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  Oct 01, 2018
  Oct 01, 2018
Meningococcal (Groups A, C, W-135 and Y) oligosaccharide CRM197 conjugate vaccine
Consumer Medicine Information

What is in this leaflet

This leaflet answers some common questions about MENVEO.
It does not contain all the available information. It does not take the place of talking to your doctor or pharmacist.
The information in this leaflet was last updated on the date listed on the final page. More recent information on the medicine may be available.
You should ensure that you speak to your pharmacist or doctor to obtain the most up-to-date information on the medicine.
Those updates may contain important information about the medicine and its use of which you should be aware.
All medicines, including vaccines, have risks and benefits. Your doctor has weighed the risks of you or your child having MENVEO against the benefits they expect it will have for you.
If you have any concerns about this vaccine, ask your doctor, nurse or pharmacist.
Keep this leaflet.
You may need to read it again.

What MENVEO is used for

MENVEO is a vaccine used for active immunisation of children (from 2 months of age), adolescents and adults to prevent invasive disease caused by Neisseria meningitidis serogroups A, C, W-135 and Y. The use of this vaccine should be in accordance with the official recommendations.
Meningitis is an infection of the spinal fluid and the tissues that surround the brain. Of the microbes that cause meningitis, one of the most severe is Neisseria meningitidis (meningococcus). Meningococcal meningitis is an infectious disease that is spread from person to person. It is a very serious disease that is sometimes fatal, and may cause permanent physical and neurological damage among survivors.
Please note that MENVEO can only protect you/ your child from meningitis caused by four groups of Neisseria meningitidis (A, C, W-135 and Y).
It will not protect you/ your child from Meningitis caused by other groups of Neisseria meningitidis, or meningitis caused by different kinds of microbes.

How it works

MENVEO works by causing your body to produce its own protection (or antibodies), against meningococcal bacteria. Your body usually takes a couple of weeks after vaccination to develop protection against Neisseria meningitidis.
If a vaccinated person comes into contact with Neisseria meningitidis, the body is usually able to destroy it. However, as with all vaccines, 100% protection cannot be guaranteed.
As with all vaccines, occasionally, individuals may react unfavourably to the vaccine.
The chance of a severe reaction from MENVEO is very small, but the risks from not being vaccinated against meningococcal disease may be very serious.

MENVEO should not be given to a person who has:

Ever had an allergic reaction to MENVEO or any of the ingredients listed at the end of this leaflet.
Ever had an allergic reaction to diphtheria toxoid (a substance used in a number of other vaccines)
A very high fever.
In this case vaccination with MENVEO may have to be delayed. Please discuss this with your doctor.
Ever had an allergic reaction or became unwell after receiving any other meningococcal vaccine.
A severe infection with a high temperature.
A minor infection such as a cold should not be a problem, but talk to your doctor, nurse or pharmacist about this before being vaccinated.
In addition, MENVEO should not be administered if:
the expiry date printed on the pack has passed
the packaging is torn or shows signs of tampering.
If you are not sure whether you or your child should have MENVEO talk to your doctor, nurse or pharmacist.
This medicine should be administered only to the person for whom it was prescribed.

Before You Receive MENVEO:

Tell your doctor or pharmacist if you have/your child has allergies to:
any other medicines
Tell your doctor if you have/your child has had any of the following reactions after other vaccinations:
life-threatening allergic reaction
difficulty breathing
swelling of the throat
fits (convulsions), including fits associated with fever
high fevers
severe reactions at the injection site.
Tell your doctor if you have/your child has an infection or high temperature.
Your doctor may decide to delay vaccination until the illness has passed. A mild illness, such as a cold, is not usually a reason to delay vaccination.
Fainting, feeling faint or other stress-related reactions can occur as a response to any needle injection.
Tell your doctor or nurse if you have experienced this kind of reaction previously. 
Tell your doctor if you or your child have or have had any medical conditions especially the following:
an immune deficiency condition
allergies or allergic reaction
a low blood platelet count
Tell your doctor if you are pregnant or intend to become pregnant soon.
Your doctor will discuss the possible risks and benefits of receiving MENVEO vaccine during pregnancy.
Tell your doctor if you are breastfeeding.
Your doctor will discuss the possible risks and benefits of receiving MENVEO vaccine during breastfeeding.
Important information about some of the ingredients of MENVEO:
Tell your doctor or pharmacist if you /your child) are taking any other medicines, including any that you buy without a prescription from your pharmacy, supermarket or health food shop.

