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The hepatitis B vaccine in India: schedule, cost and boosters | CION Cancer Clinics

Babies in India get the hepatitis B vaccine free, starting at birth. Adults who missed it, or who are at higher risk, usually have three injections over about six months, and most never need a booster. This page explains the schedule, who should ask for it, what changes the cost, and why this vaccine is also a way of preventing liver cancer. At CION Cancer Clinics, our specialists help you understand your own risk and plan regular liver checks that fit it.

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Medically reviewed by Dr. Naresh GunduConsultant Medical Oncologist · MBBS, DNB (Internal Medicine), DM (Medical Oncology, AIIMS) · last reviewed October 2026, next review due October 2027
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The short answer

How is the hepatitis B vaccine given in India, and do adults need it?

In India, babies get the hepatitis B vaccine free through the national immunisation programme, starting at birth. Adults who missed it, or who are at higher risk, usually have three injections spread over about six months, and most healthy people never need a booster after that.

Why this vaccine matters for cancer

Long-term hepatitis B infection is one of the leading causes of liver cancer in India. Someone protected by the vaccine cannot become a carrier. That makes this one of the very few vaccines that prevents a cancer. Our page on vaccination as cancer prevention explains the link.

What this page covers

It covers the schedule for babies and for adults, who should ask for it, what affects the cost, and when a booster or a blood test is worth having. It is about preventing hepatitis B. If you or a relative already have a liver tumour, this is not the right starting point. Speak to your oncologist about the plan for that.

The vaccine is safe for almost everyone. It contains no live virus, so it cannot give you hepatitis B.

Side by side

What is the hepatitis B vaccine schedule for babies and adults?

Babies, national programme Adults and older children
A birth dose, ideally on the first day of life A first injection on the day you start
Further doses at six, ten and fourteen weeks, inside a combined vaccine A second injection about one month later
Given free at government health centres A third injection about six months after the first
Recorded on the child's vaccination card Faster courses exist when protection is needed quickly

Not sure whether this applies to you?

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Who should ask

Which adults should get the hepatitis B vaccine?

Any adult who is not already protected can have it. These groups gain the most and should ask first.

Family of a carrier

A husband or wife, children and anyone living in the home with a hepatitis B carrier. Our page on vaccinating the household explains the order to do it in.

People with liver or kidney disease

Cirrhosis, fatty liver disease, hepatitis C and kidney disease needing dialysis all make a new hepatitis B infection more dangerous. See vaccinations with cirrhosis.

Health and care workers

Doctors, nurses, laboratory staff, dental teams and anyone who handles blood or needles at work.

Others at higher exposure

These are risk factors, not judgements, and a doctor will not ask you to explain them.

  • People who need frequent blood transfusions
  • People with more than one sexual partner
  • People who inject drugs
  • Anyone with a weakened immune system

Step by step

How do I get vaccinated as an adult?

A blood test first, if you are at risk

If someone at home is a carrier, test before the first injection. You may already be a carrier, or already immune. Our guide to reading a hepatitis B report explains the results.

The first injection

It goes into the upper arm. A family doctor, a hospital vaccination clinic or a government centre can give it. Ask for a written record with the date and the vaccine name.

Keeping to the schedule

Set reminders for the second and third injections. If one is missed, you usually carry on from where you stopped. You do not start again.

A check afterwards, for some people

Partners of carriers, health workers and people on dialysis are often advised an antibody test after the course. See checking whether the vaccine worked.

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Cost and access

How much does the hepatitis B vaccine cost in India?

For babies and young children, the vaccine is free at government health centres and anganwadi immunisation sessions under the national programme. For adults, the price depends on where you go and which brand is used, and it is charged per injection.

What changes the bill

Private clinics and hospitals set their own prices. Some add a consultation or an injection fee on top of the vaccine itself. The antibody test before or after the course is charged separately. Ask for the full price of all three injections and any tests before you start, so the course is not left unfinished.

Schemes and workplace programmes

Some employers, especially hospitals, vaccinate their staff. Coverage under government health schemes and private insurance for adult vaccines varies, and the rules change. Check with the scheme office or your insurer at the time, in writing.

CION does not sell vaccines. Our team can tell you whether you need one, and where to ask.
Did you know

The World Health Organization describes the hepatitis B vaccine as a way to prevent liver cancer. For most healthy people who respond to a full course, protection is thought to last for life.

Being straight with you

What this page cannot tell you

It cannot tell you whether you are already protected, infected or unprotected. Only a blood test answers that. It also cannot choose a schedule for you if you are pregnant, on dialysis, having cancer treatment or living with a weakened immune system. These groups sometimes need a different course or extra checks, which your doctor will plan.

