What is a Patient Information Leaflet and why is it useful?
The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine. It is written for patients and gives information about taking or using a medicine. It is possible that the leaflet in your medicine pack may differ from this version because it may have been updated since your medicine was packaged.
Below is a text only representation of the Patient Information Leaflet. The original leaflet can be viewed using the link above.
The text only version may be available in large print, Braille or audio CD. For further information call emc accessibility on 0800 198 5000. The product code(s) for this leaflet is: PL06745/0070 .
PACKAGE LEAFLET: INFORMATION FOR THE USER
AVAXIM, Suspension for injection in a pre-filled syringe
Hepatitis A vaccine (inactivated, adsorbed)
Read all of this leaflet carefully before you are vaccinated because it contains important information for you.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor, pharmacist or nurse.
- This vaccine has been prescribed for you only. Do not pass it on to others.
- If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4.
In this leaflet:
1. What Avaxim is and what it is used for
2. Before Avaxim is given
3. How Avaxim is given
4. Possible side effects
5. How to store Avaxim
6. Further information
1. WHAT AVAXIM IS AND WHAT IT IS USED FOR
Avaxim is a vaccine. Vaccines are used to protect you against infectious diseases. This vaccine helps to protect against hepatitis A infection in people 16 years of age and older.
Hepatitis A infection is due to a virus that attacks the liver. It may be caught from food or drink that contains the virus. Symptoms include yellowing of the skin (jaundice) and feeling generally unwell.
When you are given an injection of Avaxim, your body’s natural defenses will produce protection against hepatitis A infection.
2. WHAT YOU NEED TO KNOW BEFORE YOU USE AVAXIM
Do not use Avaxim:
- if you are allergic to:
- the active ingredient or any ingredients of Avaxim (listed in section 6), or
- neomycin, an antibiotic used during vaccine production, which may be present in the vaccine in small amounts, or
- if you are ill with a high temperature, the vaccination will be delayed until you have recovered.
Warnings and precautions
Talk to your doctor or nurse before using Avaxim, if you have:
- liver disease.
- a poor or weakened immune system due to:
- corticosteroids, cytotoxic drugs, radiotherapy or other treatments that can weaken your immune system. Your doctor or nurse may wait until the treatment has finished.
- HIV (human immunodeficiency virus) infection or any disease that weakens your immune system. It is recommended that you are given the vaccine, although it may not protect as well as it protects people with a normal immune system.
- haemophilia or any other condition where you bruise or bleed more easily
Fainting can occur (mostly in adolescents) following, or even before, any needle injection. Therefore tell your doctor or nurse if you or your child fainted with a previous injection.
This vaccine will not protect you against other viruses that attack the liver (such as hepatitis B, hepatitis C or hepatitis E viruses).
If you already have the hepatitis A virus when you are given Avaxim, the vaccination may not work properly.
The vaccine cannot cause the infection against which it protects.
As with any vaccine, not everyone who receives Avaxim will definitely be protected against hepatitis A infection.
Receiving other vaccines or medicines
This vaccine can be given at the same time as any of the following, providing they are given in different parts of the body (for example another arm or leg) and are not mixed in the same syringe:
- Typhoid polysaccharide vaccine
- Yellow fever vaccine
- Immunoglobulins (antibodies obtained from blood donors).
Avaxim may not work as well if it is given at the same time as immunoglobulins. However, it is likely that you will still be protected against hepatitis A infection.
Please tell your doctor, nurse or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Pregnancy and breast-feeding
If there is any chance you are pregnant, tell your doctor or nurse. They will decide whether to delay the vaccination.
The use of this vaccine is possible during breast-feeding.
Driving and using machines
This vaccine is unlikely to have any affect on your ability to drive or use machines. However, no studies on this have been performed.
Avaxim contains ethanol, phenylalanine, potassium and sodium
Avaxim contains 2 mg of alcohol (ethanol) in each 0.5 ml dose. The small amount of alcohol in this medicine will not have any noticeable effects Avaxim contains 10 microgram phenylalanine in each 0.5ml dose which is equivalent to 0.17 microgram/kg for a 60 kg person. Phenylalanine may be harmful if you have phenylketonuria (PKU), a rare genetic disorder in which phenylalanine builds up because the body cannot remove it properly.
Avaxim contains less than 1mmol of potassium (39 mg) and sodium (23 mg) per dose, that is to say essentially ‘potassium-free’and ‘sodium-free’.
3. HOW TO USE AVAXIM
The vaccine will be given by a doctor or nurse who has been trained in the use of vaccines and who is equipped to deal with any uncommon severe allergic reaction to the injection.
Avaxim is given as an injection of half a millilitre of the vaccine to people 16 years of age and older.
You will be protected against hepatitis A about 14 days after you receive the first, single dose of Avaxim. This protection will last for up to 36 months.
