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The Center for Vaccine Awareness and Research

Vaccines by disease: Learning more about meningococcal vacci
nes

This vaccine is important because meningococcal disease is the leading cause of bacterial meningitis in children between the ages of 2 and 18 years.

Approximately 1,500 people living in the United States are diagnosed with a meningococcal disease annually, and 10 percent die. The death rate in teens and young adults with meningococcal disease is nearly 20 percent. Another 11 percent to 19 percent suffer life-long conditions including deafness, mental retardation, seizures, strokes, severe skin scarring requiring skin grafts, and loss of limbs or digits.

The meningococcal vaccine protects against four of the five types of meningococcal bacteria. Prevention is the key to not contracting meningococcal disease, and the most effective preventive method is the meningococcal vaccine.

 

This video describes the heartbreaking stories of two young people who contracted meningitis.
 


Who should receive meningococcal vaccines?
Each meningococcal vaccine is recommended for different age groups and for varying specific circumstances.

Meningococcal conjugate vaccine (MCV4) is recommended for all 11-to-18 year olds who have never received a meningococcal vaccination. College students who will be living in dormitories who have never received a meningococcal vaccination also should get the MCV4 vaccine.

People 2 to 55 years of age at high risk for meningococcal disease should be given MCV4 including:

  • Military recruits
  • People traveling to parts of the world where meningococcal disease is common
  • Anyone who has been exposed to a meningococcal disease outbreak
  • Microbiologists who could be exposed to meningococcal disease in the laboratory
  • People who have a damaged spleen or have had their spleen removed
  • People with certain immune deficiencies (e.g., complement) or who have had a bone marrow transplant

Those who should not be vaccinated with MCV4 include:

  • Healthy children under 2 years of age and adults over 55 years of age
  • People who have experienced a severe allergic reaction to any vaccine component or a previous dose of any meningococcal vaccine
  • Anyone who is moderately to severely ill until they have recovered
  • Pregnant women, unless they are involved in a meningococcal disease outbreak or are at high risk
  • Those who have ever been diagnosed with Guillain-Barré Syndrome should discuss this vaccine with their primary health care before receiving MCV4.

Review the vaccination schedule for those who start late on a vaccine or are more than one month behind.   
 

When did the meningococcal vaccines become available?
In 1978, the first meningococcal vaccine was approved for use in the United States against two types of meningococcal bacteria. In 1982, the vaccine was further developed to protect against two more types of meningococcal bacteria, and the FDA licensed MPSV4. In 2005, a new meningococcal vaccine, MCV4 (also known as Menactra®) that provides a longer duration of protection as well as other benefits was approved for use among people between the ages of 11 and 55 years. In 2007, MCV4 was FDA-licensed for use in children 2 to 10 years of age. In 2010, a second MCV4 vaccine, Menveo®, was licensed by the FDA for use in people 11 to 55 years of age. 

How does someone become infected with meningococcal disease??

Meningococcal disease is spread by close personal contact with an infected person.

How effective is the meningococcal vaccine?
Both MCV4 vaccines are highly effective at protecting recipients from diseases caused by four types of meningococcal bacteria (types A, C, Y and W-135). Even though they don’t protect against meningococcal group B bacteria, they still give those who have been vaccinated a much higher level of protection against meningococcal disease.

Are there any serious side effects of the meningococcal vaccines?
Mild side effects may include:

  • injection-site soreness
  • mild fever
  • fainting within 15 to 20 minutes of injection in some adolescents

In rare cases, a serious allergic reaction may occur.

How do I learn more about these vaccines?
The best person to ask about these vaccines or any vaccine is your child’s pediatrician or your primary health care provider. Your provider can answer your questions and give you more information on the meningococcal vaccines.

Immunization is the best thing you can do for your child and yourself to protect against meningococcal disease.