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PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION

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About the medicine

How to use PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION

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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

Pandemic influenza vaccine H5N1 AstraZeneca nasal spray suspension

Pandemic influenza vaccine (H5N1) (live attenuated, nasal)

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

Read all of this leaflet carefully before the vaccine is given because it contains important information for you or your child.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, nurse or pharmacist.
  • This vaccine has been prescribed for you or your child. Do not pass it on to others.
  • If you think any of the side effects mentioned in this leaflet are serious, or if you notice any side effects not listed in this leaflet, please tell your doctor, nurse or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack:

  1. What Pandemic influenza vaccine H5N1 AstraZeneca is and what it is used for
  2. What you need to know before Pandemic influenza vaccine H5N1 AstraZeneca is given
  3. How Pandemic influenza vaccine H5N1 AstraZeneca is given
  4. Possible side effects
  5. Storing Pandemic influenza vaccine H5N1 AstraZeneca
  6. Contents of the pack and other information

1. What Pandemic influenza vaccine H5N1 AstraZeneca is and what it is used for

Pandemic influenza vaccine H5N1 AstraZeneca is a vaccine to prevent influenza in the event of an officially declared pandemic. It is used in children and adolescents from 12 months up to less than 18 years of age.

Pandemic influenza is a type of influenza that occurs at intervals of less than 10 years to several decades. It spreads rapidly around the world. The signs of pandemic influenza are similar to those of ordinary influenza but can be more severe.

How Pandemic influenza vaccine H5N1 AstraZeneca works

Pandemic influenza vaccine H5N1 AstraZeneca is similar to Fluenz Tetra (a nasal influenza vaccine that contains four strains), except that Pandemic influenza vaccine H5N1 AstraZeneca provides protection against a single strain in an officially declared pandemic situation.

When a person is given the vaccine, the immune system (the body's natural defense system) produces its own protection against the influenza virus. None of the components of the vaccine can cause influenza.

The vaccine virus in Pandemic influenza vaccine H5N1 AstraZeneca is grown in chicken eggs. The influenza strain used in the vaccine in an officially declared pandemic situation is the one recommended by the World Health Organization.

Doctor consultation

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Discuss your symptoms and treatment with a doctor online.

2. What you need to know before Pandemic influenza vaccine H5N1 AstraZeneca is given

Pandemic influenza vaccine H5N1 AstraZeneca must not be given to:

  • If you have had a severe allergic reaction(i.e. potentially life-threatening) to eggs, egg proteins, gentamicin, gelatin or any of the other components of this vaccine(listed in section 6 "Contents of the pack and other information"). For signs of allergic reactions, see section 4 "Possible side effects". However, in a pandemic situation, your doctor may recommend that you are given the vaccine, provided that medical treatment is available immediately in case of an allergic reaction.

If any of these conditions apply to you, tell your doctor, nurse or pharmacist.

Warnings and precautions

Tell your doctor, nurse or pharmacist before vaccination:

  • . Children less than 12 months old must not be vaccinated due to the risk of side effects.
  • If you have had any allergic reaction other than a sudden and potentially life-threatening allergic reactionto eggs, egg proteins, gentamicin, gelatin or any of the other components of this vaccine(listed in section 6 "Contents of the pack and other information").
  • (a substance present in many medicines used to relieve pain and lower fever). This is due to the risk of a very rare but serious disease (Reye's syndrome).
  • .
  • due to a disease, medicine or other treatment.
  • or are currently wheezing.
  • (e.g. a bone marrow transplant patient who needs isolation).

If any of these conditions apply to you, tell your doctor, nurse or pharmacist before vaccination. He or she will decide if Pandemic influenza vaccine H5N1 AstraZeneca is suitable for you.

Using Pandemic influenza vaccine H5N1 AstraZeneca with other medicines and other vaccinesTell your doctor, nurse or pharmacist if the person to be vaccinated is using, has recently used or might use any other medicines, including medicines that do not require a prescription.

  • Do not give acetylsalicylic acid(a substance present in many medicines used to relieve pain and lower fever) to childrenfor 4 weeks after vaccination with Pandemic influenza vaccine H5N1 AstraZeneca unless your doctor, nurse or pharmacist tells you otherwise. This is due to the risk of Reye's syndrome, a very rare but serious disease that can affect the brain and liver.
  • Pandemic influenza vaccine H5N1 AstraZeneca should not be givenat the same time as antiviral medicines against influenzasuch as oseltamivirand zanamivir. This is because the vaccine may lose its effect.

Your doctor, nurse or pharmacist will decide if Pandemic influenza vaccine H5N1 AstraZeneca can be given at the same time as other vaccines.

Pregnancy and breast-feeding

  • If you are pregnant or think you may be pregnant or are planning to have a baby, ask your doctor, nurse or pharmacist for advice before vaccination. He or she will decide if Pandemic influenza vaccine H5N1 AstraZeneca is suitable for you.
  • Pandemic influenza vaccine H5N1 AstraZeneca is not recommendedin breast-feeding women.

