{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi0\deflang1033\deflangfe1033\themelang1033\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f1\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial{\*\falt Arial};}{\f2\fbidi \fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}
{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol{\*\falt Symbol};}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}
{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math{\*\falt Calisto MT};}{\f37\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\f45\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604030504040204}Tahoma{\*\falt Tahoma};}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f48\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\f49\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f51\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\f52\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\f53\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\f54\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\f55\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\f56\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f58\fbidi \fswiss\fcharset238\fprq2 Arial CE{\*\falt Arial};}
{\f59\fbidi \fswiss\fcharset204\fprq2 Arial Cyr{\*\falt Arial};}{\f61\fbidi \fswiss\fcharset161\fprq2 Arial Greek{\*\falt Arial};}{\f62\fbidi \fswiss\fcharset162\fprq2 Arial Tur{\*\falt Arial};}
{\f63\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew){\*\falt Arial};}{\f64\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic){\*\falt Arial};}{\f65\fbidi \fswiss\fcharset186\fprq2 Arial Baltic{\*\falt Arial};}
{\f66\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese){\*\falt Arial};}{\f68\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f69\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}{\f71\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}
{\f72\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f73\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f74\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f75\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}
{\f76\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f388\fbidi \froman\fcharset238\fprq2 Cambria Math CE{\*\falt Calisto MT};}{\f389\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr{\*\falt Calisto MT};}
{\f391\fbidi \froman\fcharset161\fprq2 Cambria Math Greek{\*\falt Calisto MT};}{\f392\fbidi \froman\fcharset162\fprq2 Cambria Math Tur{\*\falt Calisto MT};}{\f395\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic{\*\falt Calisto MT};}
{\f396\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese){\*\falt Calisto MT};}{\f418\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}{\f419\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}
{\f421\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}{\f422\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\f423\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}
{\f424\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}{\f425\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}{\f426\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}
{\f498\fbidi \fswiss\fcharset238\fprq2 Tahoma CE{\*\falt Tahoma};}{\f499\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr{\*\falt Tahoma};}{\f501\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek{\*\falt Tahoma};}
{\f502\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur{\*\falt Tahoma};}{\f503\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew){\*\falt Tahoma};}{\f504\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic){\*\falt Tahoma};}
{\f505\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic{\*\falt Tahoma};}{\f506\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese){\*\falt Tahoma};}{\f507\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai){\*\falt Tahoma};}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}
{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}
{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}
{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}
{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}
{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red0\green0\blue0;
\red0\green0\blue0;\chyperlink\ctint255\cshade255\red0\green0\blue255;\red96\green94\blue92;\red225\green223\blue221;\cfollowedhyperlink\ctint255\cshade255\red128\green0\blue128;}{\*\defchp \fs22\loch\af31506\hich\af31506\dbch\af31505 }{\*\defpap 
\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 
\af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext0 \sqformat \spriority0 \styrsid5065749 Normal;}{\s1\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink15 \sqformat \spriority9 \styrsid5065749 heading 1;}{\s2\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink16 \sunhideused \sqformat \spriority9 \styrsid5065749 heading 2;}{\s3\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink17 \sunhideused \sqformat \spriority9 \styrsid12911987 heading 3;}{\s4\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink18 \sunhideused \sqformat \spriority9 \styrsid4735493 heading 4;}{\*\cs10 \additive \sunhideused \spriority1 Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext11 \ssemihidden \sunhideused 
Normal Table;}{\*\cs15 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink1 \slocked \spriority9 \styrsid5065749 Heading 1 Char;}{\*\cs16 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink2 \slocked \spriority9 \styrsid5065749 Heading 2 Char;}{\*\cs17 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\fs24\loch\f0\hich\af0\dbch\af31501 
