Making vaccinations a more positive experience for everyone.

If you're looking for information you can trust about making vaccine injections a more positive experience by reducing the pain and fear from the injection, you've come to the right place. HELPinKids&Adults (formerly HELPinKids) has reviewed all the science on this topic and created useful summaries and tools for health care providers and the public. Our work is being used by health authorities around the world, including the World Health Organization (WHO).

The CARD system
(Comfort-Ask-Relax-Distract)

The CARD system (Comfort-Ask-Relax-Distract) is a scientifically-proven and practical tool for vaccine recipients and support persons to voice their preferences about how to make vaccine injections a more positive experience for them. Providers and clinics support these choices and also implement other science-based approaches.

CARD is included in our 2026 clinical practice guideline on reducing vaccination-related distress. It helps to put the guideline recommendations into action. Read further below for some key tools and research supporting CARD, including the guideline itself. Visit our companion website for more resources in English and French: www.cardsystem.ca

Resources

Healthcare professionals

HELPinKids&Adults stands for Help ELiminate Pain in Kids & Adults.

We are a group of about two dozen experts working in different areas of health related to vaccination and pain. Our team includes health care providers (doctors, nurses, pharmacists, and psychologists), scientists, policy makers, educators and patient advocates. We work in different universities, hospitals, government and non-government organizations across Canada and beyond.

About Us

Team Members

  • Anna Taddio

    Chair, Oversight Committee, Evidence Lead, Knowledge Translation Team

  • C. Meghan McMurtry

    Oversight Committee, Evidence Lead, Knowledge Translation Team

  • Vibhuti Shah

    Oversight Committee, Evidence Lead, Knowledge Translation Team

 

In the News

  • How to overcome a fear of needles

    Readers Digest - April 8, 2021
    Read Article

  • Time COVID-19 vaccines, vaccine acceptance: words matter

    This article initially appeared in the Globe and Mail on March 16, 2021.
    MacDonald N, McMurtry CM, Taddio. Publication #95.
    Read Article

  • Why your arm might be sore after getting a vaccine

    National Geographic - March 3, 2021
    Read Article