vaccinations required for travel to spain

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Travel health notices, vaccines and medicines, non-vaccine-preventable diseases, stay healthy and safe.

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After Your Trip

There are no notices currently in effect for Spain.

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Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page.

Routine vaccines

Recommendations.

Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include

• Chickenpox (Varicella)
• Diphtheria-Tetanus-Pertussis
• Flu (influenza)
• Measles-Mumps-Rubella (MMR)

Immunization schedules

All eligible travelers should be up to date with their COVID-19 vaccines. Please see  Your COVID-19 Vaccination  for more information. 

COVID-19 vaccine

Hepatitis A

Consider hepatitis A vaccination for most travelers. It is recommended for travelers who will be doing higher risk activities, such as visiting smaller cities, villages, or rural areas where a traveler might get infected through food or water. It is recommended for travelers who plan on eating street food.

Hepatitis A - CDC Yellow Book

Dosing info - Hep A

Hepatitis B

Recommended for unvaccinated travelers younger than 60 years old traveling to Spain. Unvaccinated travelers 60 years and older may get vaccinated before traveling to Spain.

Hepatitis B - CDC Yellow Book

Dosing info - Hep B

Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.

All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to  CDC’s measles vaccination recommendations for international travel .

Measles (Rubeola) - CDC Yellow Book

Dogs infected with rabies are not commonly found in Spain.

If rabies exposures occur while in Spain, rabies vaccines are typically available throughout most of the country.

Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.

Please consult with a healthcare provider to determine whether you should receive pre-exposure vaccination before travel.

For more information, see country rabies status assessments .

Rabies - CDC Yellow Book

Avoid contaminated water

Leptospirosis

How most people get sick (most common modes of transmission)

• Touching urine or other body fluids from an animal infected with leptospirosis
• Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud
• Drinking water or eating food contaminated with animal urine
• Avoid contaminated water and soil
• Avoid floodwater

Clinical Guidance

Avoid bug bites.

Leishmaniasis

• Sand fly bite
• Avoid Bug Bites

Airborne & droplet

• Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents
• Bite from an infected rodent
• Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)
• Avoid rodents and areas where they live
• Avoid sick people

Parvovirus B19

• Virus droplets from a cough or sneeze getting in your eyes, nose, or mouth
• Direct contact with the virus, like kissing the face of a child with parvovirus B19
• Touching a surface with the virus on it, like a doorknob, and then touching your face before washing your hands
• An infected pregnant person can spread it to their unborn baby 
• Wash your hands  often with soap and water
• Avoid touching your eyes, nose, and mouth
• Avoid crowded areas where you may be unable to maintain physical distance
• People who are  pregnant ,  have blood disorders (e.g. sickle cell or thalassemia), or are immunocompromised are at  higher risk  for severe disease. If you are in these groups and are exposed to or contract parvovirus B-19, contact your healthcare provider.

Prevention and Treatment

Tuberculosis (TB)

• Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Spain, so your behaviors are important.

Eat and drink safely

Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.

• Choose Safe Food and Drinks When Traveling
• Water Treatment Options When Hiking, Camping or Traveling
• Global Water, Sanitation and Hygiene | Healthy Water
• Avoid Contaminated Water During Travel

You can also visit the  Department of State Country Information Pages  for additional information about food and water safety.

Prevent bug bites

Although Spain is an industrialized country, bug bites here can still spread diseases. Just as you would in the United States, try to avoid bug bites while spending time outside or in wooded areas.

What can I do to prevent bug bites?

• Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
• Use an appropriate insect repellent (see below).
• Consider using permethrin-treated clothing and gear if spending a lot of time outside. Do not use permethrin directly on skin.

What type of insect repellent should I use?

• FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
• Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
• Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD)
• 2-undecanone
• Always use insect repellent as directed.

What should I do if I am bitten by bugs?

• Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
• Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs .

For more detailed information on avoiding bug bites, see Avoid Bug Bites .

