Concept venture · Healthcare · Egypt & Africa

Vaxera

Never miss a vaccine again.

A digital vaccination passport for families and clinics — AI reads a paper vaccination card and turns thirty years of handwritten records into a verifiable, bilingual, offline-tolerant history. Designed end to end from survey research to product, business model and investor narrative.

Role
Product & UX design, research
Audiences
Parents · providers · schools
Languages
عربي · English, RTL-first
Vaxera app entry screen with parent and provider demo modes

A public health problem hiding in a lost piece of paper

A child's entire immunisation history lives on one folded card. Lose it and the record is gone — so doses get repeated, skipped, or guessed at from a doctor's memory.

67%
have lost a vaccination card
54%
forgot an appointment
48%
unsure if fully vaccinated
2–5 hrs
providers lose weekly to record chasing

"I lost my son's vaccination card twice. I had to ask the doctor to remember what he took."

Parent, Cairo — survey follow-up interview

Research first, product second

Egypt market survey, N=45, April 2026 — run before any screen was designed. Nearly a quarter of respondents volunteered for follow-up interviews, which is itself a signal about how much the problem stings.

The instrument

Written in Egyptian Arabic, branched by role

The survey runs in colloquial Egyptian Arabic rather than formal MSA — the register people actually answer in. 33 questions, 5–7 minutes, fully anonymous, and branched at question one so nobody reads a question that isn't theirs.

Three paths: parent or guardian of a child under 18 · adult managing their own records · healthcare worker
Closing note: "There's no right or wrong answer — we just want to hear your real experience."
Incentive: 30 respondents invited to a 30-minute follow-up interview, one gift voucher
What each path asks
Parents & guardians · Q2–Q9

How they store records today (paper card, phone photos, notebook, relying on the clinic's memory, or not tracking at all); what has gone wrong in the last two years; how they remember the next dose; then two 1–5 scales — how much stress appointment management causes, and how confident they are the child is up to date — and how hard it would be to get a same-day certificate for school or travel.

Adults, own records · Q10–Q17

Whether they even know which vaccinations they've had; the moments they were asked to prove it (travel, visa, a new job, university, a medical procedure); how easily they could retrieve the record last time and where it lives; whether a booster was delayed because they weren't sure — plus a 1–5 scale on how much the inaccessibility bothers them, and an open story field.

Healthcare workers · Q18–Q29

Role and setting, weekly vaccination volume, and what they record with today — paper only, Excel, clinic software, the government system, or a hybrid. Then the operational truth: how often patients arrive without complete records and what staff do when it happens (ask the family, call the previous clinic, re-administer to be safe), the top three record-keeping challenges, hours per week lost to vaccination paperwork, stock management, whether a dose was ever refused or delayed because of records — and a 1–5 satisfaction rating on their current method.

Design choice
Behaviour before opinion

Almost every question asks what happened, not what they'd like — "in the last two years, which of these happened to you?" People misreport preferences; they remember incidents.

Design choice
"None of these" on every list

Each multi-select ends with an explicit none option, so the data can distinguish a real zero from a skipped question — and the 67% figure means something.

Design choice
Open field per section

Every path closes with an optional story prompt. That's where the Cairo parent's quote came from — and where the follow-up interview list built itself.

Reported experiences
Lost a vaccination card67%
Forgot an appointment54%
Uncertain if fully vaccinated48%
Missed a vaccination42%
Difficulty proving vaccination31%
What the data changed

Record loss outranked reminders. So digitising the existing paper card became the product's first job — not scheduling, which is where similar apps usually start.

Proving it, not just holding it

A third struggled to prove vaccination — for schools, travel, nurseries. That made QR verification a core surface rather than a feature.

Two sides, one record

Providers losing hours weekly meant the clinic side couldn't be an afterthought — the same record has to serve a parent and a nurse with different needs.

The AI moment: a photo becomes a record

The scanning flow is where trust is won or lost. AI extraction is fast but fallible, and a wrong dose date in a child's immunisation history is not an acceptable error — so the design makes the machine's confidence visible and puts the parent in the loop before anything is saved.

Vaxera scan results screen with per-record confidence scores
Confidence, per record

Each extracted vaccination carries its own score — 95%, 92%, 88% — rather than one blanket "scan successful". The 88% is visually distinct so attention lands where verification is actually needed.

Review before import

Nothing enters the record automatically. Records are selectable, and the primary action states exactly what will happen — "Import 3 records" — so the count is confirmed, not assumed.

Evidence for the parent, not the model

Each row shows dose number, date, clinic and batch number — the details a parent can check against the paper card in their hand. Verification is possible without medical knowledge.

Retry is a first-class path

"Scan another" sits beside import as an equal option, because paper cards are folded, faded and often multi-page. The flow expects several passes rather than treating a partial read as failure.

One app, three experiences

A parent, a healthcare provider and an institution touch the same record with different needs — so the app opens by asking who you are, and the demo modes let an investor or a clinic see their own side immediately.

Parent / individual

The family's record

All dependents in one place, AI card scanning to import history, smart reminders for what's next, and QR proof when a school or airline asks.

Healthcare provider

The clinic's hours back

Verified history at the point of care, so a nurse stops reconstructing a record from memory — and duplicate doses stop being administered.

Schools & institutions

Proof without paperwork

QR verification replaces photocopied cards at enrolment — the use case a third of surveyed parents named as their hardest moment.

Bilingual, RTL-first

Arabic and English are peers, with right-to-left layout designed from the start — the language switch is on the entry screen, not buried in settings.

Offline-tolerant

Records and QR proof resolve without a connection. A clinic corridor or a school gate is exactly where the network fails.

Try before signing up

Two demo modes on the launch screen let a parent or a clinic see the value before creating an account — critical for a health product asking for a child's data.

Designing the business, not just the app

The concept was taken through to a market case and an investor narrative — the part of product work that decides whether a good design ever ships.

Market
105M
population
20M
children 0–18
65%
smartphone
15K
clinics
10K
schools
450M
children, Africa
Revenue streams
B2C freemium — EGP 99/year for families
B2B SaaS — EGP 500–3,500/month for clinics
Transaction fees — EGP 5–10 per booking
Partnerships — insurance, schools, corporate
Dual network effect: every clinic brings families, every family pulls clinics.
Why it wins
First Arabic platform with true RTL Proprietary OCR for handwritten cards Local integration with national bodies Offline-first by design
Built so far
Full mobile app prototype Backend API, 40+ endpoints AI card-scanning prototype Bilingual UI, Arabic and English
The vision

A million children with a digital record they cannot lose — and the duplicate doses, missed schedules and unprovable histories that come with paper, gone with it.

What I'd validate next

Scanning real cards

Test extraction against genuinely difficult cards — faded ink, Arabic handwriting, multi-page, water damage — and measure whether the confidence scores are honest.

Trust with a child's data

Interview parents on what they need to see before uploading a child's medical history — the demo modes are a hypothesis about that, not an answer.

Clinic adoption reality

Shadow a busy vaccination clinic: does verified history actually save the 2–5 hours a week, and who at the desk has time to scan?