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VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE

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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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 VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE

Translated with AI

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

Vaxigrip injectable suspension in a pre-filled syringe

Influenza vaccine (trivalent, inactivated, split virion)

Read all of this leaflet carefully before you or your child are vaccinated 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 or pharmacist.
  • This vaccine has been prescribed to you or your child, do not pass it on to others, even if their symptoms are the same as yours, as it may harm them.
  • If you or your child experience any side effects, talk to your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the package leaflet

  1. What is Vaxigrip and what is it used for
  2. What you need to know before you or your child start using Vaxigrip
  3. How to use Vaxigrip
  4. Possible side effects
  5. Storage of Vaxigrip
  6. Contents of the pack and further information

1. What is Vaxigrip and what is it used for

Vaxigrip is a vaccine.

This vaccine is given to you or your child from 6 months of age, it is indicated to protect you or your child against influenza.

When Vaxigrip vaccine is injected into a person, the immune system (the body's natural defense system) will produce protection (antibodies) against infection. When the vaccine is administered during pregnancy, it also protects the baby from birth to 6 months of age through the transmission of protection from mother to baby during pregnancy (see also sections 2 and 3).

None of the components of the vaccine can cause influenza.

The use of Vaxigrip should be based on official recommendations.

Influenza is a disease that can spread rapidly and is caused by different types of strains that can change every year. Due to this potential change in circulating strains each year, as well as the duration of the protection provided by the vaccine, vaccination is recommended every year. There is a higher risk of getting influenza during the cold months between October and March. If you or your child did not get vaccinated in the autumn, it is possible to get vaccinated until spring, since you or your child are at risk of getting infected with influenza during that period. Your doctor will be able to recommend the best date for vaccination.

The objective of Vaxigrip is to protect you or your child against the three strains of the virus contained in the vaccine after about 2 to 3 weeks of injection.

Additionally, the incubation period of influenza is a few days, so if you or your child are exposed to influenza immediately before or after vaccination, you or your child may develop the disease.

The vaccine will not protect you or your child against the common cold, even if some of the symptoms are similar to influenza.

Doctor consultation

Not sure if this medicine is right for you?

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2. What you need to know before you start using Vaxigrip

To ensure that Vaxigrip is suitable for you or your child, it is important that you consult your doctor or pharmacist if any of the points described below apply to you or your child. If there is anything you do not understand, consult your doctor or pharmacist to clarify it.

Do not use Vaxigrip

  • If you or your child are allergic to:
  • The active substances, or
  • Any of the other components of this vaccine (listed in section 6), or
  • Any of the components that may be present in minimal amounts, such as eggs (ovoalbumin or chicken proteins), neomycin, formaldehyde, or octoxinol-9.

Warnings and precautions

Consult your doctor or pharmacist before starting to use Vaxigrip.

Consult your doctor before getting vaccinated if you or your child have:

  • A weakened immune system (immunodeficiency or treatment with medicines that affect the immune system),
  • Bleeding problems or bruising easily.

If you or your child have an acute illness with fever, vaccination should be postponed until the fever has disappeared.

Your doctor will decide if you or your child should receive the vaccine.

Fainting (syncope) may occur after any injection, especially in adolescents, so you should inform your doctor or nurse if you or your child have fainted after a previous injection.

Like all vaccines, Vaxigrip may not provide complete protection to all individuals who are vaccinated.

Not all babies under 6 months of age born to vaccinated pregnant women during pregnancy will be protected.

Children

Vaxigrip is not recommended for use in children under 6 months of age.

Use of Vaxigrip with other medicines

Tell your doctor or pharmacist if you or your child are using, have recently used, or might use any other medicines or vaccines.

  • Vaxigrip can be administered at the same time as other vaccines in different injection sites.
  • The immune response may be reduced in the case of immunosuppressive treatments, such as corticosteroids, cytotoxic medicines, or radiotherapy.

Pregnancy and breast-feeding

If you are pregnant or breast-feeding, think you may be pregnant, consult your doctor or pharmacist before using this vaccine.

Vaxigrip can be used in all stages of pregnancy.

