Frequently Asked Questions about Immunizations

1. Your child’s Health Card Number is not on file with Ottawa Public Health. We encourage you to download the CANImmunize App.
2. Have you moved in the last five years? It could be that the postal code entered does not associate with the postal code registered on your child’s Health Card with Service Ontario.

1. We encourage you to download the CANImmunize App at CANimmunize.ca : a free, easy to use app that allows you to track and report your child's immunizations to OPH. Get the app on iOS and Android today! Before using the app, please ensure the following:

• Your child has an Ontario Health Card
• You are using CANImmunize version 5.0.6 and up on an iOS or Android device
• Your child is 17 years old or younger
• Your device is connected to the internet
• Your child lives in the Ottawa area

2. Fax: 613-580-9660

3. Call Ottawa Public Health at 613-580-6744 to obtain your child’s Ontario Immunization ID (OIID) and to set-up a temporary pin in order to access ICON.

Immunization is a simple and effective way to protect your child against vaccine preventable diseases. By maintaining an up-to-date record, OPH can quickly determine which children are protected and which are at risk in the event of an outbreak.

OPH can then take the necessary steps to protect everyone from vaccine preventable disease. Sometimes this means that children who are not adequately immunized must be excluded from school or childcare until the outbreak is over.

OPH is required to maintain and review the immunization records of all students under 18 years of age attending school in Ottawa each year, in accordance with the Immunization of School Pupils Act (ISPA)

The ‘First notice’ letter is to inform parents/guardians that OPH records indicate student’s immunization record has missing or incorrect vaccine information in Panorama/on file.

This year, OPH is reviewing immunization record of students born in 2016 and 2006. If you receive the Notice of Incomplete Immunization Record in the mail, please compare our record with your records at home.

The Notice form will indicate an "Update by Date" for immunization updates.

Please contact OPH on or before the "Update by Date" to update the child’s immunization record, if student has received vaccine(s) listed as missing with their healthcare provider or a walk-in clinic

Your health care provider can record new immunization that child received on the Notice of Incomplete Immunization Record form. Report this to OPH to update your child's record.

Why did I receive a letter from OPH?

Immunizations can be given at your family doctor or a walk-in clinic. Call ahead of your visit to make sure that the vaccine is available. 

If you are currently looking for a family doctor please register with Health Care Connect, and a nurse will help you find a doctor or nurse practitioner who is accepting new patients in our community.  

Families facing barriers can visit one of OPH’s Neighbourhood Health and Wellness Hubs offering routine vaccines.   

Routine Vaccination Clinics

Your child's health care provider and school are not mandated to report your child's immunization to Ottawa Public Health. Find out more about Reporting Immunization.

In some cases, your health care provider may tell you that your child's immunization is up-to date. However, the information may not have been reported to OPH. We recommend that you obtain a copy of the record and submit it to OPH. 

Immunization Requirement for Children Attending Child Care Centres

Immunization Requirement for Children Attending Schools

Everyday your child's immune system is exposed to numerous pathogens from their own environment. These exposures help your child's immune system develop protection.

However, exposure to certain pathogens could cause serious, potentially life threatening infections.

Immunizations allow your child's immune system to develop protection against these specific diseases without having to go through a natural infection that could make your child very sick. 

1. Your child might have received the first dose before 1 year of age.
2. Once your child is 7 years old, the second dose of MMR is required for school attendance. It is possible that Ottawa Public Health (OPH) only has one dose on record if a record update was not shared to OPH.
3. The MMR vaccine is invalid because it was given too soon after another live vaccine.

Receiving the MMR vaccine too early or too soon after another live vaccine causes the dose to be invalid because it may not provide your child with adequate protection against the diseases.  Confirm the date with your health care provider and update Ottawa Public Health.  Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

 Your child may have received a letter for varicella due to any of the following reasons:

• Your child might have received the first dose before 1 year of age.
• Once your child is 7 years old, the second dose of Varicella is required for school attendance. It is possible that OPH only has one dose on record.
• The Varicella vaccine is invalid because it was given too soon after another live vaccine

Receiving the Varicella vaccine too early or too soon after another live vaccine causes the dose to be invalid because it may not provide your child with adequate protection against the disease. Your child may also receive Varicella in the form of MMRV vaccine where the Varicella vaccine is combined with protection against Measles, Mumps and Rubella. MMRV vaccine is for children between 1 to 12 years old. Confirm the date with your health care provider and update Ottawa Public Health. Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

You have to report to Ottawa Public Health if your child born in 2010 or later has had previous infection of chickenpox on or after 1 year of age. 