Who the vaccine does not suit

The vaccine does nothing for someone who already carries hepatitis B. It does not treat the infection, and it does not lower that person's cancer risk. Hepatitis B is controlled with antiviral medicine where needed, and that decision belongs to a hepatologist or physician. Read a carrier's cancer risk if this is you. Anyone who had a serious allergic reaction to an earlier dose should not have another without specialist advice.

Who to ask

A family doctor or physician can answer most questions. If you have hepatitis B and a liver tumour, CION's oncologists can review your reports and coordinate hepatology care through partner specialists.

Questions we are asked

Common questions about the hepatitis B vaccine

Do adults need a hepatitis B booster?

Most healthy adults and children who complete a full course do not need a booster. The body keeps a memory of the virus even when antibody levels fall. People on dialysis or with a weakened immune system may be tested over time and given a booster if protection drops.

I had the vaccine as a child. Am I still protected?

Most likely, if you completed the course. If you are not sure, or someone at home is a carrier, a blood test for antibodies settles the question. Only your doctor can say whether a booster or a repeat course is worth having in your situation.

What if I missed the second or third injection?

You do not usually need to start again. Have the missed injection as soon as you can and carry on with the rest of the course. Tell the person giving it when your earlier injections were, and bring your written record if you have one.

What if the vaccine did not work for me?

A small group of people do not make enough antibodies after one course. They are usually offered a second full course and tested again. Some still do not respond. They are advised how to avoid exposure and what to do quickly if they are exposed.

Is the vaccine safe in pregnancy?

It is generally considered safe and can be given when a pregnant woman is at risk, such as when her husband is a carrier. Every pregnant woman should also be tested for hepatitis B, so the baby can be protected at birth if needed.

What side effects should I expect?

Most people have a sore arm for a short while, and some feel tired or slightly feverish. Serious allergic reactions are rare. Tell the person giving the vaccine about any allergies, including to yeast, before the injection.

Can I get the vaccine if I already have hepatitis B?

It will not help you. The vaccine prevents infection; it does not treat it. If your report shows you are a carrier, you need a hepatologist or physician to decide about antiviral medicine and regular liver checks instead. Your family should be tested and vaccinated.

Who can I ask if I am still unsure?

Your family doctor is a good first step. You can also call the CION helpline with your reports. Someone will explain what they show and point you to the right place for testing, vaccination or liver care.

Your Specialists

Meet CION's liver cancer specialists. Bring your scan reports and liver blood tests.

Our medical and surgical oncologists plan liver cancer care together, weighing the tumour and how well your liver works before choosing surgery, a liver-directed procedure or medicines.

Dr. Naresh Gundu
Medical Oncologist

Dr. Naresh Gundu

MBBS, DNB (Internal Medicine), DM (Medical Oncology)

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Dr. C. Raghavendra Reddy
Medical Oncologist

Dr. C. Raghavendra Reddy

MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)

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Dr. Bharati Devi Gorantla
Medical Oncologist

Dr. Bharati Devi Gorantla

MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)

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Dr. Owais Mohammed
Medical Oncologist

Dr. Owais Mohammed

MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)

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Dr. T. Raghavender Reddy
Medical Oncologist

Dr. T. Raghavender Reddy

MBBS, DM (Medical Oncology), MD (Radiation Oncology)

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Dr. N. Kiranmayee
Medical Oncologist

Dr. N. Kiranmayee

MBBS, DM (Medical Oncology), MD (Internal Medicine)

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Dr. Muralidhar Muddusetty
Surgical Oncologist

Dr. Muralidhar Muddusetty

MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)

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Dr. Mohammed  Imaduddin
Surgical Oncologist

Dr. Mohammed Imaduddin

M.B.B.S, MS (General Surgery), M.Ch (Surgical Oncology)

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Sources

  1. World Health Organization — Hepatitis B
  2. NHS — Hepatitis B
  3. NIDDK — Hepatitis B - NIDDK
  4. MedlinePlus — Hepatitis B

This page is general information, not a prescription. Do not change or stop any treatment based on what you read here. If anything is worrying you, contact your own treating team — or call our helpline and we will help you reach the right specialist.

Talk to us

Not sure whether you need the vaccine or a test first?

Tell us about your reports and who at home has hepatitis B, and we will explain the next sensible step. One helpline serves every CION centre.

Call 1800 202 8726

Speak to an oncologist

Where to find us

Our centres in and around Hyderabad

Addressed by landmark, because that is how this city navigates. One helpline books a consultation at any of these centres, and your team will tell you where each test and operation takes place.