Stay safe outdoors

If your travel plans in Spain include outdoor activities, take these steps to stay safe and healthy during your trip:

• Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
• Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
• Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
• If you are outside for many hours in the heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
• Protect yourself from UV radiation : use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
• Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
• Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

• Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
• Do not dive into shallow water.
• Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
• Practice safe boating—follow all boating safety laws, do not drink alcohol if you are driving a boat, and always wear a life jacket.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

• Do not touch or feed any animals you do not know.
• Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
• Avoid rodents and their urine and feces.
• Traveling pets should be supervised closely and not allowed to come in contact with local animals.
• If you wake in a room with a bat, seek medical care immediately.  Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

• Wash the wound with soap and clean water.
• Go to a doctor right away.
• Tell your doctor about your injury when you get back to the United States.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

• Wash your hands often, especially before eating.
• If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
• Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Try to avoid contact with people who are sick.
• If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

• Use latex condoms correctly.
• Do not inject drugs.
• Limit alcohol consumption. People take more risks when intoxicated.
• Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
• If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

• Carry a list of local doctors and hospitals at your destination.
• Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance for things your regular insurance will not cover.
• Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medicines you take.
• Bring copies of your prescriptions for medicine and for eye glasses and contact lenses.
• Some prescription drugs may be illegal in other countries. Call Spain’s embassy to verify that all of your prescription(s) are legal to bring with you.
• Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website ( www.jointcommissioninternational.org ).

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

Be smart when you are traveling on foot.

• Use sidewalks and marked crosswalks.
• Pay attention to the traffic around you, especially in crowded areas.
• Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

• Choose official taxis or public transportation, such as trains and buses.
• Make sure there are seatbelts.
• Avoid overcrowded, overloaded, top-heavy buses and minivans.
• Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
• Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
• Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

• Do not drive after drinking alcohol or ride with someone who has been drinking.
• Consider hiring a licensed, trained driver familiar with the area.
• Arrange payment before departing.

Follow basic safety tips.

• Wear a seatbelt at all times.
• Sit in the back seat of cars and taxis.
• When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
• Do not use a cell phone or text while driving (illegal in many countries).
• Travel during daylight hours only, especially in rural areas.
• If you choose to drive a vehicle in Spain, learn the local traffic laws and have the proper paperwork.
• Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
• Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
• Avoid using local, unscheduled aircraft.
• If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
• Try to schedule flights during daylight hours and in good weather.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

• Research your destination(s), including local laws, customs, and culture.
• Monitor travel advisories and alerts and read travel tips from the US Department of State.
• Enroll in the Smart Traveler Enrollment Program (STEP) .
• Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
• Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

• Carry contact information for the nearest US embassy or consulate .
• Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
• Follow all local laws and social customs.
• Do not wear expensive clothing or jewelry.
• Always keep hotel doors locked, and store valuables in secure areas.
• If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Spain for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic . Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel .

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Travel Vaccines and Advice for Spain

With a mix of Mediterranean beaches and soaring mountains, Spain is a popular and thriving European destination. The varying geography offers many different outdoor adventures. Cities boast beautiful old-world architecture and a growing gastronomical reputation.

Whether you come to Spain for skiing, beaches or vibrant food and culture, you are sure to find something to delight you.

On This Page: Do I Need Vaccines for Spain? Other Ways to Stay Healthy in Spain Do I Need a Visa for Spain? What Is the Climate Like in Spain? How Safe Is Spain? Wandering Through Gaudí Buildings in Barcelona What Should I Pack for Spain? U.S. Embassy in Spain

Do I Need Vaccines for Spain?

Yes, some vaccines are recommended or required for Spain. The CDC and WHO recommend the following vaccinations for Spain: hepatitis A , polio , hepatitis B , influenza , COVID-19 , pneumonia , meningitis , chickenpox , shingles , Tdap (tetanus, diphtheria and pertussis) and measles, mumps and rubella (MMR) .

See the bullets below to learn more about some of these key immunizations:

• Hepatitis A – Food & Water – Recommended for most travelers.
• Polio – Food & Water – Due to an increase in cases globally, an additional adult booster is recommended for most travelers to any destination.
• Hepatitis B – Blood & Body Fluids – Recommended for travelers to most regions.
• Influenza – Airborne – Vaccine components change annually.
• COVID-19 – Airborne – Recommended for travel to all regions, both foreign and domestic.
• Pneumonia – Airborne – Two vaccines given separately. All 65+ or immunocompromised should receive both.
• Meningitis – Direct Contact & Airborne – Given to anyone unvaccinated or at an increased risk, especially students.
• Chickenpox – Direct Contact & Airborne – Given to those unvaccinated that did not have chickenpox.
• Shingles – Direct Contact – Vaccine can still be given if you have had shingles.
• Polio – Food & Water – Considered a routine vaccination for most travel itineraries. Single adult booster recommended.
• TDAP (Tetanus, Diphtheria & Pertussis) – Wounds & Airborne – Only one adult booster of pertussis required.
• Measles Mumps Rubella (MMR) – Various Vectors – Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.