Your child may have received a letter for Polio due to any of the following reasons:

1. Your child is missing one of more doses of their Polio series (note that all children require their final dose of Polio vaccine to be on or after their 4^th birthday). 
2. A dose of Polio immunization could be invalid if the minimal interval between Polio immunizations was not respected.
3. Your child might be on a catch-up schedule and is now overdue to receive immunization(s).

Confirm with your health care provider if your child has completed the series in correct intervals (time between vaccines) and update Ottawa Public Health. Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

Your child may have received a letter for Diphtheria, Tetanus and Pertussis due to any of the following reasons:

1. Your child is missing one or more doses of their Diphtheria, Tetanus and Pertussis series. Please note that all children require a booster dose of Diphtheria, Tetanus and Pertussis vaccine to be on or after the 4^th birthday (generally between the ages of 4 and 6) and then every 10 years (with the first booster dose generally between the ages of 14 and 16). 
2. A dose of Diphtheria, Tetanus and Pertussis immunization could be invalid if it was given too early or if the minimal interval between Diphtheria, Tetanus and Pertussis immunizations was not respected.
3. Your child might be on a catch-up schedule and is now overdue to receive their next Diphtheria, Tetanus and Pertussis immunization(s).

Confirm the dates with your health care provider and update Ottawa Public Health. Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

Can my child receive Pertussis only if my child has already received Tetanus and Diphtheria.

A pertussis-only vaccine is not available in Canada. If your child requires a pertussis immunization, they will receive a combined diphtheria, tetanus and pertussis vaccine.

Some health care providers administer diphtheria and tetanus (Td) only vaccine during an emergency procedure. There is no harm in receiving a diphtheria, tetanus and pertussis (DTaP/Tdap) vaccine for the added protection against pertussis. Confirm with your healthcare provider if a diphtheria and tetanus (Td) or a diphtheria, tetanus and pertussis (DTaP/Tdap) vaccine was given and update Ottawa Public Health. Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

Your child may have received a letter for Men-C-C due to any of the following reasons:

1. Your child might have received a dose of Men-C-C before 1 year of age.
2. A dose of Men-C-C could be invalid if the minimal interval between meningococcal C-strain immunizations was not respected.

Receiving Men-C-C too early is considered invalid and may not provide adequate protection against the disease. Even if your child has received more than one dose prior to 1 year of age, a booster dose after 1^st birthday is still required to ensure adequate protection. 

Confirm the date with your health care provider and update Ottawa Public Health. Knowing the brand name of the vaccine will also be helpful so we can accurately record it in your child's file.

All children in grade 7 to 12 require one dose of Men-C-ACYW135.

Your child may have received a letter for Men-C-ACYW135 due to any of the following reasons:

1. Your child might have received a dose of Men-C-ACYW135 before 1 year of age.
2. A dose of Men-C-ACYW135 could be invalid if the minimal interval between meningococcal vaccines was not respected.

The Men-C-ACYW135 vaccine is offered in schools in grade 7 and is a mandatory vaccine. All children in grade 7 or older must have received one men-C-ACYW135 vaccine.

It is recommended that children receive this vaccine at 12 years old to provide adequate protection against meningococcal disease, regardless of previous doses received. Any child born on or after 1997 remains eligible to receive a dose of Men-C-ACYW135 through school-based clinics (if in grade 7 to 12), your health care provider or walk-in clinic.

What vaccines does my child need and when?

What is the age of consent in Ontario?

The Health Care Consent Act, 1996 of Ontario, states that there is no minimum age for consent to health care. If the student is deemed by the nurse to be able to consent, they can sign their own consent form.

