Who Should Get Which Meningococcal Vaccine And When
Although MCV4 is the preferred vaccine for most people, if it is not available when it’s time for the vaccination, MPSV4 can be used.
Routine immunization with the meningococcal vaccine MCV4 is recommended for children ages 11 or 12, with a booster to be given between ages 16 and 18. Vaccinations are also recommended for the following groups:
- College freshmen living in a dorm
- Military recruits
What To Think About
The menigococcal vaccine can be given at the same time as other routine childhood vaccinations.
The conjugate meningococcal vaccines may be used during pregnancy when the benefits of getting the vaccine outweighs the risk.
The conjugate and multi-component vaccines may be given to women who are breastfeeding.
No evidence has shown that Canadian university students who live in dormitories or residence halls are at higher risk of getting meningococcal disease.footnote 2
Medical Definition Of Meningitis Vaccine
- Medical Editor: Jay W. Marks, MD
Reviewed on 6/3/2021
Meningitis vaccine: This term usually refers to a vaccine used to prevent meningococcal meningitis, an inflammation of the membranes that cover the brain and spinal cord due to bacterial infection by Neisseria meningitidis.
The CDC’s Advisory Committee on Immunization Practices in 1999 made a unanimous recommendation that college freshmen be vaccinated against this type of bacterial meningitis.
A study published in The Journal of the American Medical Association showed that college students who live on campus have triple the risk of acquiring meningococcal infection compared with their peers who live off-campus. Among the factors cited for a higher risk of the disease on campus were the relative crowding associated with dormitory residence, alcohol-related behaviors, and exposure to tobacco smoke. The same factors make young adults who are military recruits at higher risk for meningococcal meningitis and provide the basis for recommendations that they, too, receive the vaccine.
The vaccine is generally effective against most strains of the bacteria affecting college students in the U.S. . Protection by the vaccine lasts at least 3 years. A booster is not needed in college
The vaccine has been well-tested and is safe. Side effects are mild, mainly low-grade fever and pain and tenderness at the site of the immunization for a day or so afterwards.
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How Long Does The Meningitis Vaccine Last
Available data suggests that protection from meningococcal conjugate decreases in many teens within five years. Getting a booster, as determined by your health care provider, may be critical in maintaining protection when most at risk for meningococcal disease.
Some adolescents and young adults may also receive a serogroup B meningococcal vaccine. The preferred age for receipt is 16 through 18 years so adolescents have protection during the ages of increased risk.2
The National Vaccine Injury Compensation Program
The National Vaccine Injury Compensation Program is a federal program that was created to compensate people who may have been injured by certain vaccines. Persons who believe they may have been injured by a vaccine can learn about the program and about filing a claim by calling or visiting the VICP website at . There is a time limit to file a claim for compensation.
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Are Both Meningococcal Vaccines Equally Effective
The MCV4, MPSV4 and MenB vaccines are about 85-90% effective in preventing meningococcal disease. There are actually several types of N meningitidis — the bacterium that causes meningococcal disease, five of which are common in the U.S. These vaccines together protect against all five of these strains.
MCV4 has not been available long enough to compare the long-term effectiveness of the two vaccines. But most experts think that MCV4 provides better, longer-lasting protection.
When To Get Medical Help
You should get medical advice as soon as possible if you’re concerned that you or your child could have meningitis.
Trust your instincts and do not wait until a rash develops.
Call 999 for an ambulance or go to your nearest A& E immediately if you think you or your child might be seriously ill.
Call NHS 111 or your GP surgery for advice if you’re not sure if it’s anything serious or you think you may have been exposed to someone with meningitis.
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You Are Pregnant Or Breastfeeding
- Pregnant women who are at increased risk for serogroup A, C, W, or Y meningococcal disease may get MenACWY vaccines.
- Pregnant or breastfeeding women who are at increased risk for serogroup B meningococcal disease may get MenB vaccines. However, they should talk with a clinician to decide if the benefits of getting the vaccine outweigh the risk.
Who Should Not Get Vaccinated Or Should Wait
- Anyone who has ever had a severe allergic reaction to a previous dose of MCV4 or MPSV4 vaccine or diphtheria vaccine
- Anyone who has a severe allergy to any vaccine component
- Anyone who is moderately or severely ill at the time the shot is scheduled should wait until they recover before receiving the vaccine
- For more information on additional warnings and precautions visit
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Who Should Get The Meningococcal Vaccines
All children ages 11 through 12 years should receive meningococcal vaccine followed by a booster dose at age 16 years. Vaccination is also recommended for all adolescents ages 13 through 18 years who did not receive a dose at age 11-12 years.
Individuals ages 2 months and older who have certain conditions that weaken their immune system should receive meningococcal vaccine, including teens who are HIV positive. These persons should also receive booster shots every three to five years depending on their age. Talk to your health care provider if your preteen or teen has a condition that makes it harder for their body to fight off infection.
