What Happens At The Appointment
Youll be asked a few questions when you arrive to make sure the service is suitable for you or your child. If it is, two vaccinations will be given. These will be a minimum of four weeks apart.
The injections at Boots are given in the upper arm. Its helpful for you or your child to wear short sleeves or loose sleeves that can be rolled up. Youll be asked to stay behind for five minutes after each injection to make sure there are no immediate reactions to the vaccination.
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.
When To Get Vaccinations Against Viral Causes Of Meningitis
Unfortunately, there isnt a vaccine for the most common cause of viral meningitis called non-polio enteroviruses. In rare cases, other kinds of viral infections can lead to meningitis. These viral infections have vaccines that are available in the U.S. They include:
The vaccinations for these infections all have their own schedule for when you should get them the most frequent being your yearly flu shot. Measles and mumps vaccinations are first completed around the age of six then need to be updated in adolescence and adulthood. Talk to your doctor to make sure that youre up-to-date with your vaccinations.
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There Are Three Types Of Meningococcal Vaccines:
- The meningococcal C vaccine that protects against infection from one of the most common types of meningococcal bacteria, type C.
- The meningococcal quadrivalent vaccine that protects against 4 types of meningococcal bacteria: types A, C, Y and W-135.
- The meningococcal B vaccine that protects against infection by one of the most common types of meningococcal bacteria, type B.
The type of vaccine recommended depends on a person’s age and risk factors.
How And When Should You Receive The Meningococcal Vaccine
In most cases, adults only need one dose. But if you remain at risk, you may need a booster.
Some adults may need another type of meningitis vaccine, the serogroup B meningococcal vaccine, if they are exposed to this virus through work or travel or if they have a damaged or missing spleen, or certain immune system disorders.
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Persons New To Canada
Health care providers who see persons newly arrived in Canada should review the immunization status and update immunization for these individuals. Review of meningococcal vaccination status is particularly important for persons from areas of the world where sickle cell disease is present as persons with sickle cell disease are at risk of serious meningococcal infections. In many countries outside of Canada, conjugate meningococcal vaccines are in limited use. Information on vaccination schedules in other countries can be found on the World Health Organization website. Refer to Immunization of Persons New to Canada in Part 3 for additional general information.
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 doctor to decide if the benefits of getting the vaccine outweigh the risks.
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Simultaneous Administration With Other Vaccines
Men-C-C and 4CMenB vaccine may be administered concomitantly with routine childhood vaccines, and Men-C-ACYW vaccine may be administered concomitantly with adolescent and adult age appropriate vaccines. MenB-fHBP can be given concomitantly with quadrivalent human papillomavirus vaccine meningococcal serogroup A, C, Y, W conjugate vaccine and tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine adsorbed. The concomitant administration of MenB-fHBP has not been studied with other vaccines.
Men-C-ACYW-CRM can be administered with routine paediatric vaccines however, further studies are needed with regard to concomitant administration with pneumococcal 13-valent conjugate vaccine. Co-administration of Men-C-ACYW-CRM and combined tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine may result in a lower immune response to the pertussis antigens than when Tdap vaccine is given alone however, the clinical significance of this is unknown. Tdap vaccine given one month after Men-C-ACYW-CRM induces the strongest immunologic response to pertussis antigens.
If vaccines are to be administered concomitantly with another vaccine, a separate injection site and a different syringe must be used for each injection.
Refer to Timing of Vaccine Administration in Part 1 for additional general information.
Are There Any Adults Who Should Not Get The Meningococcal Vaccine
You shouldn’t get either type of meningococcal vaccine if you:
- Are moderately or seriously ill wait until you recover.
- Have had a serious allergic reaction to a previous dose
- Had a severe reaction to any part of the vaccine
If you are pregnant or have other concerns, ask your doctor which meningitis vaccine is right for you.
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Why Get Immunised Against Meningococcal Disease
Meningococcal disease is a very serious infection that can cause severe scarring, loss of limbs, brain damage and death.
Vaccination is a safe and effective way to protect yourself from meningococcal disease.
Meningococcal disease is most commonly caused by types A, B, C, W and Y. Vaccines can protect against all these types, but different vaccines protect against different types. No single vaccine protects against all types.
The Meningitis B Vaccine Can Help Prevent This Deadly Illness
Weve told you the scary stuff, now heres the part where we give you some reassuring news. First, any form of meningococcal diseaseincluding meningitis Bis relatively rare, and incidents have been on the decline in the last few decades. The CDC says that in 2017, there were about 350 total cases of meningococcal disease reported. Thats 0.11 cases per 100,000 people.
The other good news is that you can reduce your childs risk of getting meningitis B by making sure they get the meningitis B vaccine. The reason that we vaccinate against things is that they are severe diseases, even if they occur rarely, Adam J. Ratner, M.D., director of the division of Pediatric Infectious Disease at NYU Langone and associate professor in both the department of Pediatrics and department of Microbiology at NYU Langone, tells SELF.