What should I do if my child has a pre-existing health condition (e.g. recent concussion, chronic health condition or on a prescribed medication)? 

Please call Ottawa Public Health at 613-580-6744 and ask to speak to a nurse to see if it is ok for your child to be vaccinated at school. 

My child faints when he gets a needle. Can he get the vaccine at the doctor's office?  

Fainting is common especially with growing teens. Fainting is not a "side-effect" of immunization. Make sure your child has a snack or a good breakfast before immunization. Skipping meals, needle anxiety and low blood pressure can increase the chance of fainting before or after immunization. The nurse will prepare the child to lay down for immunization if there is a history of fainting.

Who gives the vaccines in school clinics?

What will happen if my child has a reaction after the nurses have left? 

School personnel will provide first-aid. This may include referring the student to their family physician or emergency services (if indicated). Report any reactions that occur after nurses have left, to Ottawa Public Health at 613-580-6744.

What can I do if my child is worried about the vaccination(s)? 

Your child may attend:

• A Neighbourhood Health and Wellness Hub
• Your doctor's office:

For students with certain medical conditions or allergies, Human Papillomavirus (HPV) and Hepatitis B (HB) vaccine can be released to your health care provider, please contact Ottawa Public Health at 613-PARENTS [613-727-3687] (TTY: 613-580-9656) for more information.  Meningococcal vaccine (Men-C-ACYW135), publicly funded, is available through your health care provider. Please contact your provider to check if the vaccine is available.

• New! School catch-up clinic for grades 7 to 12: 

Was your child’s immunization schedule disrupted by the Covid-19 Pandemic? OPH may be organizing a catch-up clinic at your child’s school, visit the Immunizations for Youth and School Vaccine Information webpage

Routine Vaccination Clinics

My child received 3 doses of Hepatitis B vaccine as an infant. Do I sign the consent form?

No.  You do not need to sign the grade 7 consent for Hepatitis B vaccination. The three doses of Hepatitis B your child received as a baby should provide lifetime immunity.  The National Advisory Committee for Immunization (NACI) does not recommend a booster dose for healthy individuals.

Is Twinrix^® a Hepatitis B vaccine?

Twinrix^® or Twinrix^®Junior is a vaccine that contains both Hepatitis B and Hepatitis A vaccine. Some people purchase these vaccines when they are planning to travel to countries where Hepatitis B and/or Hepatitis A are common.

My child received two doses of Twinrix Junior when he was small.  Should I sign a consent for my child to receive Hepatitis B vaccine in grade 7 at school?

We recommend that you discuss with your doctor (or the office where you received your vaccine) to see if your child needs another dose of the vaccine. We recommend that you complete the third dose of Twinrix^® Junior at your doctor's office if needed.  There will be a charge for Twinrix^® Junior at your doctor's office because it is not publicly funded in Ontario.

If you prefer to have your child receive publicly funded Hepatitis B, they will then be complete for their Hepatitis B vaccines, but may require a final dose of Hepatitis A from the doctor's office to be completely protected against both Hepatitis B and Hepatitis A.  Please ensure that your child's record is updated with the correct dates of the vaccines.

My child received 2 doses of Twinrix^®Junior vaccine in Quebec when my child was in Grade 4. Does my child still need more Hepatitis B vaccine?

No. Research has recently shown that students who received 2 doses of Twinrix^®Junior vaccine, 6 months apart have shown an equivalent antibody response to those who received all three doses of Twinrix^® Junior. For this reason, they are considered to have completed their Hepatitis B and Hepatitis A series so they don't need to receive another Hepatitis B vaccination. Please ensure that your child's record is updated with the correct dates of the vaccines.

My child was born in another province and received three doses of DTaP-IPV-HB-Hib vaccine (Diptheria, Tetanus, Pertussis, Polio, Hepatitis B and Haemophilus influenzae type B) as an infant, does my child need another dose of Hepatitis B for a booster dose?

No You do not need another dose of Hepatitis B vaccination.

The three doses of DTaP-IPV-HB-Hib that your child received as a baby should provide lifetime immunity.  The National Advisory Committee for Immunization (NACI) does not recommend a booster dose for healthy individuals. 

