NU H1N1 Vaccination Information

• What
  • Both injectable and nasal mist vaccines are available

• When
  • November 19, from 9 AM to 3:00 PM, as long as vaccine supplies remain

• Where
  • Norris University Center Northwestern Room (202) only. No vaccinations will be given on Thursday, November 19th at Patten Gymnasium

• Cost
  • Free

• Clothing
  • Wear loose clothing that will allow access to the upper arm, just below the shoulder

• Eligibility
  • Northwestern University students, faculty, and staff on the basis of CDC priority groups. PROOF OF PRIORITY GROUP ELIGIBILITY (SEE EACH CATEGORY BELOW) WILL BE REQUIRED because of limited vaccine supplies.
  • CDC Priority Groups
    • Persons aged 6 months through 24 years
      • Required documentation: Driver’s license or other proof of age
    • Pregnant women
      • Required documentation: a doctor’s note, documentation confirming pregnancy, or any prenatal prescription
    • Persons who live with or provide care for infants aged less than 6 months
      • Required documentation: verification that the child’s age is less than 6 months (e.g., birth certificate, insurance statement regarding the childbirth, or any other document that indicated the birth occurred within the last 6 months)
    • Health care and emergency medical services personnel who have direct patient contact
      • Required documentation: Professional license
    • Persons aged 25 through 64 years who have medical conditions that put them at higher risk for influenza-related complications
      • Chronic medical conditions
        • Chronic illness of the lungs (e.g. asthma or cystic fibrosis), heart, kidneys, liver, blood (including sickle cell disease), endocrine/glandular system (e.g., diabetes or thyroid disease), nervous system, or neuromuscular system
        • Suppressed immune system (e.g., from medications or HIV disease)
        • Pregnancy
        • Residents of nursing homes and other chronic-care facilities
      • Required documentation: A doctor’s note or proof of current medications

• Please note:
  • Family members and dependents of Northwestern University students, faculty, and staff are NOT ELIGIBLE for on-site vaccination.
  • Persons aged 65 years and older are not in the current CDC groups even if they have the medical conditions outlined above. Therefore, vaccinations will NOT BE AVAILABLE to that age group.

• Required Documentation
  • All students, faculty, and staff
    • Students, faculty, and staff must present a valid WildCARD and proof of age (e.g., driver’s license). No additional proof of Evanston residency is required.
    • PROOF OF ELIGIBILITY FOR THE CDC PRIORITY GROUPS IS REQUIRED, as above.
  • Students under the age of 18 years
    • STUDENTS UNDER THE AGE OF 18 MUST OBTAIN PARENTAL CONSENT FOR H1N1 VACCINATION. The required form is available at the following link (http://www.nuhs.northwestern.edu/evanston/child-vaccination-consent.pdf). It should be downloaded, completed by a student’s parent or legal guardian, and then mailed, faxed, or E-mailed (as a PDF), as below:

Northwestern University Health Service
H1N1 Vaccination Minor Consent Form
633 Emerson Street
Evanston, IL 60208
FAX: 847-491-5919
Email: k-naliwajko@northwestern.edu

• Students under the age of 18 years are encouraged to bring a copy of their parental consent forms with them to the vaccination site.

• How many shots are required for effective immunization of individuals 10 years of age or older?
  • One
  • It is important to remember that vaccinations do not provide immediate protection; it generally takes 8-10 days for the development of a sufficient immune response to the H1N1 vaccination. Thus, one should not assume that he or she is fully protected immediately after H1N1 vaccination. Individuals just recently vaccinated against H1N1 influenza who develop symptoms of fever and either cough or sore throat will still need to isolate themselves.

November 18, 2009