See the table below for more information:

Specific Vaccine Information

• Hepatitis A – Hepatitis A is a highly contagious liver infection caused by the hepatitis A virus, typically spreading through contaminated food or water, or close contact with an infected person. Symptoms can include fatigue, nausea, stomach pain, and jaundice. The hepatitis A vaccine is a safe and effective shot that provides immunity against the virus, usually given in two doses.
• Rabies – The rabies virus is a deadly threat that spreads through bites and scratches from infected animals. Preventing rabies involves timely vaccination, avoiding contact with wildlife and seeking immediate medical attention if bitten. The rabies vaccine is instrumental in developing immunity and safeguarding against this fatal disease.
• Hepatitis B – Hepatitis B, caused by the hepatitis B virus, spreads through infected bodily fluids. While safe practices can reduce the risk, vaccination is the most reliable defense. The hepatitis B vaccine stimulates the immune system to produce antibodies, ensuring robust and long-lasting protection against this liver disease.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are contagious diseases transmitted via respiratory droplets and touch. Preventing these illnesses is primarily achieved through vaccination, using the MMR vaccine. It’s administered in two doses and provides immunity against all three viruses.

As a developed country, Spain has fewer health risks than other destinations. But, there is still some risk. Consider bringing a traveler’s diarrhea kit in case of stomach problems.

See our vaccinations page to learn more about these infections and vaccines. Ready to protect yourself? Book your travel health appointment today by calling or schedule online now .

Other Ways to Stay Healthy in Spain

Prevent bug bites in spain.

If you get bitten by bugs, clean the area, resist scratching, and use over-the-counter remedies like hydrocortisone or antihistamines to relieve itching. Seek medical attention for severe reactions.

Food and Water Safety in Spain

Safeguard your health during international travels by eating fully cooked, hot meals, at reliable dining establishments. To minimize the chances of travelers’ diarrhea , follow these precautions: choose safe foods, avoid untreated water, practice frequent hand-washing, consider probiotics, and exercise caution when indulging in unfamiliar cuisines.

Altitude Sickness in Spain

Altitude sickness, marked by symptoms such as headaches and fatigue due to low oxygen levels at high elevations. AMS can be avoided through gradual ascent, hydration, and certain medications like acetazolamide. If AMS strikes, descending promptly to lower altitudes, resting, and seeking medical assistance if symptoms persist are crucial steps for recovery.

Infections To Be Aware of in Spain

• Leishmaniasis – The transmission of leishmaniasis primarily occurs through infected sand fly bites, with other routes of transmission possible. Preventing the disease involves minimizing exposure to sand flies. Early detection and treatment can prevent serious symptoms.

Do I Need a Visa for Spain?

You must have a passport to visit Spain. A visa is not required for stays under 90 days. While the Spanish government requires passports have at least 3 months validity beyond departure from Spain, 6 months is recommended.

Sources: Embassy of Spain and U.S. State Department

Spain is part of the European Union. Entry and exit requirements may change based on EU policy.

What Is the Climate Like in Spain?

Spain’s weather can vary according to your location within the country.

The southern and eastern coastal regions have a Mediterranean climate. Summers are hot and usually very dry, and winters that tend to be mild but damp and rainy. The most likely time for rain in these locations is during the fall, from September to December.

In the central inland region of the country, the climate tends to be hot in the summer as well. But, the winters are much colder and snowfall is more likely, especially in the mountains. Rain falls most often in the spring and the autumn months.

The northern part of the country, often called Basque country, has a temperate climate. Summer temperatures in this area are much cooler than those in the south, and the winters are mild. Rain and clouds are very common, especially during the winter months.

Coastal regions are popular in the summer, especially June to August. Mountain regions experience a boom in January and February for skiing and other sports.