\sbasedon10 \slink3 \slocked \spriority9 \styrsid12911987 Heading 3 Char;}{\*\cs18 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24 \sbasedon10 \slink4 \slocked \spriority9 \styrsid4735493 Heading 4 Char;}{\s19\ql \fi-144\li576\ri0\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin576\itap0\contextualspace \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext19 \sqformat \spriority34 \styrsid10753541 List Paragraph;}{\s20\ql \li0\ri0\sl288\slmult1\widctlpar\wrapdefault\facenter\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext20 \styrsid12134065 [Basic Paragraph];}{\s21\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 
\af45\afs16\alang1025 \ltrch\fcs0 \fs16\lang1033\langfe1033\loch\f45\hich\af45\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext21 \slink22 \ssemihidden \sunhideused \styrsid6782370 Balloon Text;}{\*\cs22 \additive \rtlch\fcs1 \af45\afs16 
\ltrch\fcs0 \f45\fs16 \sbasedon10 \slink21 \slocked \ssemihidden \styrsid6782370 Balloon Text Char;}{\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext23 \slink24 \sqformat \spriority1 \styrsid5065749 No Spacing;}{\*\cs24 \additive \rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24 
\sbasedon10 \slink23 \slocked \spriority1 \styrsid5065749 No Spacing Char;}{\s25\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\fs16\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon23 \snext25 \slink27 \sqformat \spriority0 \styrsid5065749 VIS language;}{
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon23 \snext26 \slink28 \sqformat \spriority0 \styrsid5065749 bullet;}{\*\cs27 \additive \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16 \sbasedon24 \slink25 \slocked \spriority0 \styrsid5065749 VIS language Char;}{\*\cs28 \additive \rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24 \sbasedon24 \slink26 \slocked \spriority0 \styrsid5065749 bullet Char;}{\s29\ql \li0\ri90\sb90\sl288\slmult1\nowidctlpar\tx240\tx800\wrapdefault\hyphpar0\facenter\rin90\lin0\itap0 \rtlch\fcs1 \ab\af1\afs28\alang1025 
\ltrch\fcs0 \b\fs28\cf1\up2\lang1033\langfe1033\loch\f1\hich\af1\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 H3;}{\s30\ql \li0\ri0\sa90\sl288\slmult1\nowidctlpar\wrapdefault\hyphpar0\facenter\rin0\lin0\itap0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 P;}{\s31\ql \fi-180\li180\ri0\sa90\sl288\slmult1\nowidctlpar
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{\title Vaccine Information Statement: Meningococcal ACWY Vaccine: What You Need to Know}{\author ÐÇ¿ÕÓéÀÖ¹ÙÍø/NCIRD}
{\keywords Meningococcal, meningococcal vaccine, meningococcal vaccination, MCV4, menACWY, quadrivalent meningococcal vaccine, meningococcal vaccine fact sheet, Vaccine Information Statement, meningococcal fact sheet, meningococcal conjugate vaccine}
{\operator Alcober, Joseph (ÐÇ¿ÕÓéÀÖ¹ÙÍø/NCIRD/OD) (CTR)}{\creatim\yr2025\mo2\dy21\hr16\min28}{\revtim\yr2025\mo2\dy21\hr16\min31}{\printim\yr2019\mo7\dy3\hr10\min52}{\version3}{\edmins4}{\nofpages3}{\nofwords908}{\nofchars5177}{\*\company ÐÇ¿ÕÓéÀÖ¹ÙÍø}{\nofcharsws6073}
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\af0 \ltrch\fcs0 \insrsid5396545\charrsid2957673 \hich\af0\dbch\af31505\loch\f0 Vaccine Information Statement
\par 
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eed to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31501\loch\f0 K}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid2957673 \hich\af0\dbch\af31501\loch\f0 now
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tatements are available in Spanish and other languages. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang4106\langfe1033\langnp4106\insrsid5396545\charrsid2957673 \hich\af0\dbch\af31505\loch\f0 See }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
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\ltrch\fcs0 \insrsid5396545\charrsid5537525 
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\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\insrsid12518645\charrsid12518645 \hich\af0\dbch\af31501\loch\f0 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 
\hich\af0\dbch\af31501\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31501\loch\f0 Why get vaccinated?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9194958 \hich\af0\dbch\af31505\loch\f0 Meningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2850066 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9194958 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9194958 \hich\af0\dbch\af31505\loch\f0 can help protect against }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9194958\charrsid5778097 \hich\af0\dbch\af31505\loch\f0 me}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid9194958 \hich\af0\dbch\af31505\loch\f0 ningococcal disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9194958 \hich\af0\dbch\af31505\loch\f0  caused by serogroups A, C, W, and Y. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1598323\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 A different meningococcal vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1598323 \hich\af0\dbch\af31505\loch\f0 is available that can}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1598323\charrsid1268093 \hich\af0\dbch\af31505\loch\f0  help protect against serogroup B.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9194958 
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid1268093 \hich\af0\dbch\af31505\loch\f0 Meningococcal disease}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 
 can cause meningitis (infection of the lining of the brain and spinal cord) and infections of the blood. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 
Even when it is treated, meningococcal disease kills 10 to 15 infected people out of 100. And of those who survive, about 10 to 20 out of every 100 will suf\hich\af0\dbch\af31505\loch\f0 fer disabilities such as hearing loss, brain damage, kidney damage, 