If you need longer term protection against hepatitis A, you will need a second dose (booster) of an inactivated hepatitis A vaccine. This is usually given between 6 and 12 months after the first dose but can be given up to 36 months later. This booster will protect you against hepatitis A beyond 10 years.
Avaxim can be given as a booster if you received a different hepatitis A vaccine for your first dose (including vaccines that protect you against hepatitis A and typhoid fever).
How the vaccine is administered
The doctor or nurse will shake the syringe immediately before use and check that the liquid is white and cloudy, and that there are no unexpected particles in it.
Avaxim should be injected into a muscle in the upper outer part of your arm.
If you suffer from a bleeding disorder, you may be given the injection under the skin. The doctor or nurse must not inject the vaccine into the skin or into a blood vessel.
Avaxim will not be given into your buttock.
4. POSSIBLE SIDE EFFECTS
Like all medicines and vaccines, Avaxim can cause side effects, although not everybody gets them.
Serious allergic reactions
Serious or even life-threatening allergic reactions (anaphylactic reactions, including shock) can always happen, even if they are very rare
If you experience an allergic reaction, contact your doctor or healthcare professional immediately or go to the nearest hospital emergency room right away.
Allergic reactions can occur either immediately or within several days of vaccination and symptoms may include:
- difficulty in breathing, blue colour of the tongue or lips
- dizziness (low blood pressure) and possibly fainting
- fast heart rate and weak pulse, cold skin
- swelling of the face and neck
- itching and skin rash
Other side effects
Very common reactions (reported by more than 1 in 10 people):
- mild pain at the injection site
- generally feeling weak (asthenia)
Common reactions (reported by less than 1 in 10 but more than 1 in a 100 people):
- feeling sick (nausea) or being sick (vomiting)
- loss of appetite
- diarrhoea and/or stomach ache (abdominal pain)
- pain in the muscles and joints (myalgia, arthralgia)
- mild fever
Uncommon reactions (reported by less than 1 in a 100 but more than 1 in a 1000 people):
- redness (erythema) at the injection site
Rare reactions (reported by less than 1 in a 1000 but more than 1 in 10,000 people):
- a lump formed at the injection site (injection site nodule)
- mild and temporary changes in blood tests that measure how the liver is working (transaminases increased)
Not known (frequency cannot be estimated from the available data):
- fainting in response to injection
- rashes that have sometimes been lumpy and itchy (including urticaria)
Reporting of side effects in the UK
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 Yellow Card Scheme at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.
Reporting of side effects in Ireland
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 HPRA Pharmacovigilance, Website: www.hpra.ie. By reporting side effects you can help provide more information on the safety of this medicine.
5. HOW TO STORE AVAXIM
Keep out of the sight and reach of children.
Do not use the vaccine after the expiry date which is stated on the carton and syringe label after EXP. The expiry date refers to the last day of that month.
The vaccine must not be used if there are unexpected particles in it.
The vaccine must be stored in a refrigerator between 2°C and 8°C. Do not freeze. If frozen, discard the vaccine.
Store in the original package in order to protect from light.
Do not dispose of vaccines via wastewater or household waste. Ask your pharmacist how to dispose of vaccines no longer required. These measures will help to protect the environment.
6. FURTHER INFORMATION
What Avaxim contains
The active ingredient is:
- Hepatitis A virus GBM strain (inactivated)1,2, 160 EU
1 produced in human diploid (MRC-5) cells
2 adsorbed on aluminium hydroxide hydrated (0.3 milligram Al3+)
The other ingredients are:
- ethanol anhydrous
- Medium 199 Hanks*
- water for injections
- polysorbate 80
- hydrochloric acid and sodium hydroxide for pH adjustment
* - Medium 199 Hanks (without phenol red) is a complex mixture of amino acids (including phenylalanine), mineral salts, vitamins and other components.
What Avaxim looks like and contents of the pack
The inactivated hepatitis A vaccine is a cloudy, white suspension.
The vaccine is presented as a suspension for injection in a pre-filled syringe (0.5 ml of inactivated hepatitis A virus) with or without an attached needle (pack size of 1, 5, 10 or 20) or with 1 or 2 needles provided separately (pack size of 1 or 10). Not all pack sizes are marketed.
Marketing Authorisation Holder
Marketing Authorisation Holder:
14 Espace Henry Vallée
410 Thames Valley Park Drive
Citywest Business Campus
The manufacturer responsible for batch release is Sanofi Pasteur at one of the following manufacturing sites:
1541 avenue Marcel Mérieux
69280 Marcy l’Etoile
Parc Industriel D’Incarville
27100 Val de Reuil
This medicinal product is authorised in the Member States of the EEA under the following names:
AVAXIM - Austria, Belgium, Germany, Denmark, Greece, Spain, Finland, Ireland, Italy, Luxembourg, Netherlands, Portugal, Sweden, United Kingdom.
This leaflet was last approved in 10/2021.