How Safe Is Spain?

When traveling to Spain, it’s important to be aware of your surroundings and take steps to stay safe. Here are some tips to follow:

• Keep your valuables close to you in crowded areas, as pickpockets often target tourists.
• Use credit or debit cards instead of carrying large amounts of cash. Cover the keypad when using an ATM.
• Be cautious when using public transportation, especially at night.
• Avoid walking alone at night and stay in well-lit areas.
• Be cautious when accepting drinks from strangers.
• Follow local laws and customs, particularly when it comes to alcohol and drugs.
• Be aware of any protests or demonstrations that may be taking place.
• Protect yourself from the sun by wearing sunscreen, a hat, and sunglasses.
• Keep your passport and other important documents in a safe place.
• If you have any issues or concerns, seek help from local authorities or your embassy or consulate.

Wandering Through Gaudí Buildings in Barcelona

Avoid an embarrassing stop, over 70% of travelers will have diarrhea., get protected with passport health’s travelers’ diarrhea kit .

Barcelona is a popular destination for many reasons. One of the most visited are its many buildings designed by the famous architect Antoni Gaudí.

Gaudí’s structures are some of the most important tourist destinations in Barcelona. Some have even been made UNESCO World Heritage sites. They are known for their eccentric, fantastical designs featuring unusual curves, angles and colors. This sets them apart from the surrounding buildings.

One of the most famous Gaudí structures is a church called the Basílica de la Sagrada Família. The church has been under construction for 125 years. Construction is not expected to finish until 2030. But, it is still a major tourist attraction and a breathtaking piece of architecture.

What Should I Pack for Spain?

Don’t forget to bring the following essentials on your trip to Spain:

• Theft-Proof Bag – While no bag can be entirely theft-proof, choosing bags that have strong straps and that cross over your body.
• Weather-Appropriate Clothing – Be sure to check the weather for your vacation to make sure you have the right clothes for the climate. Keep warm in the winter, stay cool in the summer, and in the spring and autumn, be ready for any type of weather.
• Comfortable Shoes – The best way to enjoy Spanish cities, like many European cities, is by walking. Be sure to have shoes with good support so you don’t tire out your feet.
• Sunscreen – A bottle of sunscreen is essential to prevent painful sunburns, especially in summer.

U.S. Embassy in Spain

Before traveling abroad, all U.S. citizens should enroll in the Smart Traveler Enrollment Program. This will ensure that local embassies know where you are. You will also receive updates about any potential travel interruptions.

The U.S. embassy in Spain offers many helpful services for American travelers. These include helping with emergencies, issuing passports, and providing information on laws and travel advisories. The embassy can also help non-U.S. citizens with visa applications to visit the United States.

The U.S. embassy in Spain is located in the capital city of Madrid.

U.S. Embassy Madrid Calle Serrano, 75 28006 Madrid, Spain Telephone: (34) 91 587 2200 Emergency after-hours telephone: (34) 91 587 2200 Fax: (34) 91 587 2303

It’s important to check their website or ask them for the most current information.

Stay safe abroad with Passport Health. Call or book online now and start traveling safely today!

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Spain Travel Restrictions

Traveler's COVID-19 vaccination status

Traveling from the United States to Spain

Open for vaccinated visitors

COVID-19 testing

Not required

Not required for vaccinated visitors

Restaurants

Not required in public spaces, enclosed environments and public transportation.

Spain entry details and exceptions

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Can I travel to Spain from the United States?

Most visitors from the United States, regardless of vaccination status, can enter Spain.

Can I travel to Spain if I am vaccinated?

Fully vaccinated visitors from the United States can enter Spain without restrictions.

Can I travel to Spain without being vaccinated?

Unvaccinated visitors from the United States can enter Spain without restrictions.

Do I need a COVID test to enter Spain?

Visitors from the United States are not required to present a negative COVID-19 PCR test or antigen result upon entering Spain.

Can I travel to Spain without quarantine?

Travelers from the United States are not required to quarantine.

Do I need to wear a mask in Spain?

Mask usage in Spain is not required in public spaces, enclosed environments and public transportation.

Are the restaurants and bars open in Spain?

Restaurants in Spain are open. Bars in Spain are .