My child received a Meningococcal vaccine after age one. Why is another one needed in grade 7?  

• The meningococcal vaccine that your child most likely received after one year of age was a vaccine that covers one meningococcal disease strain - the C strain. The protection from that vaccine decreases over time and a booster dose is needed.  Studies show that youth and young people from ages 14 to 25 are at an increased risk for meningococcal disease.
• Meningococcal conjugate- ACWY-135 (Menactra^®, Menveo^®, or Niminrix^®) protects against 4 of the dangerous strains of meningococcal disease so it is recommended that youth and young adults receive at least one dose during the teen age years. In Ontario it is provided during grade 7.

My child received meningococcal conjugate-ACWY-135 before age 11. Is another dose needed in grade 7?

We recommend that you consult with your doctor to see if waiting might be the best option for your child. We know that meningococcal conjugate-ACWY-135 can offer protection for approximately five years so your child may still be getting protection from the dose given before age 11. Your child will remain eligible to receive one dose of the publicly-funded vaccine from grade 7 until the end of grade 12.

Through the School Immunization Program, all students attending grade 7 in Ontario are eligible to receive publicly-funded doses of HPV9 until the end of grade 12. 

Is it true that HPV9 is also publicly funded for young men age 26 or under?

Yes. As part of the High Risk HPV Immunization Program

HPV9 is publicly funded for men who have sex with men (MSM) who are 26 years of age or younger, who identify as gay, bisexual, as well as some individuals who identify as trans, and who have not started their HPV vaccine series before September 5, 2017.

My child received HPV4 (Gardasil^®) last year but needs one more dose to complete the series.  Can my child receive HPV9?

• Yes, your child can complete their HPV series with HPV9. This is aligned with the National Advisory Committee on Immunization (NACI) recommendations and guidance, which allows for the use of HPV9 vaccine to complete an HPV4 series, if it is not possible to complete the series with the HPV4 vaccine.

If my child needs to complete their grade 7 vaccines in grade 8, do I need to sign a new consent form?

If you signed a consent or called in a verbal consent to Ottawa Public Health in grade 7 you will not need to sign a new consent form. That consent, whether written or verbal is good for 24 months.

My child has an exemption on file for a vaccination, how can I be sure that my child won't receive the vaccine at a school clinic?

• Once you have completed the exemption process your child's electronic profile will be specially flagged so it will be clear to our nursing staff that your child (children) are not to be immunized for specific vaccines. 

• Our nurses check the immunization record of all students and will identify students who are not due for vaccines, have medical or philosophical exemptions or students who have no consents on file. 

• Distraction
• Allowing a student to listen to music
• Using ice or a local anesthetic like EMLA^® or Ametop^® to numb the injection site
• Ensure you send your child to school well fed.
• Pack an extra drink or snack to avoid fainting.

If you know ahead of time that your child is prone to fainting please contact us ahead of time so we can lie them down on the gym mats for their immunization.  Explain what will happen in the clinic.

Students will be called down by class to the school clinic to receive their vaccines.

Students will be supervised for at least 15 minutes post-vaccine.

Severe reactions are rare and most occur within 15 minutes of getting the vaccine. The nurses will stay at the school for at least 15 minutes after the last vaccine is given.

If it is a large school, nursing staff may vaccinate over a two or three-day period.

Who can I contact if I have questions or if I did not get a consent form?

See our school clinics section for a link to the consent form. If you have a question about the consent form, you can contact Ottawa Public Health at 613-580-6744.

My child received a COVID-19 vaccine. Can they receive their routine immunizations at their in-school clinic?

It is recommended that COVID-19 vaccines may be administered to children five years of age and older at the same time as, or at any time before or after non COVID-19 vaccines. While information is limited, no concerns regarding safety or effectiveness have been identified.

Is my child still eligible to receive their school-based vaccine series?

Due to COVID-19, eligibility for some vaccines has been extended:

• Girls born in 2002 and 2003 remain eligible for the Human Papillomavirus vaccine until August 31, 2023. 
• Students born in 2004 remain eligible for the Human Papillomavirus vaccine until August 31, 2023.