Withdrawals made after age 59 and 1/2 are normal retirement withdrawals and are not taxed. You paid tax on that income when you first contributed to the Roth IRA. If the withdrawal is made before age 59 and 1/2 and is only up to the amount that has been contributed to the Roth IRA then no income tax is charged. Withdrawals of contributions are tax-free.
The CDC recommends a meningococcal vaccine for: 1  All children ages 11-18 or certain younger high-risk children. 2  Anyone who has been exposed to meningitis during an outbreak. 3  Anyone traveling to or living where meningitis is common, such as in sub-Saharan Africa.  Military recruits.
So even if the patient was vaccinated at age 15 years 11 months, you should wait at least 8 weeks and then give the booster at age 16 years 1 month (or later). The ACIP recommendations for meningococcal vaccine published in March 2013 advise using MenACWY in certain adults older than age 55 years.