Travel vaccination

Meningitis ACWY Vaccination (Hajj & Umrah)

The Meningitis ACWY vaccine protects against four groups of meningococcal bacteria (A, C, W and Y) that can cause meningitis and blood poisoning. It is a mandatory requirement for Hajj and Umrah pilgrims travelling to Saudi Arabia.

£50 per dose

£50 per dose — single-dose course

Who it is for

Mandatory for all Hajj and Umrah pilgrims travelling to Saudi Arabia, and advised for other travellers at risk

Number of doses

A single dose for most adults and older children

When to have it

At least 10 days before arrival in Saudi Arabia

How long protection lasts

Around 5 years

How it is given

An injection into the upper arm

Price

£50 per dose

Quick answer

The Meningitis ACWY vaccine is a single dose that protects against meningococcal groups A, C, W and Y, which cause meningitis and blood poisoning. It is mandatory for Hajj and Umrah pilgrims travelling to Saudi Arabia, who must show proof of vaccination on entry. The Meningitis ACWY vaccine for Hajj and Umrah is available at Crewe Travel Clinic in Crewe, Cheshire.

About Meningitis ACWY Vaccination (Hajj & Umrah)

Meningococcal disease is a serious bacterial infection that can cause meningitis (inflammation of the lining around the brain and spinal cord) and septicaemia (blood poisoning). It can develop very quickly and become life-threatening, so prevention through vaccination is important for those at risk.

The MenACWY vaccine protects against four of the main groups of the bacteria. The bacteria spread between people through close contact, so large gatherings such as the Hajj and Umrah pilgrimages carry a higher risk of transmission.

Saudi Arabia requires all pilgrims to provide proof of MenACWY vaccination as a condition of entry for Hajj and Umrah. A single dose is given, and your travel health nurse will issue the appropriate documentation and advise on timing.

Timing

At least 10 days before travel

Saudi Arabia requires the single dose to be given at least ten days before arrival and within the validity period accepted for entry.

Effectiveness

High level of protection

A single dose provides strong protection against meningococcal groups A, C, W and Y in adults and older children.

Duration

Around 5 years

Protection generally lasts around five years, and a further dose may be required to meet entry rules for future pilgrimages.

Signs & symptoms

  • A sudden high temperature
  • A severe headache and stiff neck
  • Sensitivity to bright light
  • A blotchy rash that does not fade when pressed with a glass
  • Cold hands and feet, with rapid breathing
  • Drowsiness, confusion or being difficult to wake

Who should consider this vaccine?

The MenACWY vaccine is mandatory for all Hajj and Umrah pilgrims travelling to Saudi Arabia, who must show valid proof of vaccination on entry. It may also be advised for other travellers at risk, including those visiting the meningitis belt of sub-Saharan Africa and people attending large gatherings. Your travel health nurse will confirm the requirements for your trip.

High Risk Areas

Higher risk areas include Saudi Arabia during the Hajj and Umrah pilgrimages and the meningitis belt of sub-Saharan Africa, which stretches from Senegal in the west to Ethiopia in the east, particularly during the dry season.

Traveller Risk Factors

Those most at risk include Hajj and Umrah pilgrims, travellers to the African meningitis belt, people attending mass gatherings, those living or working closely with local populations, and long-stay travellers. Young adults and students may also be at increased risk.

Who should have this vaccine

Saudi Arabia requires every Hajj and Umrah pilgrim to show valid proof of MenACWY vaccination as a condition of entry, regardless of age over 12 months. The vaccine may also be advised for other travellers whose plans place them at higher risk of meningococcal disease, particularly where there is close or prolonged contact with local populations.

  • All Hajj and Umrah pilgrims travelling to Saudi Arabia
  • Travellers to the meningitis belt of sub-Saharan Africa, especially in the dry season
  • Those attending or working at large gatherings and festivals
  • Long-stay travellers and people living closely with local communities

The vaccination course

For most adults and children aged over 12 months a single dose provides the protection required for entry to Saudi Arabia. The dose must be given at least ten days before arrival so that protection has had time to develop, and it must fall within the validity period accepted by the Saudi authorities. Your travel health nurse will check your travel dates, give the injection and issue the documentation you need for entry.

  • One dose for most adults and older children
  • Given by injection into the upper arm
  • Allow at least 10 days before arrival
  • Proof of vaccination provided for entry to Saudi Arabia

How long does protection last

A single dose gives a high level of protection against meningococcal groups A, C, W and Y, with protection generally lasting around five years. If you plan to undertake Hajj or Umrah again, you may need a further dose to remain within the validity period accepted for entry. Your nurse can advise on whether a repeat dose is needed for future travel.

  • Strong protection against groups A, C, W and Y
  • Lasts around 5 years
  • A further dose may be required for future pilgrimages
  • Validity is checked against Saudi entry requirements

Possible side effects

The MenACWY vaccine is well tolerated and most side effects are mild and settle within a day or two. Serious reactions are very rare. If you feel unwell after vaccination, paracetamol can help, and you should seek medical advice if symptoms are severe or persist.

  • Soreness, redness or swelling at the injection site
  • Headache or tiredness
  • A mild raised temperature
  • Feeling generally off colour for a day or two

Frequently asked questions

Medically reviewed by Crewe Travel Clinic clinical team · Last reviewed 13 June 2026

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