Driving and using machines

  • The influence of Pandemic influenza vaccine H5N1 AstraZeneca on the ability to drive and use machines is negligible.

3. How Pandemic influenza vaccine H5N1 AstraZeneca is given

Pandemic influenza vaccine H5N1 AstraZeneca will be given under the supervision of a doctor, nurse or pharmacist.

Pandemic influenza vaccine H5N1 AstraZeneca should only be used for nasal spray.

Pandemic influenza vaccine H5N1 AstraZeneca must not be injected.

Pandemic influenza vaccine H5N1 AstraZeneca will be given as a spray in each nostril. You can breathe normally while Pandemic influenza vaccine H5N1 AstraZeneca is being given. You do not need to inhale or sniff.

Dose

The recommended dosefor children and adolescents is 0.2 ml of Pandemic influenza vaccine H5N1 AstraZeneca, given as 0.1 ml in each nostril. All childrenwill receive a second follow-up dose at least 4 weeks after the first dose.

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

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this vaccine can cause side effects, although not everybody gets them. In clinical studies with this vaccine, most side effects were short-lived and mild.

Ask your doctor, nurse or pharmacist for more information on the possible side effects of Pandemic influenza vaccine H5N1 AstraZeneca.

Some side effects may be serious:

Very rare

(may affect up to 1 in 10,000 people)

  • severe allergic reactions: signs of allergic reaction can include difficulty breathing and swelling of the face or tongue.

Tell your doctor immediately or seek urgent medical attentionif you notice any of these symptoms.

In clinical studies with adults who received Pandemic influenza vaccine H5N1 AstraZeneca, the most common side effects were headache and infection of the upper respiratory tract (inflammation of the nose, throat and sinuses).

Other possible side effects of Pandemic influenza vaccine H5N1 AstraZeneca in children and adolescents:

Very common

(may affect more than 1 in 10 people):

  • stuffy or runny nose
  • loss of appetite
  • weakness

Common

(may affect up to 1 in 10 people):

  • fever
  • muscle pain
  • headache

Uncommon

(may affect up to 1 in 100 people):

  • skin rash
  • nosebleeds
  • allergic reactions

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via 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. Storing Pandemic influenza vaccine H5N1 AstraZeneca

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 label of the applicator after EXP.

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

Keep the nasal applicator 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. These measures will help protect the environment.

6. Container contents and additional information

Composition of Pandemic influenza vaccine H5N1 AstraZeneca

The active substance is:

Reassorted influenza virus* (live attenuated) of the following strain**:

Strain A/Vietnam/1203/2004 (H5N1)

(A/Vietnam/1203/2004, MEDI 0141000136) 107.0±0.5 FFU***

………………………………………………………..………per 0.2 ml dose

  • multiplied in fertilized chicken eggs from healthy chicken coops.

** produced in VERO cells by reverse genetic technology. This product contains genetically modified organisms (GMOs).

*** fluorescent focus units

This vaccine complies with the WHO recommendation and the EU decision for the pandemic.

The other components are sucrose, potassium hydrogen phosphate, potassium dihydrogen phosphate, gelatin (porcine, Type A), arginine hydrochloride, monosodium glutamate monohydrate, and water for injection.

Appearance of Pandemic influenza vaccine H5N1 AstraZeneca and container contents

This vaccine is presented as a suspension for nasal spray in a single-use nasal applicator (0.2 ml) in a pack size of 10 units.

The suspension is colorless to pale yellow, transparent to slightly turbid. It may present small white particles.

Marketing authorization holder

AstraZeneca AB,

SE-151 85

Södertälje,

Sweden

Manufacturer

AstraZeneca Nijmegen B.V.,

Lagelandseweg 78

Nijmegen, 6545CG

Netherlands

MedImmune, UK Limited,

Plot 6, Renaissance Way,

Boulevard Industry Park,

Speke,

Liverpool L24 9JW,

United Kingdom

For further information about this medicinal product, please contact the local representative of the marketing authorization holder:

België/Belgique/Belgien

AstraZeneca S.A./N.V.

Tel: +32 2 370 48 11

Lietuva

UAB AstraZeneca Lietuva

Tel: +370 5 2660550

Text in Bulgarian language with contact information of AstraZeneca Bulgaria Eood, including phone number

Luxembourg/Luxemburg

AstraZeneca S.A./N.V.

Tél/Tel: +32 2 370 48 11

Ceská republika

AstraZeneca Czech Republic s.r.o.

Tel: +420 222 807 111

Magyarország

AstraZeneca Kft.

Tel.: +36 1 883 6500

Danmark

AstraZeneca A/S

Tlf.: +45 43 66 64 62

Malta

Associated Drug Co. Ltd

Tel: +356 2277 8000

Deutschland

AstraZeneca GmbH

Tel: +49 40 809034100

Nederland

AstraZeneca BV

Tel: +31 85 808 9900

Eesti

AstraZeneca

Tel: +372 6549 600

Norge

AstraZeneca AS

Tlf: +47 21 00 64 00

Ελλάδα

AstraZeneca A.E.

