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CAPVAXIVE Injectable Solution in Pre-filled Syringe

Ask a doctor about a prescription for CAPVAXIVE Injectable Solution in Pre-filled Syringe

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Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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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

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.

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.

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.

<---------------------------------------------------------------------------------------------------------------->

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.

Alternatives to CAPVAXIVE Injectable Solution in Pre-filled Syringe in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to CAPVAXIVE Injectable Solution in Pre-filled Syringe in Ukraine

Dosage form: suspension, 1 dose (0.5 ml)
Prescription required
Dosage form: suspension, 1 dose (0.5 ml)
Prescription required

Online doctors for CAPVAXIVE Injectable Solution in Pre-filled Syringe

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for CAPVAXIVE Injectable Solution in Pre-filled Syringe – subject to medical assessment and local rules.

5.0(2)
Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
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Gastroenterology – Digestive health:
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Taisiya Minorskaya

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Dr Taisiya Minorskaya is a family medicine doctor with an official licence to practise in Spain and over 12 years of clinical experience. She provides online consultations for adults and children, combining evidence-based medicine with a personalised, modern European approach.

She helps with:

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  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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His clinical background includes:

  • assessment of sudden or unclear symptoms
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  • follow-up after hospital discharge
  • interpretation of test results
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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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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.
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  • 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.

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You can consult Dr. Nazarchuk for:

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  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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Alina Tsurkan

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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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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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