}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1638891 \hich\af0\dbch\af31505\loch\f0 loss of limbs}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 , nervous system problems, or severe scars from skin grafts.

\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid1268093 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1051931 \hich\af0\dbch\af31505\loch\f0 Meningococcal disease is rare and has }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822107 \hich\af0\dbch\af31505\loch\f0 declined}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1051931 
\hich\af0\dbch\af31505\loch\f0  in the United States since the 1990s. However, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10435657 \hich\af0\dbch\af31505\loch\f0 it is a severe disease with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1051931 
\hich\af0\dbch\af31505\loch\f0  a significant risk of death or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10435657 \hich\af0\dbch\af31505\loch\f0 lasting disabilities}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1051931 \hich\af0\dbch\af31505\loch\f0 
 in people who get it.
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid1051931 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 Anyone can get meningococcal disease}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1051931 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1051931 \hich\af0\dbch\af31505\loch\f0 C}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 
ertain people are at increased risk, including:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 Infants younger than one year old
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Adolescents and young adults 16 through 23 years old
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 People with certain medical conditions that affect the immune system
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Microbiologists who routinely work with isolates of }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 N. meningitidis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1268093 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0  the bacteria that cause meningococcal disease}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 People at risk because of an outbreak in their community
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 M}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31501\loch\f0 eningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31501\loch\f0 vaccine
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid12846917 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1268093 \hich\af0\dbch\af31505\loch\f0 Adolescents}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5778097 \hich\af0\dbch\af31505\loch\f0 need}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  2 doses of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4940180 \hich\af0\dbch\af31505\loch\f0 a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 
meningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7419705 \hich\af0\dbch\af31505\loch\f0 vaccine:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8148491 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8148491 \hich\af0\dbch\af31505\loch\f0 First dose: 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7419705 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 or 12 year}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4396644 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\hich\af0\dbch\af31505\loch\f0  of age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7419705 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8148491 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8148491 \hich\af0\dbch\af31505\loch\f0 Second }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\hich\af0\dbch\af31505\loch\f0 (booster) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8148491 \hich\af0\dbch\af31505\loch\f0 dose: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 16 years of age}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid7419705 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par \hich\af0\dbch\af31505\loch\f0 In addition to routine vaccinat\hich\af0\dbch\af31505\loch\f0 ion for adolescents, meningococcal ACWY vaccine is also recommended for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1268093\charrsid15630319 
\hich\af0\dbch\af31505\loch\f0 certain groups of people}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 :
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 People at risk because of a serogroup A, C, W, or Y meningococcal disease outbreak
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 People with HIV
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Anyone whose spleen is damaged or has been removed, including people with sickle cell disease
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 \hich\f0 Anyone with a rare immune system condition called \'93\loch\f0 \hich\f0 
complement component deficiency\'94
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Anyone taking a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 \hich\af0\dbch\af31505\loch\f0 type of }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 drug called }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 \hich\af0\dbch\af31505\loch\f0 a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13501748 \loch\af0\dbch\af31505\hich\f0 \'93}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 \hich\af0\dbch\af31505\loch\f0 complement inhibitor,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13501748 \loch\af0\dbch\af31505\hich\f0 \'94}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 
