dispensed to Italians who are covered by their national heath plan. They are not available to random people who simply arrive in the country and ask for a vaccination. If you have a private doctor, as we did in Italy, then you have a better chance. You pay for the doctor and the vaccine. But if the particular vaccine is in short supply, forget about it. We could not access the Covid vaccine in Italy, for example.

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Availability is clearly going to vary from one country to the next. But if a person doesn't have a valid passport, it's clear they aren't going to be able to get ANY vaccine that isn't available here in the US, whether or not that vaccine would be available to foreigners somewhere else, hence my advice.

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