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Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is used for:

Preventing infection caused by certain types of meningococcal bacteria (eg, meningococcal meningitis).

Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is a vaccine. It works by causing your immune system to produce antibodies that help to prevent infection by certain meningococcal bacteria.

Do NOT use Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine if:

• you are allergic to any ingredient in Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine , or to rubber latex
• you have bleeding problems (eg, hemophilia, low platelets) or take anticoagulants (eg, warfarin)

Contact your doctor or health care provider right away if any of these apply to you.

Before using Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine :

Some medical conditions may interact with Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine (especially anticoagulants or medicines that suppress the immune system), herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances (eg, rubber latex)
• if you have immune system problems, or have recently had or are planning to have any other vaccinations
• if you have any infection, illness, or are undergoing chemotherapy or radiation therapy

Some MEDICINES MAY INTERACT with Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine . Tell your health care provider if you are taking any other medicines, especially any of the following:

• Medicines that suppress the immune system, such as corticosteroids (eg, prednisone), cancer chemotherapy (eg, methotrexate), or cyclosporine, because effectiveness of Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine may be decreased
• Anticoagulants (eg, warfarin) because the risk of bleeding may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine :

Use Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is usually administered as an injection at your doctor's office, hospital, or clinic.
• If Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine has been frozen, contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
• Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.
• If you miss a dose of Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine , contact your doctor immediately.

Ask your health care provider any questions you may have about how to use Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine .

Important safety information:

• Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine may not work as well in patients who have immune system problems or are taking medicine that suppresses the immune system, such as corticosteroids (eg, prednisone). Tell your doctor if you have any immune system problems or other illnesses.
• Use Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine with extreme caution in CHILDREN younger than 11 years of age. Safety and effectiveness in this age group have not been confirmed.
• PREGNANCY and BREAST-FEEDING: It is unknown if Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine can cause harm to the fetus. If you become pregnant while taking Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine , discuss with your doctor the benefits and risks of using Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine during pregnancy. It is unknown if Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is excreted in breast milk. If you are or will be breast-feeding while you are using Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Chills; diarrhea; fever (low grade); headache; joint pain; loss of appetite; tenderness, pain, redness, or swelling at the injection site; tiredness or weakness.

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); decreased reflexes; irregular heartbeat; loss of coordination; vision changes; weakness in the arms, legs, or facial muscles.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org/findyour.htm), or emergency room immediately.

Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is usually handled and stored by a health care provider. If you are using Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine at home, store Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine as directed by your pharmacist or health care provider.

General information:

• If you have any questions about Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine , please talk with your doctor, pharmacist, or other health care provider.
• Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Meningococcal (A, C, Y, W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.