Do I have to pay for the flu vaccine?

It is free for: over 60s, at-risk workers (healthcare workers, law enforcement, livestock farmers), pregnant women, children aged 6 months to 6 years, people with chronic conditions. For everyone else it is a paid vaccine (around €15-30 at a pharmacy or doctor).

Is the HPV vaccine available for adults too?

Yes. HPV vaccination is free for all boys and girls in their 12th year of life. Many regions have extended it free of charge up to age 26. The vaccine is also available (for a fee) up to age 45 and beyond, with benefits even for adults not previously exposed.

What do I do if I cannot remember whether I have had the tetanus vaccine?

Contact your ASL: they can check your vaccination history. If no data is available, your doctor may recommend a booster (it is safe even if possibly unnecessary). Boosters are given every 10 years and after high-risk wounds.

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Available in:🇮🇹IT 🇬🇧EN

Vaccinations for adults: mandatory and recommended in Italy

The National Vaccination Prevention Plan (PNPV) 2023-2025 establishes the vaccines recommended free of charge for each age group. There are no mandatory vaccines for adults (the vaccine mandate applied to children born from 2017 onwards), but many are strongly recommended and free for specific categories. Vaccines are given at your ASL vaccination clinic or, for some, at a pharmacy.

Authority

ASL di competenza — Servizio di Igiene Pubblica

Time

15 min

Updated

May 2026

What you need

✓Health card
✓Identity document
✓Personal vaccination record (if available)
✓Any medical documentation for at-risk categories (diabetes, immunosuppression, etc.)

Step-by-step procedure

Check the free vaccines for your age group and condition

The PNPV provides free: flu vaccine (over 60s, at-risk categories, healthcare workers — each autumn); pneumococcal (over 65s); shingles (over 65s in many regions); HPV (up to age 26 for all, up to 45 for some categories); Covid booster (elderly and fragile); tetanus (booster every 10 years for all). For workers exposed to specific risks (virological, biological) additional free vaccines apply.

Check specific availability on your region's portal: offerings vary between regions.

Book your vaccination

Contact your GP (they can prescribe and sometimes administer the flu vaccine) or book at the ASL vaccination clinic via CUP, phone or regional portal. For the flu vaccine, approved pharmacies can administer it directly (a doctor's prescription is required in some regions).

Present your vaccination record and register vaccinations

Bring your vaccination record if you have one: the ASL staff will update your status and record the vaccination in your Electronic Health Record (FSE). If you do not have a vaccination booklet, the ASL can retrieve your vaccination history from regional archives. Always keep proof of vaccinations received.

If you have lost your vaccination booklet, contact your ASL: they can retrieve data from the archives.

📄

Piano Nazionale Prevenzione Vaccinale

Ministero della Salute

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Frequently asked questions

Responsible authority

Authority

ASL di competenza — Servizio di Igiene Pubblica

Phone

Certified email

Website

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The information in this guide is for orientation only and does not constitute legal or tax advice. Always verify on the official portal of the responsible authority.