CAPVAXIVE 4 micrograms/dose Injectable Solution

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Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CAPVAXIVE Injectable Solution in Pre-filled Syringe

Contents of the leaflet

  1. Introduction
  2. What is CAPVAXIVE and what is it used for
  3. What you need to know before you receive CAPVAXIVE
  4. How CAPVAXIVE is administered
  5. Possible side effects
  6. Storage of CAPVAXIVE
  7. Contents of the pack and further information

Introduction

Package Leaflet: Information for the User

CAPVAXIVE injectable solution in pre-filled syringe

Pneumococcal polysaccharide conjugate vaccine (21-valent)

This medicine is subject to additional monitoring, which will allow for the quick detection of new safety information. You can help by reporting any side effects you may get. The last section of the leaflet includes information on how to report side effects.

Read all of this leaflet carefully before you receive this vaccine, because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This vaccine has been prescribed to you, do not pass it on to others.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet

  1. What is CAPVAXIVE and what is it used for
  2. What you need to know before you receive CAPVAXIVE
  3. How CAPVAXIVE is administered
  4. Possible side effects
  5. Storage of CAPVAXIVE
  6. Contents of the pack and further information

1. What is CAPVAXIVE and what is it used for

CAPVAXIVE is a pneumococcal vaccine that is administered to:

  • people aged 18 years and olderto help protect them against diseases caused by a bacterium called Streptococcus pneumoniaeor pneumococcus. These diseases include: lung infection (pneumonia), inflammation of the brain and spinal cord (meningitis), and blood infection (bacteremia).

The vaccine works by helping the body to produce its own antibodies, which protect against these diseases.

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2. What you need to know before you receive CAPVAXIVE

You should not receive CAPVAXIVE:

  • if you are allergic to the active substances, including diphtheria toxoid, or to any of the other components of this vaccine (listed in section 6).

Warnings and precautions

Talk to your doctor, pharmacist, or nurse before receiving CAPVAXIVE if:

  • You have a high fever or a severe infection. In these cases, vaccination may need to be postponed until you have recovered. However, a mild fever or infection (such as a cold) is not a reason to delay vaccination.
  • You have bleeding problems, bruise easily, or are taking medicines to prevent blood clots.
  • You have injection-related anxiety or have ever fainted after an injection.
  • You have a weakened immune system (which means your body is less able to fight infections) or if you are taking certain medicines that can weaken your immune system.

Like all vaccines, CAPVAXIVE may not fully protect all people who are vaccinated.

Children and adolescents

CAPVAXIVE has not been studied in children and adolescents under 18 years of age.

Other medicines and vaccines and CAPVAXIVE

CAPVAXIVE can be administered at the same time as the flu vaccine (inactivated flu vaccine).

Tell your doctor, pharmacist, or nurse if:

  • You are taking, have recently taken, or might take any other medicines.
  • You have recently received or are scheduled to receive any other vaccine.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor, pharmacist, or nurse before receiving this vaccine.

Driving and using machines

CAPVAXIVE has no or negligible influence on the ability to drive and use machines. However, some of the effects mentioned in section 4 "Possible side effects" may temporarily affect your ability to drive or use machines.

CAPVAXIVE contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per dose; this is essentially "sodium-free".

CAPVAXIVE contains polysorbate 20

This medicine contains 0.5 mg of polysorbate 20 in each 0.5 ml dose of injectable solution. Polysorbates may cause allergic reactions. Inform your doctor if you have any known allergy.

3. How CAPVAXIVE is administered

Tell your doctor, pharmacist, or nurse if you have previously received a pneumococcal vaccine.

Adults

You should receive 1 injection (1 dose of 0.5 ml).

Your doctor or nurse will administer the vaccine into the upper arm muscle.

If you have any further questions on the use of CAPVAXIVE, ask your doctor, pharmacist, or nurse.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all vaccines, CAPVAXIVE can cause side effects, although not everybody gets them.

