vaccination-tracker

name	vaccination-tracker
description	Vaccination and immunization management skill. Tracks vaccine history, schedules future doses, provides regional vaccination recommendations, and prepares travel immunization plans. Triggers on: vaccine, vaccination, immunization, shots, flu shot, travel vaccines, vaccine schedule, booster, immunization record.
allowed-tools	["bash","glob","read"]
version	1.0.0

Vaccination Tracker — Your Immunization Guardian

Comprehensive vaccination management skill that tracks your immunization history, schedules upcoming doses, and provides personalized vaccine recommendations for your location and travel plans.

Regional Guidelines

Childhood Vaccines (Carried to Adulthood)

• DTaP/Tdap (Diphtheria, Tetanus, Pertussis)
• MMR (Measles, Mumps, Rubella)
• Polio (IPV)
• Hepatitis B
• Varicella (Chickenpox)
• HPV (if completed)

Adult Vaccines (General)

Vaccine	Schedule	Indication
Influenza	Annual	All adults
Tdap/Td	Tdap once, Td every 10 years	All adults
COVID-19	Per current guidance	All adults
Hepatitis B	2-3 doses	Adults 19-59
HPV	2-3 doses if not completed	Through age 26; 27-45 discuss
Shingles	2 doses (Shingrix)	50+ years
Pneumococcal	1-2 doses	65+ or risk conditions
MMR	1-2 doses if not immune	Adults without evidence
Varicella	2 doses if not immune	Adults without evidence

Special Populations

Population	Additional Vaccines
Healthcare workers	Hep B, MMR, Varicella, Flu annually
Travelers	Hep A, Typhoid, Yellow fever (region dependent)
Pregnant	Tdap each pregnancy, Flu annually
Immunocompromised	Avoid live vaccines

Travel Vaccinations

Common Travel Vaccines

Vaccine	Destinations	Schedule
Hepatitis A	Most countries	2 doses, 6 months apart
Hepatitis B	Endemic regions	2-3 doses
Typhoid	Developing countries	1 dose (IM) or 4 doses (oral)
Yellow fever	Africa, South America	1 dose, valid for life
Japanese Encephalitis	Rural Asia	2 doses
Rabies	High-risk areas	3 doses pre-exposure
Meningococcal	Sub-Saharan Africa, Hajj	1-2 doses

Timing

• Most vaccines: 4-6 weeks before travel
• Yellow fever: 10 days minimum before entry
• Multiple vaccines: Can often be given together

Data Structure

{
  "vaccination_history": [
    {
      "vaccine": "Influenza",
      "date": "2025-10-15",
      "type": "Quadrivalent",
      "provider": "CVS Pharmacy",
      "next_due": "2026-10-01"
    },
    {
      "vaccine": "COVID-19",
      "date": "2025-09-20",
      "type": "Pfizer Bivalent",
      "provider": "Health Clinic",
      "next_due": "Per guidance"
    },
    {
      "vaccine": "Shingrix",
      "dose": 1,
      "date": "2026-03-01",
      "next_due": "2026-05-01"
    }
  ],
  "immune_status": {
    "mmr": "immune (childhood)",
    "varicella": "history of disease",
    "hep_b": "vaccinated (childhood)"
  }
}

Output Example

# Vaccination Report — March 20, 2026

## ✅ Up to Date

| Vaccine | Last Dose | Next Due | Status |
|---------|-----------|----------|--------|
| Influenza | Oct 15, 2025 | Oct 2026 | ✅ Current |
| COVID-19 | Sep 20, 2025 | Per guidance | ✅ Current |
| Tdap | Aug 2015 | Aug 2025 | ✅ Current (10-year) |
| Hepatitis B | Childhood | Lifetime | ✅ Immune |
| MMR | Childhood | Lifetime | ✅ Immune |

---

## ⏳ Pending / In Progress

| Vaccine | Status | Next Action | Due Date |
|---------|--------|-------------|----------|
| Shingrix | Dose 1 done | Schedule dose 2 | May 1, 2026 |

---

## ⚠️ Due Soon

| Vaccine | Due Date | Action |
|---------|----------|--------|
| Influenza | Oct 2026 | Schedule fall vaccination |

---

## 🌍 Travel Vaccination Assessment

### Planned Trip: Thailand (June 2026)

**Recommended**:
- ✅ Hepatitis A (2-dose series — start now)
- ✅ Hepatitis B (if not immune)
- ✅ Typhoid (oral or injectable)
- ✅ Japanese Encephalitis (rural areas >1 month)
- ✅ Routine vaccines (ensure current)

**Required**:
- None for Thailand (unless coming from yellow fever area)

**Timeline**:
- **Now**: Start Hep A series
- **April**: Complete Hep A dose 2, get Typhoid
- **May**: Japanese Encephalitis (if needed)
- **June**: Travel

---

## 📋 Recommendations

### This Month
- [ ] Schedule Shingrix dose 2 (due May 1)

### Next 3 Months
- [ ] Start Hepatitis A series for Thailand trip
- [ ] Review travel vaccine needs with provider

### Annual
- [ ] Influenza vaccine (Oct 2026)

---

## 📊 Vaccination Summary

| Category | Count | Status |
|----------|-------|--------|
| Routine Adult | 5/5 | ✅ Complete |
| Age-Appropriate | 1/2 | ⏳ In progress |
| Travel-Specific | 0/3 (planned) | 📋 Planning |

---

⚠️ **Note**: Vaccination recommendations vary by country and individual health status. Consult your healthcare provider for personalized advice.

**Last Updated**: March 20, 2026