The meningitis B vaccine introduces your body to a specific part of the bacteria cell, combined with whats called an adjuvantan extra material that helps boost the effectiveness of the immune responseso your body learns to produce antibodies that target that bacteria. Your body does not see the whole bacteria, and so it’s impossible to get the infection from the vaccine itself, Dr. Vyas explains. Theres more than one meningitis B vaccine available, but both require at least two doses for maximum effectiveness.
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Where Can I Find These Vaccines
Your doctor is usually the best place to receive recommended vaccines for you or your child. These vaccines are part of the routine childhood immunization schedule. Therefore, vaccines for children and teens are regularly available at
- Pediatric and family practice offices
- Community health clinics
If your doctor does not have these vaccines for adults, ask for a referral.
Vaccines may also be available at
- Pharmacies
- Health departments
- Other community locations, such as schools and religious centers
You can also contact your state health department to learn more about where to get vaccines in your community.
When receiving any vaccine, ask the provider to record the vaccine in the state or local vaccine registry, if available. This helps providers at future visits know what vaccines you or your child have already received.
Rare Side Effects Of Meningococcal Immunisation
There is a very small risk of a serious allergic reaction to any vaccine. This is why you are advised to stay at the clinic or medical surgery for at least 15 minutes following immunisation in case further treatment is required.
If any other reactions are severe and persistent, or if you are worried, contact your doctor for further information.
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Do I Need To Pay For Meningococcal Immunisation
Vaccines covered by the NIP are free for people who are eligible. See the NIP Schedule to find out which vaccines you or people in your family are eligible to receive.
Eligible people get the vaccine for free, but your health care provider may charge a consultation fee for the visit. You can check this when you make your appointment.
Children and adolescents not eligible for meningococcal vaccines through the NIP, may be able to receive free vaccines through state-funded programs. Contact your state or territory health department for details.
If you are not eligible for free vaccines, you may need to pay for it. The cost depends on the type of vaccine, the formula and where you buy it from. Your immunisation provider can give you more information.
How Effective Is It
A 2021 study examined Bexsero using data from Quebec, Italy, the United Kingdom, Portugal, and South Australia to determine its safety and effectiveness.
The researchers found that meningitis B rates decreased by 50 to 100 percent in vaccine-eligible populations. The vaccines were found to be 79 to 100 percent effective in people who received two or more doses.
Clinical trials have found promising results for Trumenba as well. is needed to understand its true effectiveness, but researchers believe that it can also provide a high level of protection.
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Side Effects Of The Menb Vaccine
Babies given the MenB vaccine alongside their other routine vaccinations at 8 and 16 weeks are likely to develop a high temperature within 24 hours of vaccination.
It’s important to give your baby liquid paracetamol following vaccination to reduce this risk. Your nurse will advise you about using children’s paracetamol at your vaccination appointment.
Other common side effects of the MenB vaccine include:
- pain, swelling or redness where the injection was given
- diarrhoea or being sick
- crying and irritability
The liquid paracetamol will also help with these symptoms.
An allergic reaction is a rare side effect of the MenB vaccine. This may be a rash or itching that affects part or all of the body.
Very rarely, a baby may have a severe allergic reaction after having the MenB vaccine.
If This Is A Brand New Vaccine How Do We Know Its Safe
Before they’re allowed to be used, all vaccines are carefully tested for safety and effectiveness. They’ve been through up to 10 years of trials in the laboratory and among volunteers.
The UK is the first country to introduce the MenB vaccine into its routine immunisation schedule for children. The vaccine is already offered to children in the UK with certain medical conditions and has also been used to contain outbreaks of MenB disease, where it proved to be both safe and effective. Over 1 million doses have already been given in 19 countries worldwide.
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Have There Been Outbreaks Of Meningitis B
From 2011 through March 2019, colleges and universities reported meningitis B outbreaks on 13 college campuses during this time there were 50 meningitis B cases, including 2 deaths among an at-risk population of approximately 253,000 students.*
*An outbreak is defined as 23 outbreak-associated cases within a 3-month time period.
Whats The Outlook For People Who Get Meningitis B
Most people who develop this disease survive without long-lasting after effects. However, meningitis B is a potentially fatal disease.
Even with treatment, some people who develop meningitis B can die from it. The sooner treatment is administered, the better chance of a positive outcome.
Of those who survive meningococcal disease, around 19 percent will have permanent side effects or disabilities. These can include:
- amputation of limbs
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High Risk Groups For Meningococcal Disease
Other people are not funded under the National Immunisation Program and will require a prescription to purchase the meningococcal vaccines. If you are in one of the following high-risk groups, speak to your doctor about which vaccines you should have, the number of doses required and how long protection will last:
- infants and young children, particularly those aged less than two years
- adolescents aged 15 to 19 years
- people who have close household contact with those who have meningococcal disease and who have not been immunised
- people who smoke and are aged 15 to 24 years
- people who are travelling to places, such as sub-Saharan Africa, that have epidemics caused by serogroups A, C, W and Y
- pilgrims to the annual Hajj in Saudi Arabia Saudi Arabian authorities require a valid certificate of vaccination to enter the country
- people who work in a laboratory and who handle meningococcal bacteria
- people with HIV
- people who have had a haematopoietic stem cell transplant.
