Which vaccines do you offer?
| Vaccine | Who it's for | Course |
|---|---|---|
| HPV (Gardasil 9) | Adults up to 45, with shared clinical decision-making. Men and women | 3 doses — 0, 1–2 and 6 months · ₱7,200/dose, or ₱21,000 the course |
| Influenza (seasonal) | Everyone, annually — ideally before peak season | 1 dose each year |
| Pneumococcal | Adults 50+, immunocompromised, or with chronic heart, lung or metabolic disease | 1–2 doses depending on product |
| Hepatitis B | Adults without immunity; healthcare and at-risk groups | 3 doses — 0, 1 and 6 months |
| Hepatitis A | Travellers and food handlers | 2 doses — 0 and 6–12 months |
| Tdap | Everyone — booster every 10 years | 1 dose, then boosters |
| Varicella | Adults with no prior chickenpox or vaccination | 2 doses |
| Zoster (Shingrix) | Adults 50+ | 2 doses — 0 and 2–6 months |
| MMR | Adults without documented immunity; pre-travel or pre-pregnancy | 1–2 doses |
| Meningococcal | College-age adults, travellers to endemic regions, select immunocompromised | 1–2 doses by product |
| Travel vaccines | Yellow Fever, Japanese Encephalitis, Rabies, Typhoid | By pre-travel consultation |
The detail behind each of these:
- HPV (Gardasil 9) — 9-valent recombinant vaccine covering HPV types 6, 11, 16, 18, 31, 33, 45, 52, 58. 3-dose course for adults at 0, 1–2, and 6 months. Now indicated up to age 45 with shared clinical decision-making.
- Influenza (seasonal) — annual quadrivalent flu vaccine, ideally given in the months leading into peak season.
- Pneumococcal (PCV13 / PCV20 / PPSV23) — for adults 50+, immunocompromised patients, and those with chronic cardiovascular, respiratory, or metabolic disease.
- Hepatitis B — 3-dose course (0, 1, 6 months), with optional post-series antibody titer confirmation.
- Hepatitis A — 2-dose course (0, 6–12 months), recommended for travelers and food-handlers.
- Tdap (Tetanus, Diphtheria, Pertussis) — booster every 10 years; one dose of Tdap if you've never had it.
- Varicella (chickenpox) — for adults without prior infection or vaccination, particularly those with vulnerable household contacts.
- Zoster (Shingrix) — for adults 50+, 2-dose course at 0 and 2–6 months.
- MMR (Measles, Mumps, Rubella) — for adults without documented immunity, particularly pre-travel or pre-pregnancy.
- Meningococcal (MenACWY, MenB) — for college-aged adults, travelers to endemic regions, and select immunocompromised patients.
- Travel vaccines — Yellow Fever, Japanese Encephalitis, Rabies, Typhoid — by appointment, with a pre-travel consultation.
What does a vaccination visit involve?
5-minute review of your medical history, current medications, allergies, prior reactions, and pregnancy/lactation status if applicable. Confirmation of the right vaccine for your situation.
Vaccine drawn from sealed single-use vial, single-use needle, intramuscular delivery (most adult vaccines). Done in under a minute.
15-minute seated observation period — standard practice for any vaccine, particularly important for adolescents and young adults where syncope is occasionally seen.
Vaccine efficacy depends on uninterrupted refrigeration from manufacturer to patient. Our vaccines arrive direct from licensed distributors and are stored in temperature-monitored, alarmed refrigerators dedicated to vaccine storage. We log every dose. If a cold-chain failure has occurred, the dose is discarded — never given. This is one of the silent but most important quality-control details in any vaccination service.
Adult vaccines worth considering even if you missed the childhood window
The single most under-vaccinated adult population we see is men aged 27–45 who were not offered HPV vaccination at the original adolescent rollout. Current FDA / CDC guidance extends shared-decision-making recommendations up to age 45 — the prospective protection against HPV-related cancers (oropharyngeal, anal, penile) is real, and the immunogenicity in adulthood remains strong. We discuss this honestly at the visit.
Similarly, many adults are unaware they need a Tdap booster every 10 years. A booster takes one minute and protects against pertussis, which is having ongoing outbreaks even among adults.
What side effects should I expect?