Vaxigrip can be used during breast-feeding.

Your doctor/pharmacist will decide if you should be vaccinated with Vaxigrip.

Driving and using machines

Vaxigrip has a negligible influence on the ability to drive and use machines.

Vaxigrip contains potassium and sodium

This medicine contains less than 1 mmol of potassium (39 mg) and less than 1 mmol of sodium (23 mg) per dose; i.e., it is essentially "potassium-free" and "sodium-free".

3. How to use Vaxigrip

Dosage

Adults: 1 dose of 0.5 ml.

Use in children and adolescents

Children from 6 months to 17 years of age receive a dose of 0.5 ml.

If your child is under 9 years of age and has not been previously vaccinated against influenza, a second dose of 0.5 ml should be administered after an interval of at least 4 weeks.

If you are pregnant, a dose of 0.5 ml administered during pregnancy may protect your baby from birth to 6 months of age. For more information, ask your doctor or pharmacist.

How Vaxigrip is administered

Your doctor or nurse will administer the recommended dose of the vaccine with an injection into the muscle or under the skin.

If you or your child receive more Vaxigrip than you should

In some cases, more doses than recommended were accidentally administered.

In these cases, when adverse events were reported, they were in line with those described after administration of the recommended dose (see section 4).

If you have any doubts about the use of this medicine, ask your doctor 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.

If you experience an allergic reaction, contact your doctor or healthcare professional or go immediately to the emergency department of the nearest hospital.

Allergic reactions

Can occur immediately after administration of the vaccine and can be life-threatening.

Symptoms may include:

  • rash, itching, difficulty breathing, shortness of breath, swelling of the face, lips, throat, or tongue, low blood pressure, rapid heart rate, and weak pulse, cool and clammy skin, dizziness, weakness, or fainting (anaphylactic reaction, angioedema, shock).
  • Other symptoms may include:
  • itchy areas, redness, swelling, and cracking of the skin (atopic dermatitis), flushing, hot flush, blood in the white of the eye (ocular hyperaemia), redness and irritation of the eye (conjunctivitis), throat irritation, sore throat, irritation inside the nose, runny nose, sneezing, nasal congestion, or throat congestion, numbness or tingling sensation in the mouth (oral paresthesia), rash in the mouth (oral mucosal rash), asthma.

These allergic reactions were reported as uncommon (may affect up to 1 in 100 people) to rare (may affect up to 1 in 1,000 people).

Additional side effects in adults and the elderly

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

  • headache, muscle pain, general feeling of being unwell (malaise) (1), pain at the injection site.

(1) Common in the elderly

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

  • fever (2), chills, reactions at the injection site: redness (erythema), hardness (induration), swelling.

(2) Uncommon in the elderly

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

  • swelling of the lymph nodes in the neck, armpit, or groin (lymphadenopathy) (3), unusual weakness (3), fatigue, drowsiness (4), dizziness (4), increased sweating (hyperhidrosis) (3), joint pain (3), diarrhea, feeling sick (nausea), reactions at the injection site: bruising, itching, heat, and discomfort.

(3) Rare in the elderly (4) Rare in adults

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

  • numbness or tingling sensation (paresthesia), vomiting, decreased appetite, flu-like illness.
  • decreased sensitivity (hypoesthesia), abdominal pain, allergy at the injection site: only observed in adults.
  • skin peeling (exfoliation) at the injection site: only observed in the elderly.

Additional side effects in children from 3 to 17 years of age

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

  • headache, muscle pain, general feeling of being unwell, chills, reactions at the injection site: pain, redness, swelling, hardness (5).

(5) Common in children from 9 to 17 years of age

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

  • fever, bruising at the injection site.

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

  • fatigue, dizziness, diarrhea, reactions at the injection site: itching, heat.
  • inflammation of the lymph nodes in the neck, armpits, or groin, abdominal pain, vomiting, irritability, crying, joint pain, rash: only observed in children from 3 to 8 years of age.
  • reduced number of certain types of particles in the blood called platelets; a low number of these can cause bruising or bleeding (thrombocytopenia): only observed in a 3-year-old child.
  • unusual weakness, discomfort at the injection site: only observed in children from 9 to 17 years of age.

