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This document is a requirement for students at Niagara County Community College to certify their meningococcal meningitis immunization status or to acknowledge that they understand the risks of the

How to fill out meningococcal immunization form

How to fill out Meningococcal Immunization Form

1. Obtain the Meningococcal Immunization Form from your healthcare provider or school.
2. Fill in your personal information including your name, date of birth, and contact details.
3. Indicate the date you received the meningococcal vaccination.
4. Include the name of the vaccine received and the lot number.
5. Sign and date the form to certify the information is accurate.
6. Submit the completed form to your healthcare provider or school as required.

Who needs Meningococcal Immunization Form?

1. Students entering college or university, especially those in dormitory housing.
2. Individuals traveling to areas where meningococcal disease is common.
3. Preteens and teens as part of routine immunization recommendations.
4. Individuals at increased risk due to certain medical conditions.

People Also Ask about

Is there an immunisation for meningococcal?

The meningococcal ACWY vaccine has been offered to children aged 12 months since July 2018. Your child may have had a meningococcal C vaccine before. That vaccine only protects against meningococcal C disease. In some countries, a booster shot for adolescents is recommended.

How to give meningococcal vaccine?

It is given as a shot under your skin or into one of your muscles. Bexsero® and Trumenba®: An injection is given into a muscle. It is very important for you or your child to receive all of the shots for the vaccine. Two-dose schedule: Given at least 6 months apart (0 and 6 months).

What are the 3 doses of meningococcal vaccine?

Individuals at increased risk A 3-dose primary series. Second dose 1 to 2 months after first dose. Third dose 6 months after first dose. Regular booster doses. 1 year after series completion. Every 2 to 3 years thereafter.

How many doses of meningococcal vaccine do you need?

Administer 2 doses to healthy adolescents who are not at increased risk for serogroup B meningococcal disease. Administer the second dose 6 months after the first dose. Administer 3 doses to people 10 years of age or older who are at increased risk for meningococcal disease.

What are the three types of meningococcal vaccines?

There are 3 types of meningococcal vaccines used in the United States: Meningococcal conjugate or MenACWY vaccines. Serogroup B meningococcal or MenB vaccines. Pentavalent or MenABCWY vaccine.

How many vaccines are needed for meningococcal B?

3 doses of Bexsero menB vaccine for infants commencing immunisation before 12 months of age (2 dose primary course and one booster dose). These will be administered with other National Immunisation Program (NIP) vaccines at 6 weeks, 4 months, and 12 months of age.

What is the 3 in 1 meningitis vaccine?

The 3-in-1 teenage booster protects against three serious diseases – tetanus, diphtheria and polio. The MenACWY vaccine helps protect against meningococcal groups A, C, W and Y, which can cause meningitis and septicaemia.

What is the full form of meningococcal vaccine?

Meningococcal polysaccharide vaccine (MPSV-4), Menomune, has been available since the 1970s. It may be used if MCV-4 is not available, and is the only meningococcal vaccine licensed for people older than 55.

For pdfFiller’s FAQs

What is Meningococcal Immunization Form?

The Meningococcal Immunization Form is a document used to verify that an individual has received the meningococcal vaccine, which protects against meningitis caused by Neisseria meningitidis bacteria.

Who is required to file Meningococcal Immunization Form?

Individuals, particularly students attending college or university, are typically required to file the Meningococcal Immunization Form to demonstrate proof of vaccination.

How to fill out Meningococcal Immunization Form?

To fill out the Meningococcal Immunization Form, provide personal information such as name and date of birth, details about the vaccination, including the date administered, and the administering provider's information.

What is the purpose of Meningococcal Immunization Form?

The purpose of the Meningococcal Immunization Form is to ensure that individuals are immunized against meningococcal disease, which is a serious and potentially life-threatening illness.

What information must be reported on Meningococcal Immunization Form?

The information that must be reported includes the individual's name and date of birth, vaccination date, vaccine type, and the details of the healthcare provider who administered the vaccine.