Should not be administered SC, intravascularly or intradermally. Appropriate medical treatment & supervision should always be readily available in case of an anaphylactic event following vaccine administration. Postpone vaccination in individuals suffering from an acute severe febrile illness. Risk of syncope & other anxiety-related reactions as a psychogenic response to the needle inj. Caution in individuals w/ thrombocytopenia or any coagulation disorder. MenQuadfi will only protect against
Neisseria meningitidis groups A, C, W, & Y; it will not protect against any other
Neisseria meningitidis groups. Consider risk of MenA infection in high-risk individuals who received serogroup C meningococcal conjugate vaccine in the 1st yr of life. Adequate immune response may not be elicited in patients receiving immunosuppressive treatment or patients w/ immunodeficiency. Not a substitute for routine tetanus immunisation. Pregnancy & lactation. Safety & immunogenicity of MenQuadfi in individuals <12 mth have not yet been established.