Not to be administered SC, intravascularly or intradermally. Not to be used as protection against any other
Neisseria meningitidis groups. Not a substitute for routine tetanus immunisation. Postpone vaccination in individuals suffering from acute severe febrile illness. Syncope & other anxiety-related reactions following or before any vaccination. Increased risk of invasive disease caused by
Neisseria meningitidis groups A, C, W & Y in persons w/ familial complement deficiencies (eg, C5 or C3) & persons receiving treatments inhibiting terminal complement activation (eg, eculizumab). Individuals w/ thrombocytopenia or any coagulation disorder that would contraindicate IM inj; at high risk for MenA infection who received MenC-CRM vaccine in their 1st yr of life. Immunocompromised patients. Patients receiving immunosuppressive treatment or w/ immunodeficiency. Review medical history especially w/ regard to previous vaccination & possible occurrence of undesirable effects & perform clinical exam preceding vaccination. Appropriate medical treatment & supervision should be readily available in case of anaphylactic event following vaccination. May temporarily affect ability to drive or use machines. Pregnancy & lactation. Paed <12 mth.