What you need to know before you take it

e Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe You should not receive Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe: If you are allergic to: 1

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the active ingredients or any of the other ingredients of this medicine (listed in section 6) beta-propiolactone, cetyltrimethylammonium bromide, or polysorbate 80, which are trace residues from the manufacturing process.

Warnings and precautions Talk to your doctor, pharmacist or nurse before receiving Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe. BEFORE receiving the vaccine

• Your doctor or nurse will make sure that appropriate medical treatment and supervision is readily available in case of a rare anaphylactic reaction (a very severe allergic reaction with symptoms such as difficulty in breathing, dizziness, a weak and rapid pulse and skin rash) following the administration. This reaction may occur with Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe as with all vaccines that are injected.
• You should tell your doctor if you have an illness associated with fever. Your doctor may decide to delay your vaccination until your fever is gone.
• You should tell your doctor if your immune system is impaired, or if you are undergoing treatment which affects the immune system, e.g. with medicine against cancer (chemotherapy) or corticosteroid medicines (see section "Other medicines and Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe").
• You should tell your doctor if you have a bleeding problem or bruise easily.
• Fainting can occur following, or even before, any needle injection, therefore tell the doctor or nurse if you fainted with a previous injection. As with all vaccines, Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe may not fully protect all persons who are vaccinated. Other medicines and Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe Tell your doctor or nurse if you are using, have recently used or might use any other medicines, including medicines obtained without a prescription or if you have recently received any other vaccine. Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe may be given at the same time as other vaccines. Pregnancy and breast-feeding Pregnancy: Tell your doctor if you are pregnant, think you may be pregnant or are planning to have a baby. Influenza vaccines may be given in any trimester of pregnancy. Breast-feeding: Use of Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe during breast-feeding has not been studied. Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe may be given during breast-feeding. Driving and using machines Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe has no or negligible effect on your ability to drive and use machines. Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe contains sodium chloride and potassium chloride This vaccine contains less than 1 mmol sodium (23 mg) per dose, i.e. essentially 'sodium free'. This vaccine contains potassium, less than 1 mmol (39 mg) per dose, i.e. essentially 'potassium free'. 2

3. How Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe is given Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe is given to you by your doctor or nurse as an injection into the muscle at the top of the upper arm (deltoid muscle). Adults and children from 6 months of age: One dose of 0.5 ml If your child is younger than 9 years of age and has not been previously vaccinated against flu, a second dose should be given after at least 4 weeks. 4.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. The following side effects have been reported during clinical trials and during general use: Very serious side effects Tell your doctor immediately or go to the casualty department at your nearest hospital if you experience the following side effect – you may need urgent medical attention or hospitalisation:

• difficulty in breathing, dizziness, a weak and rapid pulse and skin rash which are symptoms of an anaphylactic reaction (a very severe allergic reaction) Serious side effects Tell your doctor immediately if you experience any of the following side effects – you may need medical attention:
• You feel weak, you have difficulty moving around or you experience numbness or tingling in your limbs. These can be symptoms of Guillain-Barré syndrome (GBS), an autoimmune disease caused by your body's own immune system.
• Extensive swelling of injected limb Mild side effects Very common (may affect more than 1 in 10 people):
• Injection site pain, bruising, reddening and hardening or swelling at the site of the injection
• Headache
• Muscle pain
• Tiredness
• Loss of appetite
• Change in eating habits (only reported in children from 6 months to < 6 years)
• Irritability (only reported in children from 6 months to < 6 years)
• Sleepiness (only reported in children 6 months to < 6 years)
• Diarrhoea Hardening or swelling at the site of the injection, headache, muscle pain, and tiredness were common in the elderly. Bruising at the site of the injection was common in adults, elderly and children 9 to < 18 years. Headache was common in the elderly. Loss of appetite was common in adults, elderly and children 9 to < 18 years. Diarrhoea was reported as common in adults, elderly and children 6 years of age and older. Common (may affect up to 1 in 10 people):
• Nausea, vomiting 3

• Joint pain
• Shivering
• Fever (> 38°C) Vomiting was uncommon in the elderly. Fever was uncommon in adults and the elderly Not known (frequency cannot be estimated from the available data):
• Numbness and tingling sensation (paraesthesia)
• Generalised skin reactions including itching, bumps on the skin (pruritis, urticaria) or non-specific rash 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 Yellow Card Scheme Website: 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. 5.

How to store it

Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe Keep this vaccine out of the sight and reach of children. Store in a refrigerator (2 °C to 8 °C). Do not freeze. Keep the pre-filled syringe in the outer carton in order to protect from light. Do not use this vaccine after the expiry date which is stated on the label and carton after EXP. The expiry date refers to the last day of that month. Do not throw away any medicines via wastewater or household waste. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment. 6.

Contents of the pack and other information

What Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe contains –

The active substances are influenza virus surface antigens (haemagglutinin and neuraminidase), inactivated, of the following strains*: A/Wisconsin/67/2022 (H1N1)pdm09-like strain (A/Georgia/12/2022, CVR-167) 15 micrograms HA** A/Massachusetts/18/2022 (H3N2)-like strain (A/Sydney/1304/2022, wild type) 15 micrograms HA** B/Austria/1359417/2021-like strain (B/Singapore/WUH4618/2021, wild type) 15 micrograms HA** B/Phuket/3073/2013-like strain (B/Singapore/INFTT-16-0610/2016, wild type) 15 micrograms HA** per 0.5 ml dose ……………………………………….

• propagated in Madin Darby Canine Kidney (MDCK) cells (this is the special cell culture in which the influenza virus is grown); ** haemagglutinin 4

This vaccine complies with the World Health Organisation (WHO) recommendation (northern hemisphere) and EU recommendation for the 2024/2025 season. –

The other ingredients are: sodium chloride, potassium chloride, magnesium chloride hexahydrate, disodium phosphate dihydrate, potassium dihydrogen phosphate and water for injections.

What Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe looks like and contents of the pack Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe is a suspension for injection in a pre-filled syringe (ready to use syringe). Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe is a clear to slightly opalescent suspension. A single syringe contains 0.5 ml of suspension for injection. Cell-based Quadrivalent Influenza Vaccine (Surface Antigen, Inactivated) Seqirus suspension for injection in pre-filled syringe is available in packs containing 1 pre-filled syringe with or without needle or 10 pre-filled syringes with or without needles. Not all pack sizes may be marketed. Marketing Authorisation Holder Seqirus UK Ltd. Point, 29 Market Street Maidenhead SL6 8AA, UK Manufacturer Seqirus Vaccines Limited Gaskill Road, Speke L24 9GR Liverpool United Kingdom

This leaflet was last revised in 07/2024 ————————————————————————————————————————–The following information is intended for healthcare professionals only: Appropriate medical treatment and supervision should always be readily available in case of a rare anaphylactic event following the administration of the vaccine. Shake before use. After shaking, the normal appearance of the vaccine is a clear to slightly opalescent suspension. The vaccine should be visually inspected for particulate matter and discoloration prior to administration. In the event of any foreign particulate matter and/or variation of physical aspect being observed, do not administer the vaccine.

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