CION Ameerpet

Beside Blue Fox Hotel, Satyam Theatre Road

Begumpet SR Nagar Punjagutta
CION Kukatpally

Opposite Big Bazaar, Mumbai Highway

KPHB JNTU Bharat Nagar
CION L.B. Nagar

Anu Arcade, next to L.B. Nagar Metro station

Vanasthalipuram Nagole Hayathnagar
CION Tolichowki

Inside Premier Hospital, Khader Bagh Road

Mehdipatnam Attapur Rethibowli
CION Masab Tank

Mahavir Hospital, AC Guards, Lakdikapul

Lakdikapul Khairatabad Basheer Bagh
CION Banjara Hills

Road No. 12

Jubilee Hills Madhapur Film Nagar
CION Kompally

Suchitra Circle, NH-44

Suchitra Circle Alwal Dundigal
CION Balanagar

Balanagar Main Road

Balanagar Fatehnagar Moosapet
CION Siddipet

Lohith Sai Hospital, Shivaji Nagar

Gajwel Husnabad Dubbaka
CION Sangareddy

X Roads, Pothreddipalle

Narayankhed Zaheerabad Patancheru
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Liver Cancer Topics

Browse CION’s liver cancer guide — hepatitis and fatty liver, surveillance, symptoms and scans, staging and liver function, surgery, transplant, TACE and medicines, living with it, cost and care in Hyderabad. Tap any topic to read more.

Understanding liver cancer

Hepatitis B and liver cancer

How hepatitis B leads to liver cancer, and what lowers the risk I am a hepatitis B carrier: what is my liver cancer risk? HBsAg positive: what it actually means for your liver Reading a hepatitis B report: HBsAg, HBeAg, anti-HBs and anti-HBc Hepatitis B viral load: why the number matters for liver cancer risk Inactive carrier or active hepatitis B: what is the difference? Can hepatitis B cause liver cancer without cirrhosis? Antiviral treatment lowers liver cancer risk, but does not remove it Why you still need liver scans even on antiviral treatment Stopping hepatitis B medicine: why it is risky and what to do instead How hepatitis B spreads, and how it does not Hepatitis B and pregnancy: how to protect your baby Mother-to-child hepatitis B and the birth-dose vaccine Should my family be tested for hepatitis B? Vaccinating the household of a hepatitis B carrier The hepatitis B vaccine in India: schedule, cost and boosters Hepatitis B vaccination is liver cancer prevention Do I need a booster? Checking whether the hepatitis B vaccine worked Hepatitis B and marriage: the questions nobody asks out loud Hepatitis B and your job: what you do and do not have to disclose Hepatitis B reactivation during cancer treatment: how to prevent it Hepatitis D: the infection that makes hepatitis B worse Occult hepatitis B: what a positive anti-HBc with a negative HBsAg means Hepatitis B in Telangana and Andhra Pradesh: how common it is and what families can do Where to get tested for hepatitis B in Hyderabad Hepatitis B: what to tell your children Hepatitis B myths in Telugu families, and what is actually true A hepatitis B guide for Telugu families

Symptoms and early signs

Early signs of liver cancer: what they are and what they usually mean Does early liver cancer have symptoms? Usually not, and here is why Pain in the upper right abdomen: is it the liver, and is it cancer? Can right shoulder blade pain mean liver cancer? A lump or fullness under the right ribs: is it the liver? Unexplained weight loss: could it be liver cancer? Loss of appetite and feeling full quickly: is it the liver? Nausea and vomiting: when it could be the liver Yellow eyes and skin: when jaundice means cancer Itching all over the body: when is it the liver? Dark urine and pale stools: what they mean and when to worry Swollen or bloated abdomen: when is it the liver? Swollen legs and feet: when is it the liver? Extreme tiredness and weakness: could it be the liver? Fever with no obvious infection: could it be liver cancer? Easy bruising and bleeding gums: is it my liver? Confusion, drowsiness and odd behaviour: could it be the liver? Spider-like veins on the chest and red palms: are they a liver sign? Prominent veins on the abdomen: when do they point to the liver? Breast enlargement in men: is it the liver? Vomiting blood or passing black stools: go to hospital now Raised liver enzymes on a routine blood test: what SGPT and SGOT mean Is it liver cancer or gallstones? How the symptoms differ Is it liver cancer, or acidity and gas? Liver symptoms that need an appointment this week, and which cannot wait A liver symptom checklist to take to your doctor Liver cancer symptoms, with the Telugu words families use

