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VAXIGRIP TETRA INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE

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Tomasz Grzelewski

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. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

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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About the medicine

How to use VAXIGRIP TETRA 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 Tetra, injectable suspension in a pre-filled syringe

Influenza vaccine (tetravalent, 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 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 Tetra and what is it used for
  2. What you need to know before you or your child start using Vaxigrip Tetra
  3. How to use Vaxigrip Tetra
  4. Possible side effects

5 Storage of Vaxigrip Tetra

  1. Package contents and additional information

1. What is Vaxigrip Tetra and what is it used for

Vaxigrip Tetra is a vaccine.

This vaccine is given to you or your child from 6 months of age and is intended to protect you or your child against influenza.

When Vaxigrip Tetra 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 not only protects the pregnant woman but also protects her 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 Tetra 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 each 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 fall, 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 goal of Vaxigrip Tetra is to protect you or your child against the four strains of the virus contained in the vaccine after about 2 to 3 weeks of injection. 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

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

To ensure that Vaxigrip Tetra 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 something you do not understand, consult your doctor or pharmacist to clarify it.

Do not use Vaxigrip Tetra

  • 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.
  • If you or your child have a disease that is accompanied by high or moderate fever or an acute disease, in this case, vaccination will be delayed until you or your child have recovered.

Warnings and precautions

Consult your doctor, pharmacist, or nurse before starting to use Vaxigrip Tetra.

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

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

Your doctor will decide if you or your child should receive the vaccine. Before or after any injection, fainting (especially in adolescents) may occur, so you should inform your doctor or nurse if you or your child have fainted after receiving an injection in the past.

Like all vaccines, Vaxigrip Tetra may not fully protect all people who are vaccinated.

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

If, for any reason, you or your child have a blood test a few days after influenza vaccination, please inform your doctor. This is because false-positive results have been observed in serological tests in some recently vaccinated patients.

Children

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

Use of Vaxigrip Tetrawithother medicines

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

  • Vaxigrip Tetra can be administered at the same time as other vaccines, in different limbs.
  • The immune response may be reduced in the case of immunosuppressive treatments, such as corticosteroids, cytotoxic medications, or radiation therapy.

Pregnancy andbreast-feeding

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

Vaxigrip Tetra can be used in all stages of pregnancy.

Vaxigrip Tetra can be used during breast-feeding.

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

Driving and using machines

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

Vaxigrip Tetra 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; that is, it is "essentially potassium-free" and "sodium-free".

3. How to use Vaxigrip Tetra

Dosage

Adults: 1 dose of 0.5 ml.

Use in children

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 Tetra 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 Tetra than you should

In some cases, more doses than recommended were administered by mistake.

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.

Allergic reactions

Contact your doctor or healthcare professional or go immediately to the Emergency Department of the nearest hospital if you or your child experience allergic reactions (reported as rare: may affect up to 1 in 1,000 people) that can be life-threatening. Symptoms may include skin rash, itching, hives, redness, difficulty breathing, shortness of breath, swelling of the face, lips, throat, or tongue, cool and clammy skin, palpitations, dizziness, weakness, or fainting.

Other side effects reported in adults and the elderly

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

  • Headache, muscle pain (myalgia), 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), swelling, hardness (induration).

(2) Uncommon in the elderly

Uncommon (may affect up to 1 in 100 people)

  • Dizziness (3), diarrhea, feeling sick (nausea) (4), fatigue, reactions at the injection site: bruising (ecchymosis), itching (pruritus), and heat.

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

  • Hot flushes: only observed in the elderly.
  • Swelling of the lymph nodes in the neck, armpit, or groin (lymphadenopathy): only observed in adults.

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

  • Abnormal sensations, such as tingling or numbness (paresthesia), drowsiness, increased sweating (hyperhidrosis), unusual tiredness and weakness (asthenia), flu-like illness.
  • Joint pain (arthralgia), reactions at the injection site: only observed in adults.

Other side effects reported in children from 3 to 17 years of age

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

  • Headache, muscle pain (myalgia), general feeling of being unwell (malaise), chills (5), reactions at the injection site: pain, swelling, redness (erythema) (5), hardness (induration) (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 (ecchymosis).

Uncommon (may affect up to 1 in 100 people) in children from 3 to 8 years of age:

  • Temporary decrease in the number of certain blood cells called platelets; when the number is low, it can lead to excessive bruising in the skin or bleeding (transient thrombocytopenia): only observed in a 3-year-old child
  • Crying, irritability
  • Dizziness, diarrhea, vomiting, upper abdominal pain, joint pain (arthralgia), fatigue, heat at the injection site.

Uncommon (may affect up to 1 in 100 people) in children from 9 to 17 years of age:

  • Diarrhea, itching at the injection site (pruritus).

Other side effects reported in children from 6 to 35 months of age

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

  • Vomiting (1), muscle pain (myalgia) (2), irritability (3), loss of appetite (3), general feeling of being unwell (malaise) (2), fever.

(1) Uncommon in children from 24 to 35 months of age (2) Rare in children under 24 months of age

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

  • Reactions at the injection site: pain/pain on palpation, redness (erythema).
  • Headache: only observed in children from 24 months of age onwards.
  • Drowsiness, abnormal crying: only observed in children under 24 months of age.

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

  • Chills: only observed in children from 24 months of age onwards.
  • Reactions at the injection site: hardness (induration), swelling, bruising (ecchymosis)

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

  • Diarrhea, hypersensitivity.

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

  • Flu-like illness, reactions at the injection site: rash, itching (pruritus).

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.