- Common: injection-site soreness, redness, mild swelling (24–48 hours); transient fatigue; occasional low-grade fever or headache.
- Less common: mild local rash, transient lymphadenopathy on the side of injection.
- Rare: serious allergic reactions (anaphylaxis) — the reason for the 15-minute observation. We are equipped with adrenaline and protocol-trained for this.
Who should not be vaccinated, or should wait
Most people have no reason to delay. These are the ones that matter, and we will ask about all of them before anything is drawn up.
- A severe allergic reaction to a previous dose of the same vaccine, or to any of its components. For HPV (Gardasil 9) that includes yeast, since the vaccine is produced in it. Tell us about any reaction to an earlier dose — people often assume it does not count if they recovered.
- Pregnancy. HPV vaccination is deferred until after delivery. MMR and varicella are live vaccines and are not given in pregnancy at all, and pregnancy should be avoided for one month afterwards — worth planning around if you are having MMR before trying to conceive.
- Significant immunosuppression — chemotherapy, high-dose steroids, an organ transplant, or advanced untreated HIV. Live vaccines (MMR, varicella, yellow fever) are contraindicated; inactivated ones are usually fine but may work less well. Bring your specialist's advice.
- A moderate or severe illness with fever today. We reschedule — a minor cold is not a reason to delay.
Yellow fever is a special case. It is a live vaccine, and a yellow fever certificate valid for international travel can only be issued by a DOH-designated vaccinating centre. If you need one for a visa, we will tell you where to go rather than take the booking.
HPV vaccination for women — and the one thing it does not replace
Cervical cancer is the second most common cancer among Filipino women. Around 7,900 women are diagnosed each year and roughly 4,000 die of it — about twelve a day, according to the Department of Health. It is also the second most frequent cancer in women aged 15 to 44. Nearly all of it is caused by HPV, which makes it one of the very few cancers with a vaccine against its cause.
The free national programme reaches Grade 4 girls in public elementary schools. If you are an adult woman, you are outside it — which is why most Filipino women who want the vaccine pay for it privately.
Vaccination and screening do two different jobs
This is the point most often misunderstood, and getting it wrong is genuinely risky. The vaccine prevents infection with types you have not met yet. It does not clear an infection you already have, and it does not replace cervical screening. A vaccinated woman still needs her Pap smear or HPV DNA test on the normal schedule.
| HPV vaccination | Cervical screening (Pap / HPV DNA) | |
|---|---|---|
| What it does | Prevents infection with the nine covered HPV types | Finds cell changes that are already there |
| When | Any time up to 45 — before or after exposure | On a schedule from your twenties, lifelong |
| Does it replace the other? | No | No |
| Do we provide it here? | Yes — ₱7,200 a dose, ₱21,000 the course | No — your OB-GYN does this |
We provide the vaccine. We do not do cervical screening — that belongs with your OB-GYN, and if you are overdue we will say so rather than let a vaccination stand in for it. Getting both is the answer; getting one instead of the other is not.
Is it still worth it if I am older, or already had an abnormal result?
Usually, yes. There are nine types in Gardasil 9 and very few people have encountered all nine — so there is normally something left to protect. That holds even after an abnormal smear or treatment for a cervical lesion: the strain that caused it is one of nine, and vaccination still covers the rest. Growing evidence also suggests vaccination after treatment modestly reduces the chance of further lesions.
One detail that matters locally: HPV type 52 is comparatively common in the Philippines, and it is covered by Gardasil 9 but not by the older two-valent vaccine. If you are comparing brands on price, that is worth knowing before you decide.
The honest limit is that benefit does narrow with cumulative exposure. Two women the same age can get very different value from the vaccine depending on their history — which is what the shared decision-making conversation is actually for. We will tell you if we think it is not worth your money.
What a visit looks like for women here
The clinic is woman-owned and led by Jas Macusi, RN. Appointments are single-occupancy — no shared waiting room, no overlap with another patient. For anything to do with intimate health, a lot of women tell us that is the part that decides whether they book at all.
Vaccinating a team? We run employer-sponsored programmes for Metro Manila companies from ten employees up — ₱20,000 per employee for the full course, on-site or here at the clinic. See corporate HPV vaccination.
Is the HPV vaccine covered by PhilHealth?