\hich\af0\dbch\af31505\loch\f0  such as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 eculizumab (also called }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \loch\af0\dbch\af31505\hich\f0 \'93}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 Soliris}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \loch\af0\dbch\af31505\hich\f0 \'94}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'ae\loch\f0 )}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid11149906 \hich\af0\dbch\af31505\loch\f0  or ravulizumab (also called }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \loch\af0\dbch\af31505\hich\f0 \'93}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 
\hich\af0\dbch\af31505\loch\f0 Ultomiris}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \loch\af0\dbch\af31505\hich\f0 \'94}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906\charrsid14172465 \loch\af0\dbch\af31505\hich\f0 \'ae}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid11149906 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Microbiologists who routinely work with isolates of }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\insrsid1268093\charrsid1268093 \hich\af0\dbch\af31505\loch\f0 N. meningitidis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 
Anyone traveling to or living in a part of the world where meningococcal disease is common, such as parts of Africa
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 College freshmen living in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11149906 
\hich\af0\dbch\af31505\loch\f0 residence halls}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9316079 \hich\af0\dbch\af31505\loch\f0  who have not been completely vaccinated with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \hich\af0\dbch\af31505\loch\f0 
meningococcal }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9316079 \hich\af0\dbch\af31505\loch\f0 ACWY}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 U.S. military recruits
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid5396545 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4726357 \hich\af0\dbch\af31501\loch\f0 3. Talk with your health care provider
\par 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4726357 \hich\af0\dbch\af31505\loch\f0 Tell your vaccin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 
\hich\af0\dbch\af31505\loch\f0 ation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4726357 \hich\af0\dbch\af31505\loch\f0  provider if the person getting the vaccine:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8848589 \hich\af0\dbch\af31505\loch\f0 
allergic reaction after a previous dose of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1268093 \hich\af0\dbch\af31505\loch\f0 meningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8848589\charrsid14638124 \hich\af0\dbch\af31505\loch\f0 vaccine}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 , or has any }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1139093\charrsid6885084 \hich\af0\dbch\af31505\loch\f0 severe, life-threatening allergies }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid5396545\charrsid4677863 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0 In some cases, your health care provider may decide to postpone meningococcal ACWY vaccination }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13453577 \hich\af0\dbch\af31505\loch\f0 
until}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 \hich\af0\dbch\af31505\loch\f0  a future visit.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid1070981 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1389576 \hich\af0\dbch\af31505\loch\f0 There is limited information on}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid9534068 \hich\af0\dbch\af31505\loch\f0  the risks of this vaccine for pregnant}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11366276\charrsid9534068 \hich\af0\dbch\af31505\loch\f0  or breastfeeding }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1124370 \hich\af0\dbch\af31505\loch\f0 women}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1389576 
\hich\af0\dbch\af31505\loch\f0 , but no safety concerns have been identified}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11366276\charrsid9534068 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid9534068 
\hich\af0\dbch\af31505\loch\f0 A pregnant or breastfeeding }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1124370 \hich\af0\dbch\af31505\loch\f0 woman }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid9534068 \hich\af0\dbch\af31505\loch\f0 
should be vaccinated if }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11366276\charrsid9534068 \hich\af0\dbch\af31505\loch\f0 indicated}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid9534068 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1268093 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166 \hich\af0\dbch\af31505\loch\f0 People with minor illnesses, such as a cold, may be vaccinated.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9440166 \hich\af0\dbch\af31505\loch\f0 People who are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 \hich\af0\dbch\af31505\loch\f0 moderately or severely ill should usually wait until they recover before getting }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0 meningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid9440166 \hich\af0\dbch\af31505\loch\f0 vaccine.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166 
\par 
\par \hich\af0\dbch\af31505\loch\f0 Your health care provider can give you more information.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9440166 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 4. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 Risks of a vaccine reaction