Having other vaccines

Tell your doctor if you/your child have had any vaccines recently.
MENVEO may be given at the same time as other vaccinations.
Other injected vaccines must be given into a different arm or leg (children 2-23 months) from the site of the MENVEO injection. These include:
Tetanus, Reduced Diphtheria and Acellular Pertussis Vaccine,
Human Papillomavirus Vaccine
Your doctor or pharmacist may have more information on medicines and vaccines that require special precautions or should be avoided during vaccination with MENVEO.

How MENVEO is given

MENVEO is given as an injection, usually into your/your child’s upper arm muscle or for children under 2 years of age into the thigh muscle.
MENVEO should not be injected directly into a blood vessel.
MENVEO is for single use in one patient only.
If you have any concerns about how this vaccine is to be given, talk to your doctor, nurse or pharmacist.

How much is given

The dose is 0.5 mL given by injection.
You should keep a record of you/your child's vaccinations

Side effects

Tell your doctor or pharmacist as soon as possible if you or your child do not feel well after having MENVEO.
After being vaccinated with MENVEO, your doctor or pharmacist may ask you/your child to remain for observation for a few minutes.
MENVEO may have unwanted side effects in a few people. All medicines, including vaccines, can have side effects. Sometimes they are serious. However, most of the time, they are not.
The most common side effects include the following:
redness, firmness, and/or pain at the injection site
fever, chills, malaise
muscle ache, joint ache
These side effects are usually mild, self limited, and do not require any specific treatments. Other side effects that have been reported during marketed use include:
impaired hearing, ear pain, spinning sensation
injection site itching, inflammation, swelling, including extensive swelling of the injected limb, tiredness
allergic reactions, severe allergic reaction that may include swelling of the lips, mouth, throat (which may cause difficulty in swallowing), difficulty breathing with wheezing or coughing, rash and swelling of the hands, feet and ankles, loss of consciousness, very low blood pressure.
fall, head injury
increased liver enzymes on blood test results, body temperature increased
bone pain
dizziness, balance disorder, faint, seizure, facial nerve paralysis, upper eyelid fall
sore throat
raised bumps of fluid on the skin
As with all vaccines given by injection there is a very small risk of serious allergic reaction.
If someone who has just been vaccinated appears to be having a severe allergic reaction to the vaccine, medical help should be obtained immediately. These include difficulty breathing or hives.
Other side effects not listed above may occur in some patients.
Tell your doctor or pharmacist if you notice anything that is making you or your child feel unwell.
Some of the side effects may temporarily affect your ability to drive or use machinery.
Ask your doctor or pharmacist to answer any questions you may have.

Storing MENVEO

Keep MENVEO in the original pack until it is time for it to be given.
Keep it in the refrigerator, between 2°C and 8°C.
Do not freeze MENVEO.
Following reconstitution, to reduce microbiological hazard the product should be used as soon as practicable after reconstitution. If storage is necessary, hold at 2-8°C for not more than 24 hours.
Do not use MENVEO after the expiry date which is stated on the carton.
The vials left over after administration of MENVEO must be disposed of as medical waste.

Product description

What it looks like

MENVEO is a powder with liquid for reconstitution.
Each dose of MENVEO is supplied as a:
Vial containing the MenA lyophilised conjugate component as a white to off-white powder
Vial containing the MenCWY liquid conjugate component as a clear solution
The contents of the two components (MenA vial and MenCWY vial) are to be mixed prior to vaccination.
The other ingredients in the vial of MenA lyophilised conjugate component are: potassium phosphate dibasic and sucrose.
The other ingredients in the vial of MenCWY liquid conjugate component are: sodium chloride, sodium phosphate - monobasic monohydrate; sodium phosphate - dibasic dihydrate and water for injections
The MENVEO vial/vial presentation is supplied either as a single dose pack (2 vials) or 5 doses multi-pack (10 vials).
Not all pack sizes may be marketed.
MENVEO does not contain lactose, gluten, thiomersal (organic mercurials), tartrazine or any other azo dyes.