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
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
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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.
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Getting vaccinated is important. Vaccines protect people of all ages against serious and life threatening diseases. Most of the time, however, vaccines are given with an injection. This can be stressful for individuals getting vaccinated as well as onlookers. About 10% of individuals are not vaccinated because of concerns about injection pain. This can lead to outbreaks of vaccine-preventable diseases. Numerous safe, effective, and feasible ways of reducing pain exist, yet individuals have not benefitted from this knowledge.
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HELPinKids&Adults creates scientific evidence and tools to improve pain care during vaccine injections, making vaccinations a more positive experience for everyone. You can find information on this website that you can use to make vaccinations more comfortable for yourself, your family members, or your patients. Please share this information with others to improve their vaccination experience.Since we started in 2008, HELPinKids&Adults has received recognition for its work nationally and internationally, including awards for scientific achievement and advocacy efforts in pain relief from the American Pain Society, the Canadian Paediatric Society, Canadian Public Health Association, Canadian Pain Society, and the Canadian Society of Pharmacology and Therapeutics. Our work has been supported primarily from the Canadian Institutes of Health Research (CIHR), the Mayday Fund, and The Public Health Agency of Canada.
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Endorsing organizations: Asthma Canada, Canadian Medical Association, Canadian Paediatric Society, Primary Care Nurses of Canada, Canadian Pharmacists Association, Canadian Psychological Association, Canadian Pain Society, Canadian Public Health Association, Canadian Center for Vaccinology, Registered Nurses’ Association of Ontario, British Columbia Centre for Disease Control, Ontario Ministry of Health, First Nations Health Authority, and Primary Care Nurses of Ontario.
Team Members
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Anna Taddio
Chair, Oversight Committee, Evidence Lead, Knowledge Translation Team
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C. Meghan McMurtry
Oversight Committee, Evidence Lead, Knowledge Translation Team
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Vibhuti Shah
Oversight Committee, Evidence Lead, Knowledge Translation Team
In the News
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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
Introducing the first letter of the CARD SYSTEM, a tool to help improve your vaccination experience. The Comfort CARD includes ideas to help you feel more comfortable.
Find out about all the CARDs at https://www.aboutkidshealth.ca/card/
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