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CAPVAXIVE Injectable Solution in Pre-filled Syringe

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About the medicine

How to use CAPVAXIVE Injectable Solution in Pre-filled Syringe

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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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.

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Started taking the medicine and have questions?

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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.

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Doctor

Hocine Lokchiri

General medicine 21 years exp.

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
  • muscle or joint pain, mild injuries, sprains
  • headache, dizziness, migraine symptoms
  • stress-related symptoms, sleep disturbances
  • questions about test results and treatment plans
  • management of chronic conditions in stable phases
Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

  • Advanced Trauma Life Support (ATLS)
  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Doctor

Lina Travkina

Family medicine 13 years exp.

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.
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  • Test interpretation and diagnostic guidance.
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  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
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  • 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.

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Doctor

Alina Tsurkan

Family medicine 13 years exp.

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
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  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
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  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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.
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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