Liver resection (surgery)

Liver transplant for cancer

Liver transplant for liver cancer: who it is for Why a liver transplant can treat both the cancer and the cirrhosis The Milan criteria for liver transplant in liver cancer, explained Beyond the Milan criteria: UCSF and extended rules for liver transplant Who cannot have a liver transplant for liver cancer? Living donor liver transplant in India, explained Who can be a living liver donor in India? What happens to the donor: risks and recovery after living liver donation Blood group matching for a liver transplant donor Deceased donor liver transplant and the waiting list in India Jeevandan: how Telangana's organ donation programme works for liver cancer How to register on the liver transplant waiting list in Telangana How long is the wait for a liver transplant, and what decides priority? MELD exception points: how liver cancer is weighed on a transplant list Staying eligible: treatment while you wait for a liver transplant Dropping off the transplant list: why it happens and what comes next Downstaging liver cancer to become eligible for a transplant The transplant assessment: every test you will have The psychological and social assessment before a liver transplant Alcohol abstinence before a liver transplant: what centres ask for The liver transplant operation: what actually happens Intensive Care and the First Week After a Liver Transplant Immunosuppression for Life: What It Means Day to Day Liver transplant rejection: the signs and what is done Infection risk after a liver transplant, and how to reduce it Can liver cancer come back after a transplant? New cancers after a liver transplant: the risk and the checks Liver transplant cost in India and in Hyderabad: what makes up the bill Insurance and scheme cover for a liver transplant Life after a liver transplant: what normal looks like Liver transplant myths in Indian families, and what is true A liver transplant guide for Telugu-speaking families

Systemic therapy decisions

Diet and nutrition

Diet in liver cancer: what actually matters Why eating enough protein is the priority in liver cancer The protein myth: why 'rest the liver' advice is wrong How much protein, and from which Indian foods? Dal, paneer, egg and curd: a practical protein plan for liver cancer Vegetarian and vegan protein with cirrhosis and liver cancer The late-night snack that helps a damaged liver Small frequent meals: why long gaps hurt a damaged liver Salt in liver cancer: the rules, and when they apply Fluid and water with liver cancer: how much is right? Foods to avoid with liver cancer, and what to keep eating Raw fish, raw shellfish and liver disease: what is safe to eat Iron, turmeric and the supplements that can harm a damaged liver Is turmeric good or bad for the liver when you have liver cancer? Sugar, jaggery and diabetes when you have liver cancer Oil and ghee with liver cancer: how much is reasonable? Chicken, mutton and fish with liver cancer: what is safe to eat? Eating when nothing tastes right with liver cancer Eating with a swollen abdomen: what to do when you feel full too soon Weight loss and muscle loss in liver cancer: how to slow it Nutrition supplements and protein powders in liver cancer: which and when Feeding tubes in liver cancer: when they are considered Coffee and the liver: what the evidence says Exercise with liver cancer and cirrhosis: is it safe, and what helps? A Telugu diet plan for liver cancer: one day of meals, built on protein A week of low-salt, high-protein Telugu meals for liver cancer

Alternative and Ayurvedic liver treatments

Ayurvedic and herbal treatment for liver cancer: an honest look Why the liver is the organ most harmed by herbal remedies Herb-induced liver injury: the signs, the risk and what to do Liver detox and liver cleansing: what they actually do Hepatoprotective tonics and syrups sold for the liver Milk thistle and silymarin: what the evidence shows Kalmegh, bhumi amla and punarnava: what the evidence shows for the liver Papaya leaf juice for low platelets in liver cancer: an honest look Wheatgrass and juice therapies in liver cancer: what the evidence shows Giloy and the liver injury reports: what they mean for a damaged liver Ashwagandha, garcinia and green tea extract: can they injure the liver? Heavy metals in some traditional preparations: what liver patients should know Homeopathy for liver cancer: what the evidence shows Cow urine, gaumutra and liver cancer: what the claims rest on Cannabis and CBD oil for liver cancer: what helps, what harms and the law in India Apricot kernels, laetrile and other imported cancer claims: the real danger Alkaline diets and starving the tumour: what is true for liver cancer Can I take Ayurveda alongside my liver cancer treatment? Can herbs interfere with liver cancer medicines? How to tell your oncologist about Ayurvedic medicine without being judged Spotting a fraudulent cancer treatment claim Why delay for alternative treatment costs the most in liver cancer What traditional medicine can reasonably offer in liver cancer A plain warning about liver tonics, with the Telugu words to share it

Cost, insurance and schemes

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Liver cancer in Hyderabad

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