Meningococcal Meningitis Vaccination Response Form (PDF) - berkeleycollege 2025

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All students under age 21 taking six credits or more must provide proof of vaccination against Meningococcal Meningitis (serogroups A,C,W,Y) on or after your 16th birthday and within the last five years.
Students enrolled full-time in a public or private postsecondary institution must have vaccinations against hepatitis B and MMR unless enrolled in courses delivered via distance learning.
The MenB vaccine is not routinely recommended for college students. However, some colleges and universities require MenB vaccination for incoming students. While small outbreaks of meningococcal serogroup B disease have occurred on college campuses, the disease incidence in college students remains very low.
Messinas advice to parents: For the most complete protection I would recommend giving teens both meningitis vaccines even though the meningitis B is optional on the CDC schedule. This vaccine is so important because this disease is so fatal, and there is almost no time to intervene once your child becomes ill.
Provide information about a students past immunization for meningitis, or confirm that the student will not be immunized. If student is a minor, you can also use this form to provide consent for general medical treatment by Student Health Services.
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Exemptions: Students may begin classes without a certificate of immunization against meningococcal disease if: 1) the student has a letter from a physician stating that there is a medical reason why he/she cant receive the vaccine; 2) the student (or the students parent or legal guardian, if the student is a minor)

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