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MENINGOCOCCAL VACCINE
INFORMATION AND CONSENT From
The American College Health Association, the Centers for Disease Control, and the American Academy of Pediatrics strongly
recommend that students
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How to fill out meningococcal vaccine information and

How to fill out meningococcal vaccine information:
01
Obtain the necessary forms: Start by getting the required forms for providing meningococcal vaccine information. These forms can usually be found at healthcare facilities or online on official websites.
02
Gather personal details: Provide your personal details such as your name, date of birth, and contact information. This information is essential for identification purposes.
03
Record vaccination history: Fill out the form with the details of your meningococcal vaccine history. Include the dates of each dose you have received, along with the name and contact information of the healthcare provider who administered the vaccine.
04
Specify vaccine type: Indicate the specific type of meningococcal vaccine you have been given. There are different types available, such as meningococcal conjugate vaccines (MenACWY) and meningococcal serogroup B vaccines (MenB). Remember to accurately mention the brand name, if applicable.
05
Provide relevant medical information: In some cases, you may need to disclose any underlying health conditions or allergies you may have, which could impact the administration of the meningococcal vaccine.
06
Sign and date the form: Once you have filled out all the necessary information, review the form for accuracy and completeness. Sign and date the form as required.
Who needs meningococcal vaccine information:
01
College students: Many universities and colleges require incoming students to provide meningococcal vaccine information. This is because close living quarters and communal spaces increase the risk of meningococcal disease transmission.
02
Adolescents: Meningococcal vaccination is recommended for adolescents, especially those aged 11-12 years, with a booster dose typically given around 16 years of age. The vaccine helps protect against meningococcal infections which can be severe and potentially life-threatening.
03
Travelers: Individuals traveling to regions or countries where meningococcal disease is prevalent, particularly during outbreaks, should consider getting vaccinated and documenting their meningococcal vaccine information.
04
Certain high-risk individuals: People with compromised immune systems, including those with asplenia, complement component deficiencies, or certain medical conditions such as HIV, may be at increased risk of meningococcal infections. Healthcare providers may recommend vaccination and require documentation.
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