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Technically Speaking
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July 2017
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children's Hospital of Philadelphia Vaccine Education Center’s (VEC's) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
TECHNICALLY SPEAKING
Routine Schedules for MenACWY and MenB Vaccines – Make Sure You’re Giving Them on Time
Published July 2017

At the Immunization Action Coalition (IAC), we receive many email questions from healthcare professionals each month indicating that there is confusion about the routine vaccination schedules for meningococcal conjugate (MenACWY) and meningococcal serogroup B (MenB) vaccines. What follows is simple guidance regarding CDC/AAP/AAFP/ACOG routine recommendations for the timing of administering these vaccines to your adolescent patients.

Important note: This brief summary article discusses only the routine schedule. It does not include catch-up schedules or recommendations for people in various risk groups.

Recommended schedules for routine vaccination

Meningococcal conjugate (MenACWY) vaccine
(Menactra®, Sanofi; Menveo®, GSK)

  • Dose #1: Age 11 to 12 years
  • Dose #2: Age 16 years

Unfortunately, most teens are behind on the 16-year-old dose of this two-dose series. According to the most recent CDC National Immunization Survey – Teen, only 33 percent of teens have received dose #2 before their 18th birthday.

Meningococcal serogroup B (MenB) vaccine
(Bexsero®, GSK; Trumenba®, Pfizer)

The preferred age range for routine* vaccination is 16 to 18 years, but MenB may be initiated up to age 25. Currently, there are two brands of MenB available in the United States:

Bexsero (GSK)

  • Dose #1: Age 16 to 18 years
  • Dose #2: > one month after dose #1

Trumenba (Pfizer)

  • Dose #1: Age 16 to 18 years
  • Dose #2: Six months after dose #1**

Note: These two vaccine brands are not interchangeable. The series must be started and completed with the same MenB brand.

*MenB vaccine is recommended by CDC as category B, which means that you can either give it routinely or that you can inform patients about the availability of this vaccine so they can decide in consultation with you if they want this protection.

**This article does not discuss the recommendation for including a third dose of Trumenba, which is recommended for people at high risk of meningococcal serogroup B infection. Refer to the CDC schedule for additional information for high-risk individuals.

Resources from IAC

Resources from CDC

2017 ISSUES >> view all issues
NOVEMBER 2017
IAC Releases Newly Updated 142-Page Book
OCTOBER 2017
The Immunization Platform for 16-year-olds Is Easily Overlooked — Here Are Some Resources to Help!
SEPTEMBER 2017
It's Time for Annual Flu Shots — Make Sure Your Patients and Staff Are Vaccinated
AUGUST 2017
Standing Orders Protocols Can Improve Your Vaccination Rates
JULY 2017
Routine Schedules for MenACWY and MenB Vaccines – Make Sure You’re Giving Them on Time
JUNE 2017
"General Best Practice Guidelines for Immunization" – Everything CDC Wants You to Know about the Practical Aspects of Vaccination
MAY 2017
ACIP Has Updated Its Recommendations on the Use of Tdap Vaccine in Pregnant Women and Children
APRIL 2017
Make Sure You Are Using VISs in Accordance with Federal Law
MARCH 2017
ACIP Now Recommends Hepatitis B Vaccine within 24 Hours of Birth
FEBRUARY 2017
New “16-year-old Vaccination Platform” Highlighted in 2017 U.S. Child/Teen Immunization Schedule
JANUARY 2017
Updated ACIP Recommendations on HPV Vaccine
 
This page was updated on August 15, 2017.
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 6NH23IP22550) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.