FLUCELVAX Injectable Suspension in Pre-filled Syringe

2. What you need to know before you receive Flucelvax

You should not receive Flucelvax

If you are allergic to:

• the active substances or any of the other components of this vaccine (listed in section 6).
• beta-propiolactone, cetrimide, or polysorbate 80, which are residues from the manufacturing process that may be present in minimal amounts.

Warnings and Precautions

Consult your doctor, pharmacist, or nurse before receiving Flucelvax.

BEFORE VACCINATION

• your doctor or nurse will check that medical treatment and adequate supervision are readily available in the rare event of an anaphylactic reaction (a severe allergic reaction with symptoms such as difficulty breathing, dizziness, weak and rapid pulse, and skin rash) after administration. This reaction can occur with Flucelvax, as with all injectable vaccines.
• you should inform your doctor if you have an acute illness with fever. Your doctor may decide to postpone your vaccination until the fever has resolved.
• you should inform your doctor if your immune system is compromised or if you are receiving treatment that affects it, for example, cancer medication (chemotherapy) or corticosteroids (see section "Other medicines and Flucelvax").
• you should inform your doctor if you have a bleeding problem or if you bruise easily.
• you may faint after injection with a needle, or even before, so inform your doctor or nurse if you have fainted previously with any injection.

As with all vaccines, Flucelvax may not protect all people who are vaccinated.

Children under 6 months

This vaccine is not currently recommended in children under 6 months, as safety and efficacy have not been established in this age group.

Other medicines and Flucelvax

Inform your doctor or nurse if you are using, have recently used, or might use any other medicines, including those obtained without a prescription, or if you have recently received any other vaccine.

Flucelvax can be administered at the same time as other vaccines.

Pregnancy and Breastfeeding

Pregnancy

If you are pregnant, think you may be pregnant, or plan to become pregnant, consult your doctor. Influenza vaccines can be administered during any trimester of pregnancy.

Breastfeeding

The use of Flucelvax during breastfeeding has not been studied. No effects on breastfed infants are expected. Flucelvax can be administered during breastfeeding.

Driving and using machines

Flucelvax has no or negligible influence on the ability to drive and use machines.

Flucelvax contains sodium and potassium

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

This vaccine contains potassium, less than 1 mmol (39 mg) per dose; this is essentially "potassium-free".

3. How Flucelvax is administered

Your doctor or nurse will administer Flucelvax as an injection into the muscle of the upper arm (deltoid muscle) or into the muscle of the upper and outer thigh in small children, depending on muscle size.

Adults and children from 6 months of age

A dose of 0.5 ml.

If your child is under 9 years of age and has never been vaccinated against influenza, a second dose should be administered at least 4 weeks later.

4. Possible side effects

As with all medicines, this vaccine can cause side effects, although not everybody gets them.

The following side effects have been reported during clinical trials and during general use:

Very serious side effects

Consult your doctor immediately or go to the emergency department of your nearest hospital if you experience the following side effect – you may need urgent medical attention or hospitalization:

• Difficulty breathing, dizziness, weak and rapid pulse, along with skin rash, which are symptoms of an anaphylactic reaction (a severe allergic reaction)

Serious side effects

Inform your doctor immediately if you experience any of the following side effects – you may need medical attention:

• You feel weak, have difficulty moving, or experience numbness or tingling in your limbs. These may be symptoms of Guillain-Barré Syndrome (GBS), an autoimmune disease caused by the body's immune system
• Extensive swelling of the limb where the vaccine was injected

Other side effects

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

• Pain at the injection site, bruising, redness, and swelling or hardness at the injection site
• Headache
• Muscle pain
• Fatigue
• Loss of appetite
• Irritability (reported only in children from 6 months to <6 years)< li>
• Somnolence (reported only in children from 6 months to <6 years)< li>
• Changes in eating habits (reported only in children from 6 months to <6 years)< li>
• Fever (≥38°C)
• Diarrhea

In elderly patients, common side effects were hardness or swelling at the injection site, headache, muscle pain, and fatigue.

Bruising at the injection site was common in adults, elderly, and children from 9 to <18 years.< p>

Headache was common in the elderly.

Loss of appetite was common in adults, elderly, and children from 9 to <18 years.< p>

Fever was uncommon in adults and elderly and common in children from 4 to <18 years of age.< p>

Common (may affect up to 1 in 10 people)

• Nausea, vomiting, diarrhea
• Joint pain
• Chills

Vomiting was uncommon in elderly patients.

Frequency not known (cannot be estimated from the available data)

• Feeling of tingling and numbness (paresthesia)
• Generalized skin reactions including itching, hives, or non-specific skin rash

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 Flucelvax

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

Do not use this vaccine after the expiry date which is stated on the label and carton after EXP. The expiry date is the last day of the month shown.

Store in a refrigerator (between 2°C and 8°C). Do not freeze.

Keep the pre-filled syringe in the outer packaging to protect it from light.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

Composition of Flucelvax

• The active substances are surface antigens of the influenza virus (hemagglutinin and neuraminidase), inactivated, of the following strains*:

Strain similar to A/Wisconsin/67/2022 (H1N1)pdm09 (A/Georgia/12/2022, CVR-167)

15 micrograms HA**

Strain similar to A/District of Columbia/27/2023 (H3N2) (A/Victoria/800/2024, CVR-289) 15 micrograms HA**

Strain similar to B/Austria/1359417/2021 (Singapore/WUH4618/2021, wild type)

15 micrograms HA**

per 0.5 ml dose

……………………………………

grown in Madin Darby Canine Kidney (MDCK) cells (a special cell culture in which the influenza virus grows)

** hemagglutinin

This vaccine complies with the recommendation of the World Health Organization (WHO) (Northern Hemisphere) and with the EU recommendation for the 2025-2026 season.

• The other components are: sodium chloride, potassium chloride, magnesium chloride hexahydrate, disodium phosphate dihydrate, potassium dihydrogen phosphate, and water for injections (see section 2: Flucelvax contains sodium and potassium).

Appearance and packaging of the product

Flucelvax is an injectable suspension (injection) in a pre-filled syringe (ready-to-use syringe). Flucelvax is a transparent to slightly opalescent suspension.

Each individual syringe contains 0.5 ml of injectable suspension.

Flucelvax is available in packs of 1 pre-filled syringe with or without a needle or 10 pre-filled syringes with or without needles.

Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Seqirus Netherlands B.V.

Paasheuvelweg 28

1105BJ Amsterdam

Netherlands

You can obtain further information on this medicine from the local representative of the marketing authorization holder.

Date of last revision of this leaflet: 07/2025

Other sources of information

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

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This information is intended only for healthcare professionals:

Medical treatment and adequate supervision should always be readily available in case of an anaphylactic episode, which can rarely occur after vaccine administration.

Shake before use. After shaking, the normal appearance of the vaccine is a transparent to slightly opalescent suspension.

The vaccine should be inspected visually for particulate matter and color changes before administration. If particulate matter and/or any variation in physical appearance are observed, do not administer the vaccine.