Additional side effects in children from 6 to 35 months of age

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

  • irritability (6), vomiting (7), muscle pain (8), general feeling of being unwell (8), fever, decreased appetite (6), reactions at the injection site; sensitivity, redness.
  • abnormal crying, drowsiness: only observed in children under 24 months of age.
  • headache: only observed in children from 24 months of age.

(6) Rare in children from 24 to 35 months of age

(7) Uncommon in children from 24 to 35 months of age

(8) Rare in children from 6 to 23 months of age

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

  • diarrhea, reactions at the injection site: hardness, bruising, swelling.
  • chills: only observed in children from 24 months of age.

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

  • flu-like illness, reactions at the injection site: itching, rash.

In children from 6 months to 8 years of age who receive 2 doses, the side effects are similar after both the first and second doses. Some side effects may occur after the administration of the second dose in children from 6 months to 35 months of age.

Most side effects occurred generally within 3 days after vaccination and resolved within 1 to 3 days without treatment. The intensity of most of these side effects was mild to moderate.

The frequency of the following side effects is unknown (cannot be estimated from the available data) in the whole population, except for the population for which the side effect is indicated above:

  • inflammation of the lymph nodes in the neck, armpits, or groin.
  • numbness or tingling sensation (paresthesia), nerve pain (neuralgia) (9), seizures (convulsions), neurological disorders that can cause stiff neck, confusion, numbness, pain, and weakness of the limbs, loss of balance, loss of reflexes, paralysis of a part or all of the body (encephalomyelitis, neuritis (9), Guillain-Barré Syndrome (9)).
  • inflammation of blood vessels (vasculitis) that can cause skin rashes and, in very rare cases, temporary kidney problems.
  • temporary reduction in the number of certain types of particles in the blood called platelets; a low number of these can cause bruising or bleeding (transient thrombocytopenia).

(9) Not reported in children from 6 to 35 months of age

Reporting of side effects

If you or your child 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 to the Spanish Medicines Agency: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Vaxigrip

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 carton after EXP. The expiry date is the last day of the month stated.

Store in a refrigerator (2°C - 8°C). Do not freeze. Keep the 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. These measures will help protect the environment.

6. Container contents and additional information

Vaxigrip composition

The active ingredients are: Influenza virus (fractionated, inactivated) of the following strains*:

  • Strain similar to A/Victoria/4897/2022 (H1N1)pdm09: (IVR-238)....... 15 micrograms HA**
  • Strain similar to A/Croatia/10136RV/2023(H3N2): (X-425A)............. 15 micrograms HA**
  • Strain similar to B/Austria/1359417/2021: B/Michigan/01/2021 ..…... 15 micrograms HA**

Per 0.5 ml dose

  • grown in embryonated chicken eggs from healthy chickens

** hemagglutinin

This vaccine complies with the recommendations of the World Health Organization (Northern Hemisphere) and the decision of the European Union for the 2025-2026 campaign.

The other components are: a buffer solution containing sodium chloride, disodium phosphate dihydrate, potassium dihydrogen phosphate, potassium chloride, and water for injectable preparations.

Some components such as eggs (ovoalbumin, chicken proteins), neomycin, formaldehyde, or octoxinol-9 may be present in very small quantities (see section 2).

Appearance of the product and container contents

After careful shaking, the vaccine is a slightly colorless and opalescent liquid.

Vaxigrip is presented in a pre-filled syringe containing 0.5 ml of injectable suspension, with a fixed needle, a separate needle, or a safety needle, or without a needle, in packs of 1 or 10. Only some pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Sanofi Winthrop Industrie

82 avenue Raspail

94250 Gentilly

France

Manufacturer:

The manufacturer responsible for batch release is:

Sanofi Winthrop Industrie

1541 avenue Marcel Mérieux

69280 Marcy l’Etoile

France

or

Sanofi Winthrop Industrie

Voie de l’Institut – Parc Industriel d’Incarville

B.P 101

27100 Val de Reuil

France

or

Sanofi-Aventis Zrt.