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0 Redness or s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2492556 \hich\af0\dbch\af31505\loch\f0 oreness}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid289785 \hich\af0\dbch\af31505\loch\f0 
 where the shot is given can happen after }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0 meningococcal ACWY }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid289785 \hich\af0\dbch\af31505\loch\f0 vaccin}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9835226 \hich\af0\dbch\af31505\loch\f0 ation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid289785 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0 
A small percentage of people who receive meningococcal ACWY vaccine experience muscle }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12473094 \hich\af0\dbch\af31505\loch\f0 pain, headache, or tiredness}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 
\hich\af0\dbch\af31505\loch\f0 . 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2577274 \hich\af0\dbch\af31505\loch\f0 People sometimes faint after medical procedures, including vaccination. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2577274\charrsid2577274 \hich\af0\dbch\af31505\loch\f0 
Tell your provider if you feel dizzy or have vision changes or ringing in the ears.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2577274 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 As with any medicine, there is a very }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0 remote }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 chance of a vaccine causing a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 \hich\af0\dbch\af31505\loch\f0 severe allergic reaction, other }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 serious injury}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0  or death.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\highlight7\insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 5. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 What if there is a serious }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31501\loch\f0 problem}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31501\loch\f0 ?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 An allergic reaction could occur after the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5314446 \hich\af0\dbch\af31505\loch\f0 vaccinated person}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  le\hich\af0\dbch\af31505\loch\f0 
aves the clinic. If you see signs of a severe allergic reaction (hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness), call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16334230\charrsid5314446 
\hich\af0\dbch\af31505\loch\f0 9-1-1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  and get the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5314446 \hich\af0\dbch\af31505\loch\f0 person }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid16334230\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 to the nearest hospital.
\par 
\par \hich\af0\dbch\af31505\loch\f0 For other signs that concern you, call your health care provider.
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014 \hich\af0\dbch\af31505\loch\f0 Adverse}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 
 reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014 \hich\af0\dbch\af31505\loch\f0 health care provider}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014\charrsid16334230 
\hich\af0\dbch\af31505\loch\f0  will usually file this report, or you can do it yourself. Visit the VAERS website at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\ul\insrsid6713014\charrsid2700493 \hich\af0\dbch\af31505\loch\f0 
HYPERLINK "http://www.vaers.hhs.gov/"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\ul\insrsid6713014\charrsid2700493 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4c00000068007400740070003a002f002f007700770077002e00760061006500720073002e006800680073002e0067006f0076002f000000795881f43b1d7f48af2c825dc485276300000000a5ab00035d00190000d9
00000030090000000065616e000000397f00221b00005200ff000065006e02000000246e000aa332b80000}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid6713014\charrsid2700493 \hich\af0\dbch\af31505\loch\f0 www.vaers.hhs.gov}}}\sectd \ltrsect
\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014\charrsid16334230 \hich\af0\dbch\af31505\loch\f0  or call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid6713014\charrsid1070981 
\hich\af0\dbch\af31505\loch\f0 1-800-822-7967}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6713014\charrsid16334230 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid6713014\charrsid1070981 \hich\af0\dbch\af31505\loch\f0 
VAERS is only for reporting reactions, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid6713014 \hich\af0\dbch\af31505\loch\f0 and VAERS staff}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid11086341 \hich\af0\dbch\af31505\loch\f0  members}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\insrsid6713014 \hich\af0\dbch\af31505\loch\f0  do }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid6713014\charrsid1070981 \hich\af0\dbch\af31505\loch\f0 not give medical advice.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid6713014 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid16334230\charrsid16334230 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 6. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid4988588 
\hich\af0\dbch\af31501\loch\f0 The National Vaccine Injury Compensation Program