Τηλ: +30 2-10 6871500

Österreich

AstraZeneca Österreich GmbH

Tel: +43 1 711 31 0

España

AstraZeneca Farmacéutica Spain, S.A.

Tel: +34 91 301 91 00

Polska

AstraZeneca Pharma Poland Sp. z o.o.

Tel.: +48 22 245 7300

France

AstraZeneca

Tél: +33 1 41 29 40 00

Portugal

AstraZeneca Produtos Farmacêuticos, Lda.

Tel: +351 21 434 61 00

Hrvatska

AstraZeneca d.o.o.

Tel: +385 1 4628 000

România

AstraZeneca Pharma SRL

Tel: +40 21 317 60 41

Ireland

AstraZeneca Pharmaceuticals (Ireland) Ltd

Tel: +353 1609 7100

Slovenija

AstraZeneca UK Limited

Tel: +386 1 51 35 600

Ísland

Vistor hf.

Sími: +354 535 7000

Slovenská republika

AstraZeneca AB, o.z.

Tel: +421 2 5737 7777

Italia

AstraZeneca S.p.A.

Tel: +39 02 00704500

Suomi/Finland

AstraZeneca Oy

Puh/Tel: +358 10 23 010

Κύπρος

Αλέκτωρ Φαρμακευτική Λτδ

Τηλ: +357 22490305

Sverige

AstraZeneca AB

Tel: +46 8 553 26 000

Latvija

SIA AstraZeneca Latvija

Tel: +371 67377100

Date of last revision of this leaflet: MM/YYYY

This medicinal product has been authorized with a «conditional approval». This approval mechanism means that further information on this medicinal product is awaited. The European Medicines Agency will review the new information on this medicinal product at least once a year and this leaflet will be updated as necessary.

Other sources of information

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

Instructions for healthcare professionals

This information is intended solely for healthcare professionals:

Pandemic influenza vaccine H5N1 AstraZeneca must be used by the nasal route only.

  • Do not use with a needle.Do not inject.

Hypodermic needle with plunger retracted showing liquid extraction in a transparent syringe

  • Do not use Pandemic influenza vaccine H5N1 AstraZeneca if the expiration date has expired or if the sprayer is damaged, for example if the plunger is loose or displaced from the sprayer or if there is any sign of loss of content.
  • Check the appearance of the vaccine before administration. The suspension should be colorless to pale yellow, transparent to opalescent. It may present small white particles.
  • Pandemic influenza vaccine H5N1 AstraZeneca is administered as a divided dose in both nasal cavities as described below. (See also How to administer Pandemic influenza vaccine H5N1 AstraZenecain section 3).
  • After administering half of the dose in one nasal cavity, administer the other half of the dose in the other nasal cavity immediately or shortly after.
  • The patient can breathe normally while the vaccine is being administered; there is no need to inhale or aspirate actively through the nose.

Pre-filled syringe with plunger and dose markings, nozzle protector, dose divider, and plunger rod indicated

Pre-filled syringe with medication showing plunger and needle, with an enlarged circle detailing the texture of the internal liquid

Hands holding a syringe with needle inserted into the skin, showing the injection point and the drug delivery device

Hand holding an inhalation device with cartridge inserted and vapor coming out of the nozzle

Check the expiration date

The product must not be used after the date stated on the applicator label.

Prepare the applicator

Remove the rubber cap from the end. Do not remove the dose divider clip from the other end of the applicator.

Place the applicator

With the patient in an upright position, place the end inside the nasal cavity to ensure that Pandemic influenza vaccine H5N1 AstraZeneca is administered in the nose.

Hand holding an auto-injector with plunger pressed down showing vapor coming out of the device

Hands holding a syringe and needle cap, arrow indicates direction to remove the protective cap

Hand holding an auto-injector with the tip up and ready to inject the medication into the skin

Press the plunger

With a single movement, press the plunger as quickly as possibleuntil the dose divider clip prevents further movement.

Remove the dose divider clip

To administer in the other nasal cavity, pinch and remove the dose divider clip from the plunger.

Spray in the other nasal cavity

Place the end immediately inside the other nasal cavityand, with a single movement, press the plunger as quickly as possibleto administer the rest of the vaccine.

See section 5for information on storage and disposal.

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Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

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Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

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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
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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.

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Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

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Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

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Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

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Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance.

His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation.

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Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.
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Frequently Asked Questions

Is a prescription required for PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION?
PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION 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 PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION?
The active ingredient in PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION is influenza, live attenuated. This information helps identify medicines with the same composition but different brand names.
Who manufactures PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION?
PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION is manufactured by Astrazeneca Ab. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION 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 PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION 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 PANDEMIC INFLUENZA VACCINE H5N1 ASTRAZENECA NASAL SPRAY SUSPENSION?
Other medicines with the same active substance (influenza, live attenuated) include FLUENZ NASAL SPRAY SUSPENSION, ADJUPANRIX 3.75 micrograms EMULSION AND SUSPENSION FOR INJECTABLE EMULSION, EFLUELDA SUSPENSION FOR INJECTION 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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