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Vaccination against meningococcal C

Our pediatrician is recommending the immunisation with meningococcal C-conjugate vaccine. Is that vaccination especially advisable for patients with CF or is it perhaps rahter non-advisable? The vaccination could probably done together with the vaccination against influenza - or better not?
Thank you and regards
Dear parents,
this vaccination is recommended for all children in Germany by the German comission for vaccinations, therefore also for children with CF. The German Society for Pediatrics and Adolescent Medicine has published the following statement: " Children under 2 years of age should exclusively be vaccinated with the meningococcal C-conjugate vaccine." I don't see any reason for givinig any advise against this vaccination. In contrast, it is very important when suffering from CF to do the vaccinations in time and completely.

Concerning the simultaneous vaccination with other vaccines: Existing data concerning the simultaneous vaccination with the 6-valent vaccine (diphteria, pertussis, tetanus, HIB, polomyelitis and hepatits B) as well as with measles-mumps-rubella vaccine reveal, that it is unproblematic to combine those vaccines with meningococcal vaccine. Concerning the measle-mumps-rubella-varicella vaccine, not enough data exist. The combination of meningococcal vaccine with pneumococcal vaccine is not recommended. Concerning the influenza vaccine, I could not find specific scientific data. In general, it is possible to combine the influenza vaccine as an inactivated vaccine together with other vaccines, like for example with the inactivated vaccine against meningococcal-C. Nevertheless, side effects can increase in case of simultaneous vaccination. Besides, you cannot spare the child a second injection, as both vaccinations have to be given at different locations when done simultanously, e.g. one in each upper arm. Because we don't have any data at the moment, I would rather not recommend to give both vaccinations simultanously. The time-intervall between the two vaccinations is then unimportant, as both are inactivated vaccines. E.g. you can do the second vaccination 1-2 or even 3-4 weeks after the first one.
I hope I could help you.
Best regards,

Dr. M. Ballmann