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\par \hich\af0\dbch\af31505\loch\f0 The National Vaccine Injury Compensation Program (VICP) is a federal program that was created to compensate people who may have been injured by certain vaccines.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid286160 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10568442 \hich\af0\dbch\af31505\loch\f0 Claims regarding alleged injury or death due to vaccination have a time limit for filing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11086341 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10568442 \hich\af0\dbch\af31505\loch\f0  which may be as short as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11086341 \hich\af0\dbch\af31505\loch\f0 two}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10568442 
\hich\af0\dbch\af31505\loch\f0  years. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid286160 \hich\af0\dbch\af31505\loch\f0 Visit }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 the VICP }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid11629826\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 website at }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11629826 \hich\af0\dbch\af31505\loch\f0  HYPERLINK "http://}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid11629826\charrsid6761179 \hich\af0\dbch\af31505\loch\f0 www.hrsa.gov/vaccinecompensation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11629826 \hich\af0\dbch\af31505\loch\f0 " }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11629826 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b6800000068007400740070003a002f002f007700770077002e0068007200730061002e0067006f0076002f00760061006300630069006e00650063006f006d00700065006e0073006100740069006f006e0000007958
81f43b1d7f48af2c825dc485276300000000a5ab00032fe44f42d80000ff00002f74000000750000026800002f00ff000000002500000098403400654372f10000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid11629826\charrsid14111065 \hich\af0\dbch\af31505\loch\f0 
www.hrsa.gov/vaccinecompensation}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11629826 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11629826\charrsid6761179 
\hich\af0\dbch\af31505\loch\f0 or call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11629826\charrsid6761179 \hich\af0\dbch\af31505\loch\f0 1-800-338-2382}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11629826 \hich\af0\dbch\af31505\loch\f0  to }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid15495174 \hich\af0\dbch\af31505\loch\f0 learn about the program and about filing a claim}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0 . 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid12846917 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645 \hich\af0\dbch\af31501\loch\f0 7. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 
\hich\af0\dbch\af31501\loch\f0 How can I learn more?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \hich\af0\dbch\af31505\loch\f0 Ask your health}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6585571 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 
\hich\af0\dbch\af31505\loch\f0 care provider. 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid7407156 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Call your local or state health department.
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6848408 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6848408 \hich\af0\dbch\af31505\loch\f0 
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\ltrch\fcs0 \insrsid3232310 \hich\af0\dbch\af31505\loch\f0 package inserts and additional information at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid10766127\charrsid924104 \hich\af0\dbch\af31505\loch\f0 
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Contact the Centers for Disease Control and Prevention (ÐÇ¿ÕÓéÀÖ¹ÙÍø):
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid10574652 \hich\af0\dbch\af31505\loch\f0 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  or
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\cs36\b\ul\cf19\insrsid10765960 \hich\af0\dbch\af31505\loch\f0  HYPERLINK "/vaccines" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid10765960 {\*\datafield 
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\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
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\par \hich\af0\dbch\af31505\loch\f0 Vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 \hich\af0\dbch\af31505\loch\f0  Information Statement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8209954 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5396545\charrsid12846917 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319 \hich\af0\dbch\af31505\loch\f0 Meningococcal ACWY}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid12846917 \hich\af0\dbch\af31505\loch\f0  Vaccine 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\tx360\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10108674 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1124370 \hich\af0\dbch\af31505\loch\f0 1/31/2025}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid11159377\charrsid4795329 
\par \hich\af0\dbch\af31505\loch\f0 \hich\f0 42 U.S.C. \'a7\loch\f0  300aa-26 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \strike\insrsid11159377\charrsid4795329 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11159377\charrsid4795329 
\par \hich\af0\dbch\af31505\loch\f0 Department of Health and Human Services
\par \hich\af0\dbch\af31505\loch\f0 Centers for Disease Control and Prevention
\par 
\par \hich\af0\dbch\af31505\loch\f0 Office Use Only
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