Skip to main content
Workplace

Q fever vaccination: who is at risk and what the process looks like

Q fever is a serious zoonotic illness that disproportionately affects farm, abattoir and veterinary workers. Vaccination requires pre-screening, not just a single shot at the pharmacy.

28 April 2026 4 min read·Immunisation Hub clinical team
Sheep in a paddock
Photo by Tanner Yould on Unsplash

Photo by Tanner Yould on Unsplash.

Q fever is caused by the bacterium Coxiella burnetii, carried by livestock and kangaroos. People exposed to animal birthing fluids, dust from yards, hides and carcasses are most at risk, abattoir workers, farmers, shearers, veterinarians, agricultural students and wildlife handlers. Acute Q fever causes weeks of fever, severe headaches and fatigue, chronic Q fever can cause endocarditis years later.

Why Q fever vaccination isn’t a simple walk-in

Q fever vaccination requires pre-vaccination screening, a blood test and a skin test, performed before the vaccine. People who have already had Q fever (often without realising) can have a severe reaction if vaccinated. The screening identifies them so they aren’t vaccinated.

The process

  1. Pre-vaccination skin test and blood test (single visit, results in about a week).
  2. Return visit to read the skin test and review blood results.
  3. If both are negative, the vaccine is administered. Single dose.
  4. Details are uploaded to the Australian Q Fever Register, employers and clients verify status via the register.

For employers

WorkSafe Victoria expects employers in at-risk industries to have a vaccination policy and to support staff through the testing process. Workplace clinics can pre-screen and vaccinate cohorts in one or two visits. Talk to us if you want to set this up.

General information only. This article is educational and is not a substitute for personal medical advice. Your immuniser will confirm eligibility and contraindications on the day.

TGA advertising compliance. Vaccines are referred to by disease or category in line with the Therapeutic Goods Advertising Code. Specific brands and registered indications are discussed at the consultation.

Questions? Book a quick consult.

Walk in or reserve online, most appointments take under 25 minutes.