Serious side effects

Rare (may affect up to 1 in 1,000 people):

CAPVAXIVE may cause allergic reactions (hypersensitivity), including excessive contraction of the airway muscles that causes difficulty breathing (bronchospasm). Seek immediate medical attention if you have symptoms of an allergic reaction, which may be:

  • Wheezing or difficulty breathing
  • Swelling of the face, lips, or tongue
  • Hives
  • Rash

Other side effects

The following side effects have been observed after use of CAPVAXIVE:

Very common(may affect more than 1 in 10 people):

  • Headache
  • Pain at the injection site
  • Feeling tired

Common(may affect up to 1 in 10 people):

  • Muscle pain (very common in people aged 18 to 49 years)
  • Redness or swelling at the injection site (very common in people aged 18 to 49 years)
  • Fever

Uncommon(may affect up to 1 in 100 people):

  • Swelling of the lymph nodes
  • Dizziness
  • Feeling sick (nausea)
  • Diarrhea
  • Vomiting
  • Joint pain
  • Itching at the injection site
  • Chills
  • Bruising at the injection site

These side effects are generally mild or moderate and do not last long.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse, even if they are not listed in this leaflet. You can also report side effects directly through the national reporting system listed in Appendix V. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of CAPVAXIVE

Keep this vaccine out of the sight and reach of children.

Do not use this vaccine after the expiry date which is stated on the carton and on the label of the syringe after EXP.

The expiry date is the last day of the month stated.

Store in a refrigerator (2°C to 8°C). Do not freeze. Keep the pre-filled syringe in the outer packaging to protect it from light.

CAPVAXIVE should be administered as soon as possible once it is out of the refrigerator. However, in circumstances where CAPVAXIVE is temporarily stored out of the refrigerator, the vaccine is stable at temperatures up to 25°C for 96 hours. At the end of this period, CAPVAXIVE should be used or discarded. This information is intended to guide healthcare professionals only in case of temporary deviations from the storage temperature.

6. Contents of the pack and further information

Composition of CAPVAXIVE

The active substances are:

  • Pneumococcal polysaccharides of types 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15B des-O-acetylated, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B (4 micrograms of each type)

Each polysaccharide is conjugated to a carrier protein (CRM197). The polysaccharides and the carrier protein are not live and do not cause disease.

One dose (0.5 ml) contains approximately 65 micrograms of carrier protein.

The other ingredients are sodium chloride (NaCl), histidine, polysorbate 20 (E 432), hydrochloric acid (HCl; for pH adjustment), and water for injections. For more information on polysorbate 20 (E 432), see section 2.

Appearance and pack size of the product

CAPVAXIVE is a colourless, transparent to opalescent injectable solution (injection) that is presented in a pre-filled syringe (0.5 ml). CAPVAXIVE is available in pack sizes of 1 or 10 pre-filled syringes, without needles, with 1 separate needle or with 2 separate needles per pre-filled syringe.

Not all pack sizes may be marketed.

Marketing authorisation holder and manufacturer

Merck Sharp & Dohme B.V., Waarderweg 39, 2031 BN Haarlem, Netherlands.

For further information about this medicine, contact the local representative of the marketing authorisation holder:

België/Belgique/Belgien

MSD Belgium

Tel: +32(0)27766211

[email protected]

Lietuva

UAB Merck Sharp & Dohme Tel. +370 5 2780 247 [email protected]

Text in Bulgarian language including company name, address, and contact details such as phone number and email address

Luxembourg/Luxemburg

MSD Belgium

Tel: +32 (0) 27766211

[email protected]

Ceská republika

Merck Sharp & Dohme s.r.o.

Tel.: +420 233 010 111

[email protected]

Magyarország

MSD Pharma Hungary Kft.

Tel.: + 36.1.888.5300

[email protected]

Danmark

MSD Danmark ApS

Tlf.: +45 4482 4000

[email protected]

Malta

Merck Sharp & Dohme Cyprus Limited. Tel: 8007 4433 (+356 99917558)

[email protected]

Deutschland

MSD Sharp & Dohme GmbH

Tel.: +49 (0) 89 20 300 4500

[email protected]

Nederland

Merck Sharp & Dohme B.V.

Tel: 0800 9999000

(+31 23 5153153)

[email protected]

Eesti

Merck Sharp & Dohme OÜ

Tel: +372 614 4200

[email protected]

Norge

MSD (Norge) AS

Tlf: +47 32 20 73 00

[email protected]

Ελλ?δα

MSD Α.Φ.Ε.Ε.

