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BC HealthFile #23b, October 2007

Meningococcal Quadrivalent Vaccines



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Immunization has saved more lives in Canada in the last 50 years than any other health measure.

What are meningococcal quadrivalent vaccines?

Meningococcal quadrivalent vaccines protect against four types of meningococcal bacteria - types A, C, Y and W-135. These vaccines are approved by Health Canada.

Meningococcal quadrivalent vaccines are not part of the routine schedule of childhood immunizations. For information on the routine meningococcal vaccine for children, see BC HealthFile #23a Meningococcal C Conjugate (Men-C) Vaccine.

Who should get the vaccine?

Some children and adults have medical conditions that put them at high risk of getting sick with meningococcal bacteria. The vaccine is provided free to these people, including those who have:

The vaccine is also recommended, but not provided free, for the following people:

The vaccine is usually given as one dose or shot. At times, a second dose may be necessary. Your public health nurse or doctor can provide you with this information.

It is important to keep a record of all immunizations received.

Benefits of the Vaccine

The vaccine is the best way to protect against meningococcal infection, a serious and sometimes fatal disease. When you get vaccinated, you help protect others as well.

Possible Reactions after the Vaccine

Vaccines are very safe. It is much safer to get the vaccine than to get meningococcal disease.

Common reactions to the vaccine may include soreness, redness and swelling where the shot was given. Headache, fatigue, diarrhea, irritability, loss of appetite or fever may also occur within 24 hours after getting the vaccine. These reactions are mild and generally last 1 to 2 days.

Acetaminophen or Tylenol® can be given for fever or soreness. ASA or Aspirin® should NOT be given to anyone under 20 years of age due to the risk of Reye Syndrome.

It is important to stay in the clinic for 15 minutes after getting any vaccine because there is an extremely rare possibility of a life-threatening allergic reaction called anaphylaxis. This may include hives, difficulty breathing, or swelling of the throat, tongue or lips. If this happens after you leave the clinic, call 911 or the local emergency number. This reaction can be treated, and occurs in less than one in a million people who get the vaccine.

Report serious or unexpected reactions to your public health nurse or doctor.

Who should not get the vaccine?

Speak with a public health nurse or doctor if you or your child have:

What is meningococcal infection?

Meningococcal infection is caused by a germ (or bacteria). It can cause serious and life-threatening infections including meningitis, an infection of the lining that covers the brain, and septicemia, an infection of the blood. For every 100 people who get sick, up to 15 will die. Permanent complications of infection include brain damage and deafness.

Meningococcal infection is spread from one person to another by coughing, sneezing, or close face-to-contact. It can also be spread through saliva or spit. This can occur through activities such as kissing, or sharing of food, drinks, cigarettes, lipsticks, water bottles, mouth guards used for sports or mouthpieces of musical instruments.

Mature Minor Consent

Effort is made to seek parental or guardian consent prior to immunization. Children under the age of 19 who are able to understand the risks and benefits may consent to or refuse immunizations, regardless of the parent’s or guardian’s wishes. It is recommended that parents/guardians and their minor children discuss immunizations beforehand, and ask the nurse or doctor any questions.


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