The MenB vaccine may also be given at age 16 years along with the MenACWY booster dose. MenB vaccine is also recommended for children age 10 years and older with certain high-risk conditions. The number of doses needed depends on the product used and if your child has a high-risk condition. Talk to your health care provider about this additional vaccine.
How Meningitis Is Spread
Meningitis is usually caused by a bacterial or viral infection.
Bacterial meningitis is rarer but more serious than viral meningitis.
Infections that cause meningitis can be spread through:
- sneezing
- coughing
- kissing
Meningitis is usually caught from people who carry these viruses or bacteria in their nose or throat but are not ill themselves.
It can also be caught from someone with meningitis, but this is less common.
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Medical Abbreviations And Acronyms For Vaccines
Vaccine records can be challenging to interpret when abbreviations or acronyms are used. Standard abbreviations are often similar to each other, so it might not be clear which immunization an acronym or abbreviation is referring to.
Understanding common vaccine abbreviations can help you make sure your immunizations and your child’s immunizations are up-to-date, and it can also help you when filling out required forms.
What Are The Possible Side Effects Of Meningococcal Vaccines
Some of the most common side effects are swelling, redness, and pain at the site of the injection, along with headache, fever, or tiredness. Serious problems, such as allergic reactions, are rare.
The meningococcal vaccines contains only a small piece of the germ, so it can’t cause meningococcal disease.
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What Is Bacterial Meningitis
On the Apply Texas application where you completed your application for admission to UH, the State of Texas provides information on bacterial meningitis, a serious, potentially deadly disease that can progress extremely fast. Please consult a physician about the need for the immunization against bacterial meningitis to prevent the disease. More information can also be found at the website for the Center for Disease Control.
What Are The Options For Meningococcal Vaccine
Meningococcal vaccine is highly effective at protecting against four strains of the meningococcal bacteria. Three strains are common in the United States and the fourth strain protects travelers to certain countries where the disease is more common.
The MenACWY vaccine does not contain the meningococcal B strain that is more commonly found in infants and may cause some cases in adolescents. There is an additional vaccine, meningococcal B vaccine , that contains the B strain. If your clinic does not carry the MenB vaccine, you can ask them to order it for you, or to refer you to another clinic that has the vaccine. Talk to your health care provider about getting this additional vaccine.
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Types Of Meningitis Vaccines
The Food and Drug Administration has approved two types of meningitis vaccines. Both of these vaccines protect against bacterial meningitis, which is the most common type of meningitis.
They do not offer protection from viral meningitis, which is more common. The two types of vaccines differ based on what strains of bacteria they protect against.
The Dangers Of Meningococcal Disease
Meningococcal disease can cause both meningitis and septicaemia . Septicaemia and meningitis can trigger , which is a life-threatening response to infection.
Meningococcal disease is rare but very serious. It requires urgent hospital treatment.
It can lead to life-changing disabilities, such as amputations, hearing loss and brain damage.
The MenACWY vaccine was previously recommended only for people at increased risk of meningococcal disease, including people who have had their spleen removed, or have a spleen that does not work properly, for Hajj pilgrims, and for travellers to countries with high rates of meningococcal disease, including parts of Africa and Latin America.
Read about having the MenACWY vaccine before travelling on our page about travel vaccinations.
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Guidance On Reporting Adverse Events Following Immunization
To ensure the ongoing safety of vaccines in Canada, reporting of AEFIs by vaccine providers and other clinicians is critical, and in some jurisdictions, reporting is mandatory under the law.
Vaccine providers are asked to report AEFIs, through local public health officials, and to check for specific AEFI reporting requirements in their province or territory. In general, any serious or unexpected adverse event felt to be temporally related to vaccination should be reported.
For additional information about AEFI reporting, please refer to Adverse events following immunization. For general vaccine safety information, refer to Vaccine safety and pharmacovigilance in Part 2.
Problems That Could Happen After Getting Any Injected Vaccine
- People sometimes faint after a medical procedure, including vaccination. Sitting or lying down for about 15 minutes can help prevent fainting, and injuries caused by a fall. Tell the clinician if you or your child feel dizzy, have vision changes, or have ringing in the ears.
- Some people get severe pain in the shoulder and have difficulty moving the arm where the clinician gave a shot. This happens very rarely.
- Any medicine can cause a severe allergic reaction. Such reactions from a vaccine are very rare, estimated at about 1 in a million doses. These reactions happen within a few minutes to a few hours after the vaccination.
- As with any medicine, there is a very remote chance of a vaccine causing a serious injury or death.
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Meningococcal Vaccine: Canadian Immunization Guide
For health professionals
Latest partial content update :
: The chapter has been updated to align with the National Advisory Committee on Immunization Statement : The Use of Bivalent Factor H Binding Protein Meningococcal Serogroup B Vaccine for the Prevention of Meningococcal B Disease.
Updates include:
MenB-fHBP vaccine may be considered as an option for use in individuals 10 years of age and older in situations when a serogroup B meningococcal vaccine should be offered:
MenB-fHBP vaccine may be considered as an option for individuals 1025 years of age who are not at higher risk of meningococcal disease than the general population, but who wish to reduce their risk of invasive serogroup B meningococcal disease.