These side effects, when observed, usually occurred within the first 3 days following vaccination and disappeared on their own within 1 to 3 days after starting. Most of these side effects were mild.

In general, side effects were less frequent in the elderly than in adults and children.

The following side effects have been observed after administering Vaxigrip. These side effects may also occur with Vaxigrip Tetra:

  • Pain along the nerve pathway (neuralgia), seizures (convulsions), neurological disorders that can result in stiffness in the 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, Guillain-Barré syndrome).
  • Inflammation of blood vessels (vasculitis) that can lead to skin rashes and, in very rare cases, temporary kidney problems.
  • Transient thrombocytopenia, lymphadenopathy, paresthesia in other age groups different from those described above for these side effects.

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 through the Spanish Medicines Monitoring System for Human Use: https://www.notificaram.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Vaxigrip Tetra

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

Do not use this vaccine after the expiry date 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. Place the packaging and any unused medicine in the SIGRE collection point at your pharmacy. If you have any doubts, ask your pharmacist how to dispose of the packaging and any unused medicine. This will help protect the environment.

6. Container Content and Additional Information

Vaxigrip Tetra 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-425)..............15 micrograms HA**
  • Strain similar to B/Austria/1359417/2021: B/Michigan/01/2021 ..…....15 micrograms HA**
  • B/Phuket/3073/2013..............................................................................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).

Product Appearance and Container Content

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

Vaxigrip Tetra is presented in a pre-filled syringe containing 0.5 ml of injectable suspension, with a fixed needle or without a needle (packs of 1, 10, or 20) or with a safety needle (in packs of 1 or 10).

Only some package 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

Campona U.1 (Harbor Park )

Budapest 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
  • Lithuania
  • Bulgaria, Croatia, Cyprus, Estonia, Finland, France, Greece, Iceland, Latvia, Malta, Poland, Portugal, Romania, Slovenia, Sweden, Netherlands
  • Denmark, Norway
  • Belgium, Luxembourg
  • Germany, Italy, Spain, Czech Republic, Slovakia, Hungary
  • Ireland, United Kingdom (Northern Ireland)

VaxigripTetra Injektionssuspension in einer Fertigspritze

VaxigripTetra injekcine suspensija užpildytame švirkšte

VaxigripTetra

Vaxigriptetra

Vaxigrip Tetra suspension injectable en seringue préremplie

Vaxigrip Tetra

Quadrivalent influenza vaccine (split virion, inactivated)

Date of the last revision of thisleaflet: May 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://vaxigriptetra-nh.info.sanofi

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

This information is intended only for doctors or healthcare professionals:

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

The vaccine should reach room temperature before use.

Shake before use.

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

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

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

See also section 3. How to use Vaxigrip Tetra.

Instructions for using 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 gray central cap outlined, arrows point to each part 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 a "click" sound and/or tactile.

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 must be completely locked (activated)as shown in figure C.

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

Pre-filled syringe with plunger retracted and check mark in circle indicating correct position

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

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

The disposal of unused vaccines and all materials that have come into contact with them will be carried out in accordance with local regulations.

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Sviatoslav Chekhun

Oncology 13 years exp.

Dr. Sviatoslav Chekhun is a medical oncologist with international clinical and research experience, specializing in modern medical oncology and a personalized approach to cancer treatment.

Currently (since 2025), he works as a Medical Oncologist at Institut Català d’Oncologia (Girona, Spain). Previously, he completed his residency in Medical Oncology and was involved in clinical research at Hospital Universitari Germans Trias i Pujol.

Dr. Chekhun has a strong academic and scientific background. He served as a lecturer in Internal Medicine at O.O. Bohomolets National Medical University and conducted research in experimental oncology at the R.E. Kavetsky Institute of Experimental Pathology, Oncology and Radiobiology.

Earlier in his career, he worked as a medical oncologist at the Kyiv City Clinical Oncological Center and contributed to regulatory evaluation of medicinal products at the State Expert Center of the Ministry of Health of Ukraine.

When to consult Dr. Chekhun:

  •  for diagnosis or clarification of a cancer diagnosis
  •  to obtain a second opinion on an existing treatment plan 
  •  when you need a personalized treatment strategy 
  •  for interpretation of test results, CT, MRI, PET-CT, and biopsies 
  •  when choosing between treatment options (chemotherapy, targeted therapy, immunotherapy) 
  •  in case of doubts about treatment strategy or disease progression 

Consultation format

Dr. Chekhun provides online consultations, where you can receive:

  •  expert second opinion 
  •  detailed case review 
  •  recommendations based on current international treatment guidelines 
  •  personalized treatment and follow-up plan 

Important:
Prescription and monitoring of medications must be carried out by your treating physician in an in-person (offline) setting. An online consultation does not replace a face-to-face visit but helps you make more informed decisions about your treatment.

Dr. Sviatoslav Chekhun combines clinical practice, research, and international experience, enabling him to provide patients with modern, evidence-based approaches in oncology.

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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • 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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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.
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  • 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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  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

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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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€55
5.0 (5)
Doctor

Tomasz Grzelewski

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. Patients commonly seek his care for: 

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns

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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€80

Get VAXIGRIP TETRA INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE Prescription Online

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Frequently Asked Questions

Is a prescription required for VAXIGRIP TETRA INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

VAXIGRIP TETRA 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 TETRA INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

The active ingredient in VAXIGRIP TETRA 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 TETRA INJECTABLE SUSPENSION IN PRE-FILLED SYRINGE?

VAXIGRIP TETRA 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 TETRA 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 TETRA 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 TETRA 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 TETRA 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 TETRA 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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