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You shouldn't need a visa for Italy, only for Egypt. You can buy the visa for Egypt after you arrive for about $15. There's a little kiosk off to the side where you buy it, before you go through the passport line. Have $15 cash, in new-quality bills, in exact change to minimize any risk of potential hassle.
For shots, there's no "requirement", and definitely no documentation needed. If it has been more than 10 years since your last tetanus shot, you should get a tetanus booster. Hepatitis A and Hepatitis B are both recommended - I got them for the first time a year ago, on my fifth trip to Egypt, did the first four without them.
No one has ever suggested polio to me, but maybe that's because I had a polio vaccination when I was in elementary school? Don't know. I've also never heard of a recommendation for typhoid and I've never had a vaccination for that, but ask your doctor what s/he thinks.
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