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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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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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Dmytro Horobets

Family medicine 7 years exp.

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Svetlana Kolomeeva

Cardiology 18 years exp.

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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Alexander Nazarchuk

Allergology 7 years exp.

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • 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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Marta Reguero Capilla

Allergology 8 years exp.

Dr Marta Reguero Capilla is an allergist and immunologist who works with both adults and children. She specialises in the diagnosis, treatment, and ongoing management of allergic and immune-related conditions through online consultations.

In her practice, Dr Reguero Capilla helps patients understand the causes of their symptoms, review test results, and choose appropriate treatment or monitoring strategies. Her consultations are suitable both for first-time assessments and for follow-up care over time.

Patients commonly consult Dr Marta Reguero Capilla for:

  • allergic rhinitis, seasonal allergies, and perennial allergy symptoms;
  • allergic conditions in adults and children;
  • bronchial asthma and allergy-related respiratory symptoms;
  • urticaria (acute and chronic) and angioedema;
  • food allergies and reactions to foods, additives, or medications;
  • atopic dermatitis, allergic rashes, and persistent itching;
  • unexplained or recurrent allergic reactions;
  • interpretation of laboratory tests, allergy testing, and immunology results;
  • immune system concerns, frequent infections, and reduced immune response;
  • ongoing medical follow-up and treatment adjustment.
Dr Reguero Capilla works in a structured and attentive manner, explaining medical decisions clearly and helping patients make informed choices about their own health or their child’s care.

When clinically appropriate, she may provide recommendations for further tests or referrals that patients can use within Spanish medical networks, including Sanitas and DKV, in accordance with the terms and conditions of those services.

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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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