Is The Meningitis B Vaccine Safe
In the same 2021 study mentioned above, researchers found the vaccine demonstrated an acceptable level of safety. No safety concerns have been raised based on current data, which includes more than 3 million doses administered in the United Kingdom.
Data from Quebec revealed four cases of a kidney disorder called nephrotic syndrome in children age 2 to 5 within 13 months of receiving their vaccine. Researchers are still trying to understand if theres a link, but a lack of similar findings from other countries suggests these cases may have occurred by chance.
Side effects of meningitis B are usually mild and last for
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What Are The Symptoms
The most common symptoms among teens and young adults are:
- A stiff and painful neck, especially when you try to touch your chin to your chest.
- Fever.
- Seizures.
Children, older adults, and people with other medical problems may have different symptoms:
- Babies may be cranky and refuse to eat. They may have a rash. They may cry when held.
- Young children may act like they have the flu. They may cough or have trouble breathing.
- Older adults and people with other medical problems may have only a slight headache and fever.
It is very important to see a doctor right away if you or your child has these symptoms. Only a doctor can tell whether they are caused by viral or bacterial meningitis. And bacterial meningitis can be deadly if not treated right away.
Common And Local Adverse Events
Conjugate meningococcal vaccines
Men-C-ACYW vaccines
Injection site reactions occur in up to 59% of vaccinees. Fever is reported in up to 5% of recipients and systemic reactions, such as headache and malaise, are reported in up to 60% of recipients.
Men-C-C vaccines
Mild reactions, including injection site reactions , occur in up to 50% of vaccine recipients. Irritability occurs in up to 80% of infants and fever in up to 9% when other vaccines were administered. Headaches and malaise occur in up to 10% of older children and adults. These reactions last no more than a few days.
Serogroup B Meningococcal vaccines
4CMenB vaccine
Solicited local and systemic reactions have been commonly reported in clinical trials and include injection site tenderness, induration, sleepiness and irritability. Higher rates of fever have been observed with simultaneous administration of 4CMenB vaccine and routine infant vaccines therefore, routine prophylactic administration of acetaminophen or separating 4CMenB vaccination from routine vaccination schedule has been proposed for preventing fever in infants and children up to three years of age.
MenB-fHBP vaccine
Solicited local and systemic reactions have been commonly reported in clinical trials and include injection site tenderness, induration and irritability.
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Problems That Could Happen After Getting Any Injected Vaccine
- People sometimes faint after medical procedures, including vaccination. Sitting or lying down for about 15 minutes can help prevent fainting, and injuries caused by a fall. Tell the provider if you or your child feel dizzy, have vision changes, or have ringing in the ears.
- As with any medicine, there is a very remote chance of a vaccine causing a severe allergic reaction, other serious injury, or death.
How Does Meningitis Spread
Each form of meningitis spreads differently. Viral and bacterial will spread person-to-person through air droplets, kissing or nasal secretions. Fungal and parasitic are ususally cause by environmental factors.
Viral and bacterial are the most common variants. They are most often spread within communities that live or work together. Dorm living, close contact and shared facilities are some common risk areas.
Some regions of the world are at an increased risk for meningitis. These include the meningitis belt in Africa and Saudi Arabia during the Hajj.
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Why Are Meningococcal Vaccines Recommended
Meningococcal disease is caused by a type of bacteria. It can lead to an infection of the bloodstream or meningitis, or both, and can be life-threatening if not quickly treated. The MenACWY vaccine is very effective at protecting against four strains of the bacteria, while the MenB vaccine protects against a fifth strain.
Florida Meningococcal Disease Outbreak: Cdc Urges Gay Men To Get Vaccine
The U.S. Centers for Disease Control and Prevention and the Florida Department of Health are urging men who have sex with men to get vaccinated for meningitis amid “one of the worst outbreaks of meningococcal disease among gay and bisexual men in U.S. history.”
Twenty-six cases and seven deaths from meningococcal disease have been recorded in Florida in recent weeks, of which 24 cases and six deaths were in gay and bisexual men.
The CDC said in a statement that the outbreak of meningococcal infections was “primarily among gay, bisexual and other men who have sex with men, including those living with HIV. Recent data show that about half of the cases associated with this outbreak are among Hispanic men.
“This outbreak is mostly affecting people who live in Florida, but has also affected some people who have traveled to Florida.”
Meningococcal infections include meningitis and bloodstream . If left untreated, both these conditions can kill within days. Two serogroupssubspecies of the meningococcal bacteriaknown as B and C have been recorded in the Florida outbreak.
Serogroup C is the strain currently affecting large numbers of gay, bisexual and other men who have sex with men. There is also an outbreak in Leon County of serogroup B meningococcal disease among college students.
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