No — PhilHealth does not currently reimburse adult HPV vaccination as an outpatient benefit. Free HPV vaccine in the Philippines is provided through the Department of Health's school-based programme, which covers Grade 4 girls in public elementary schools, not through PhilHealth claims.
Legislation to extend free national immunisation to adults has been filed but is not yet in force. If you are counting on coverage, confirm the current position with PhilHealth directly before you book — this changes with policy, and we would rather you check than take our word for it.
The same applies to most adult vaccines here: they are paid out of pocket in private clinics. What we can control is that you are told the price before the needle comes out.
How much does the HPV vaccine cost?
₱7,200 per dose. ₱21,000 for the full three-dose course, or ₱20,400 if you settle the course in advance. Every one of those is the all-in figure — vaccine, administration and the 15-minute observation. There is no separate injection fee and no consultation fee stacked on top.
| What you're buying | Price | What's included |
|---|---|---|
| HPV (Gardasil 9) — single dose | ₱7,200 | Vaccine, administration, 15-minute observation. Nothing added |
| Full 3-dose course, paid per dose | ₱21,000 | All three doses over six months. Saves ₱600 against paying dose by dose |
| Full 3-dose course, paid in advance | ₱20,400 | The same course, settled up front. Saves ₱1,200 — our lowest published price |
| Influenza (seasonal flu) | ₱1,000 | One dose a year, all-in — vaccine, administration and the 15-minute observation |
| All other adult vaccines | Quoted at booking | Priced by vial and current supply — written quote before you commit |
Ages 9–14 need only two doses (0 and 6–12 months) — ₱14,400 all-in, with a paediatrician's clearance and a guardian present at every dose. Adults aged 15 and over need three doses at 0, 1–2 and 6 months. Pay per dose as you go, reserve the course, or pay the course up front — whichever suits. Nothing is locked in until you choose it.
How that compares in Metro Manila
Gardasil 9 runs roughly ₱6,000–₱8,000 per dose across private clinics and hospitals here. Two things are worth knowing before you compare quotes:
- Ask whether the quote includes administration. Many clinics and hospitals quote the vial and add ₱500–₱1,500 per visit for the injection and consultation. Across three doses that is ₱1,500–₱4,500 you did not budget for.
- We are not the cheapest, and we won't pretend to be. Advocacy-priced providers in Metro Manila offer Gardasil 9 from around ₱6,000 a dose. If price is your only consideration, they are worth a call. What you get here is a published number that does not move, one patient at a time, and a named clinician.
Investment
HPV (Gardasil 9): ₱7,200 per dose · ₱21,000 for the full course · ₱20,400 paid in advance. All-in — no separate administration or consultation fee. Other adult vaccines are priced by vial and current supply, with a written quote at booking. Multi-dose courses can be reserved in advance to lock in pricing.
What that price includes — and how to compare
₱7,200 a dose — or ₱21,000 for the full course — is the whole price. It covers the vaccine, the administration and the 15-minute observation. There is no separate injection fee and no consultation fee stacked on top. Other adult vaccines are quoted by vial at booking, in writing, before you commit.
Comparing quotes elsewhere? Ask one question: “Does that price include giving it to me?” Many Metro Manila clinics and hospitals quote the vial and then add ₱500–₱1,500 per visit for administration and consultation — across three doses that is ₱1,500–₱4,500 nobody mentioned at the counter. It is why two quotes that look ₱1,000 apart can finish ₱3,000 apart. Compare the total, not the sticker.
And you will be the only patient here. Appointments are single-occupancy — there is no shared waiting room and no overlap with another patient, so you will not see anyone else in the clinic. For a lot of people that is the part that decides whether they book at all.
How we look after you
Treated by a named clinician
Your treatment is carried out by Jas Macusi, RN — a PRC-registered Registered Nurse and our founder and lead clinician — you can verify her yourself by name in the PRC's free public registry at prc.gov.ph. You will know who is treating you before you arrive.
One patient at a time
Appointments are single-occupancy. There is no shared waiting area and no overlap with another patient — you will not see anyone else here.
Clinic, home or hotel
Available at the clinic, or at your home or hotel by prior arrangement — useful when discretion or getting to Makati is the difficulty.