Τηλ: +30 210 98 97 300

[email protected]

Österreich

Merck Sharp & Dohme Ges.m.b.H.

Tel: +43 (0) 1 26 044

[email protected]

España

Merck Sharp & Dohme de España, S.A.

Tel: +34 91 321 06 00

[email protected]

Polska

MSD Polska Sp. z o.o. Tel.: +48 22 549 51 00

[email protected]

France

MSD France Tél: +33 (0)1 80 46 40 40

Portugal

Merck Sharp & Dohme, Lda

Tel: +351 21 4465700

[email protected]

Hrvatska

Merck Sharp & Dohme d.o.o. Tel: +385 1 66 11 333

[email protected]

România

Merck Sharp & Dohme Romania S.R.L

Tel: + 4021 529 29 00

[email protected]

Ireland

Merck Sharp & Dohme Ireland (Human Health) Limited

Tel: +353 (0)1 2998700

[email protected]

Slovenija

Merck Sharp & Dohme, inovativna zdravila d.o.o. Tel: +386 1 520 4201

[email protected]

Ísland

Vistor ehf.

Sími: + 354 535 7000

Slovenská republika

Merck Sharp & Dohme, s. r. o. Tel: +421 2 58282010

[email protected]

Italia

MSD Italia S.r.l.

Tel: 800 23 99 89 (+39 06 361911)

[email protected]

Suomi/Finland

MSD Finland Oy

Puh/Tel: +358 (0)9 804 650

[email protected]

Κ?προς

Merck Sharp & Dohme Cyprus Limited Τηλ: 800 00 673 (+357 22866700)

[email protected]

Sverige

Merck Sharp & Dohme (Sweden) AB

Tel: +46 77 5700488

[email protected]

Latvija

SIA Merck Sharp & Dohme Latvija Tel.: +371 67025300 [email protected]

Date of last revision of this leaflet:{MM/YYYY}.

Other sources of information

Detailed information on this medicine is available on the European Medicines Agency website: https://www.ema.europa.eu.

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This information is intended only for healthcare professionals:

  • The vaccine should be used as supplied.
  • Inspect the solution visually for particles and discoloration before administration. Discard the vaccine if particles are present and/or if it appears discolored.
  • Attach a needle with a Luer Lock connection by twisting in a clockwise direction until the needle is securely attached to the syringe.
  • CAPVAXIVE should only be administered by intramuscular injection. This vaccine should be administered preferably in the deltoid muscle of the arm in adults, with caution to avoid injection into or near nerves and blood vessels.

CAPVAXIVE can be administered at the same time as the tetravalent flu vaccine (inactivated flu vaccine) in adults. Different injectable vaccines should always be administered at different injection sites.

Disposal of unused medicine and all materials that have come into contact with it should be done in accordance with local regulations.

Online doctors for CAPVAXIVE Injectable Solution in Pre-filled Syringe

Discuss questions about CAPVAXIVE Injectable Solution in Pre-filled Syringe, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

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Frequently Asked Questions

Is a prescription required for CAPVAXIVE Injectable Solution in Pre-filled Syringe?

CAPVAXIVE Injectable Solution in Pre-filled Syringe requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in CAPVAXIVE Injectable Solution in Pre-filled Syringe?

The active ingredient in CAPVAXIVE Injectable Solution in Pre-filled Syringe is pneumococcus, purified polysaccharides antigen conjugated. This information helps identify medicines with the same composition but different brand names.

Who manufactures CAPVAXIVE Injectable Solution in Pre-filled Syringe?

CAPVAXIVE Injectable Solution in Pre-filled Syringe is manufactured by Merck Sharp & Dohme B.V.. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of CAPVAXIVE Injectable Solution in Pre-filled Syringe online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CAPVAXIVE Injectable Solution in Pre-filled Syringe is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy CAPVAXIVE Injectable Solution in Pre-filled Syringe in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy CAPVAXIVE Injectable Solution in Pre-filled Syringe in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to CAPVAXIVE Injectable Solution in Pre-filled Syringe?

Other medicines with the same active substance (pneumococcus, purified polysaccharides antigen conjugated) include PREVENAR 13 INJECTABLE SUSPENSION, PREVENAR 13 INJECTABLE SUSPENSION, PREVENAR 20 INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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