Last complete chapter revision: May 2015
What Are The Different Types Of Vaccines For Meningitis B
In the United States, two types of meningitis B vaccines are Food and Drug Administration -approved Bexsero and Trumenba.
To receive FDA approval, both vaccines had to undergo clinical trials showing their safety and effectiveness. Both vaccines work in a similar way but use different proteins to stimulate your immune response.
Bexsero is produced by GlaxoSmithKline. Its administered in two 0.5 milligram doses, 1 month apart.
Before approval, safety data was reviewed from 3,139 subjects in clinical trials in the United States, Canada, Australia, Chile, the United Kingdom, Poland, Switzerland, Germany, and Italy. Additional safety information was collected from 15,351 people who received Centers for Disease Control and Prevention sponsored vaccines at universities.
Trumenba is produced by Pfizer and is administered in two to three doses. For the three-dose schedule, the second dose is administered 1 to 2 months after the first, and the third vaccine is given 6 months after the first dose. For the two dose schedule, the second dose is given at 6 months after the first.
Before the FDA approved Tremenba, reviewers examined
People who have the highest chance of getting meningitis B include:
In the U.S. meningitis B vaccine isnt available yet for infants younger than 1 year old but is administered in the United Kingdom as part of the National Health Service vaccination schedule.
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How Do Meningococcal Bacteria Spread
Meningococcal disease is caused by 13 different groups of meningococcal bacteria.
In the UK, the disease is almost always caused by 1 of 4 meningococcal groups commonly known as MenB, MenC, MenW or MenY. These can be prevented with vaccination.
MenA disease is rare in the UK, but it’s more common in other parts of the world. It can also be prevented by vaccination.
The meningococcal bacteria live in the back of the nose and throat in about 1 in 10 people without causing any symptoms or illness.
Older teenagers are most likely to carry and spread the meningococcal bacteria.
The bacteria are spread from person to person by prolonged close contact such as coughing, kissing or sneezing with someone who is carrying the bacteria.
Very occasionally, the meningococcal bacteria can cause serious illness, including meningitis and septicaemia, which can rapidly lead to sepsis.
Meningococcal infections can happen at any age, but babies, young children and teenagers are especially vulnerable.
Measles Mumps And Rubella Vaccine
The MMR vaccine offers protection against measles, mumps and rubella infections. Meningitis can sometimes occur as a complication of mumps. Measles and rubella can cause encephalitis . In New Zealand, the MMR vaccine is free as part of the childhood immunisation schedule, for children at 15 months and 4 years of age. Read more about MMR vaccine.
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Menacwy Vaccine Side Effects
Like all vaccines, the MenACWY vaccine can cause side effects, but they are generally mild and soon pass.
The most common side effects seen in teenagers and young people are redness, hardening and itching at the injection site, a high temperature , headache, feeling sick and tiredness . These symptoms should last no longer than 24 hours.
Sometimes a small, painless lump develops, but this usually disappears after a few weeks.
What Happens If I Dont Provide The Necessary Documentation
- You will not be able to register for classes until the proper documentation is received.
- A registration hold will be placed on your myUH account, and a pending item will remain on your student checklist.
- For new students: This hold will prevent you from registering for classes at New Student Conferencesso students must fulfill this requirement before or upon arrival to their New Student Conference.
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Why The Meningitis B Vaccine Is Used
There are many reasons that the meningitis B vaccine was developed and why you would want to protect yourself and those you love against it.
Meningitis B is a serious disease that progresses quickly and can lead to death. The mortality rate from meningitis B in the United States is about 10 to 15 percent when treated and up to 50 percent when untreated. Its also possible to develop long-term conditions such as hearing loss or even brain damage after recovering from meningitis B.
The MenB bacterial infection is passed between people through saliva and respiratory fluids. Activities like sharing drinks, kissing, or coughing can spread the bacterium. The meningitis B vaccine can help reduce transmission between people and prevent or manage outbreaks.
Unlike many diseases, meningitis B is most common in young people. Infants and young children are at the highest risk. Adolescents and young adults are at the next highest risk of infection.
Between 2013 and 2018, meningococcal disease outbreaks occurred at 10 universities and led to two deaths. All 10 universities implemented MenB vaccination to prevent further spread.
Is It Possible To Get The Vaccine And Still Get Meningitis
Because the vaccines do not protect against all causes of meningitis, it is still possible that someone could receive the vaccine and still get meningitis from a different strain not protected by the vaccine. But the risk of contracting meningococcal meningitis is significantly lower after the vaccine.
There are other causes of meningitis that are preventable. Vaccines like the Hib vaccine and the pneumococcal vaccine are also very effective at protecting against other causes of meningitis and should be included as part of a routine childhood vaccination schedule. Check with your doctor and your children’s doctor to make sure that you and your family are protected against meningitis, as well as other serious illnesses.
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