Building Dc5 - Campona Utca 1

Budapest XXII,1225

Hungary

Local representative

sanofi-aventis, S.A.

C/ Rosselló i Porcel, 21

08016 Barcelona

Spain

Tel: +34 93 485 94 00

This medicinal product is authorized in the Member States of the European Economic Area under the following names:

Member State

Name

Austria, Belgium, Bulgaria, Croatia, Czech Republic, Germany, Denmark, Estonia, Finland, France, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Sweden, Slovenia, Slovakia, Spain

Vaxigrip

Cyprus, Greece

Vaxigrip TIV

Date of the last revision of thisleaflet: June 2025

Other sources of information

You can access detailed and updated information about this medicinal product by scanning the QR code included in the packaging with your mobile phone (smartphone). You can also access this information at the following internet address: https://vaxigrip-nh.info.sanofi.

--------------------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

As with all injectable vaccines, medical treatment and appropriate supervision should be available in case of an anaphylactic reaction following administration of the vaccine.

The vaccine should reach room temperature before use.

Shake before use. Inspect visually before administration.

The vaccine should not be used if it contains foreign particles in the suspension.

It should not be mixed with other medicinal products in the same syringe.

This vaccine should not be injected directly into any blood vessel.

See also section 3. How to use Vaxigrip.

Instructions for use of the safety needle with the pre-filled Luer Lock syringe:

Image A: Safety needle (inside the bar)

Image B: Components of the safety needle (prepared for use)

Medical needle with visible bar and central cap marked, detailed linear diagram showing parts of the device

Pre-filled syringe with exposed needle and retracted protector, arrows indicate safety device and protector

Step 1:To attach the needle to the syringe, remove the central cap to expose the needle bar and gently turn the needle on the Luer Lock adapter of the syringe until you feel a slight resistance.

Step 2:Remove the protector from the safety needle. The needle is covered by the safety device and the protector.

Step 3:

A:Separate the safety device from the needle towards the body of the syringe at the angle shown.

B:Remove the protector in a straight line.

Hands holding syringe with needle inserted into skin, arrow indicates angle of insertion and another arrow direction of the plunger

Step 4:Once the injection is complete, lock (activate) the safety device using one of the three techniques illustrated (3) with one hand: activation with a surface, with the thumb, or with the index finger.

Note: Activation is verified by an audible and/or tactile "click".

Syringe injecting medication into the skin with three steps indicated by check marks and flashes

Step 5:Visually inspect the activation of the safety device. The safety device should be completely locked (activated)as shown in figure C.

Figure D shows that the safety device is NOTcompletely locked (not activated).

Insulin needle connected to an applicator device with push button and dose indicator window

Syringe with needle showing incorrect insertion at a right angle with a black cross indicating prohibition

Caution: Do not attempt to unlock (deactivate) the safety device by forcing the needle out of the safety device.>

Disposal of unused medicinal products and all materials that have come into contact with them should be carried out in accordance with local regulations.

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Discuss questions about VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

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Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

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Doctor

Anastasiia Shalko

Family medicine 13 years exp.

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:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate

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.With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Doctor

Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Doctor

Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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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.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • 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.
  • Follow-up care and medication review.
  • 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 VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

VAXIGRIP INJECTABLE SUSPENSION 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 VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

The active ingredient in VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE is influenza, inactivated, split virus or surface antigen. This information helps identify medicines with the same composition but different brand names.

Who manufactures VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE is manufactured by Sanofi Winthrop Industrie. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of VAXIGRIP INJECTABLE SUSPENSION 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 VAXIGRIP INJECTABLE SUSPENSION 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 VAXIGRIP INJECTABLE SUSPENSION 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 VAXIGRIP INJECTABLE SUSPENSION 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 VAXIGRIP INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

Other medicines with the same active substance (influenza, inactivated, split virus or surface antigen) include ADJUPANRIX 3.75 micrograms EMULSION AND SUSPENSION FOR INJECTABLE EMULSION, EFLUELDA SUSPENSION FOR INJECTION IN PRE-FILLED SYRINGE, EFLUELDA TETRA 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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