Land: USA
Sprog: engelsk
Kilde: NLM (National Library of Medicine)
VACCINIA VIRUS STRAIN NEW YORK CITY BOARD OF HEALTH LIVE ANTIGEN (UNII: 4SV59689SK) (VACCINIA VIRUS STRAIN NEW YORK CITY BOARD OF HEALTH LIVE ANTIGEN - UNII:4SV59689SK)
Emergent Product Development Gaithersburg Inc.
PERCUTANEOUS
ACAM2000® is indicated for active immunization against smallpox disease for persons determined to be at high risk for smallpox infection. There are very few absolute contraindications to this vaccine for those who are at high risk for smallpox. The risk for experiencing serious vaccination complications must be weighed against the risks for experiencing a potentially fatal smallpox infection. See Warnings and Precautions (5) for persons who are at higher risk of experiencing serious vaccination complications. Severe Immune Deficiency Severe localized or systemic infection with vaccinia (progressive vaccinia) may occur in persons with weakened immune systems. Individuals with severe immunodeficiency who are not expected to benefit from the vaccine should not receive ACAM2000. These individuals may include individuals who are undergoing bone marrow transplantation or individuals with primary or acquired immunodeficiency who require isolation. ACAM2000 has not been studied in pregnant women. Live vaccini
ACAM2000, Smallpox (Vaccinia) Vaccine, Live, is supplied in multiple-dose 3 mL clear glass vials containing lyophilized powder (freeze‑dried vaccine). After reconstitution with 0.3 mL of diluent, the vial contains approximately 100 nominal doses of 0.0025 mL of vaccinia virus (live), 1.0 - 5.0x108 PFU/mL or 2.5-12.5x105 PFU/dose. Diluent for ACAM2000, 50% (v/v) Glycerin USP, 0.25% (v/v) Phenol USP in Water for Injection USP, is supplied in 3 mL clear glass vials containing 0.6 mL of diluent. Bifurcated needles are supplied in boxes (5 x 5 x 1 in) containing 100 needles. 1 mL tuberculin syringes with 25 gauge x 5/8” needles are supplied for vaccine reconstitution. Both the vaccine and diluent vial stoppers are not made with natural rubber latex. ACAM2000 should be stored in a freezer with an average temperature of -15°C to -25°C (+5°F to -13°F). Prior to reconstitution, ACAM2000 vaccine retains a potency of 1.0x108 PFU or higher per dose for at least 18 months when stored at refrigerated temperatures of +2-8°C (36-46°F). During shipment, ACAM2000 should be maintained at a temperature of ‑10°C or colder. After reconstitution, ACAM2000 vaccine may be administered during a 6 to 8 hour workday at room temperature (20-25°C, 68-77°F). Reconstituted ACAM2000 vaccine may be stored in a refrigerator (2-8°C, 36-46°F) no longer than 30 days, after which it should be discarded [see Dosage and Administration (2.3) ]. Diluent for Smallpox Vaccine, (Vero Cells) Lyophilized, ACAM2000 should be stored at room temperature (15-30°C, 59-86°F). ACAM2000 contains live vaccinia virus that is transmissible, and should be handled as an infectious agent once vials are open. See 2.1 [Instructions for Vaccine Preparation] and 2.2 [Preparation / Handling Precautions and Instructions for Disposal] for details on handling and disposal.
Biologic Licensing Application
ACAM2000- SMALLPOX (VACCINIA) VACCINE, LIVE INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION Emergent Product Development Gaithersburg Inc. ---------- MEDICATION GUIDE Smallpox (Vaccinia) Vaccine, Live ACAM2000® Please read this Medication Guide before you receive a vaccination with ACAM2000. This Guide does not take the place of talking to your healthcare provider about ACAM2000 and the smallpox disease. What is the most important information I should know about the ACAM2000 smallpox vaccine? • If you are at a high risk for being exposed to smallpox, you should be vaccinated even if you have health problems, unless you have certain problems with your immune system. People who have health problems may have a higher chance of getting serious side effects from vaccination but are also those who have a higher chance of dying from the smallpox disease. • ACAM2000 may cause serious heart problems called myocarditis and pericarditis, or swelling of the heart tissues. In studies, about 1 in every 175 persons who got the vaccine for the first time may have experienced myocarditis and/or pericarditis. On rare occasions these conditions can result in an irregular heart beat and death. Your chances of getting heart problems from the vaccine are lower if you have already had this vaccine before. You can have myocarditis and/or pericarditis even if you have no symptoms. Call your healthcare provider or get emergency help right away if you have: • chest pain or pressure • fast or irregular heartbeat • breathing problems See “What are the possible side effects of ACAM2000?” • Because the vaccine has a live virus, it can spread to other parts of your body or to other people if you touch the vaccination site and then touch other parts of your body or other people. The vaccine virus can spread until the vaccination scab falls off (2 to 4 weeks after vaccination). If the virus is spread to a person who should not get the vaccine, the side effects can be very serious and life- threatening. See “How do I care for the s Læs hele dokumentet
ACAM2000- SMALLPOX (VACCINIA) VACCINE, LIVE INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION EMERGENT PRODUCT DEVELOPMENT GAITHERSBURG INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE ACAM2000 SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR ACAM2000. ACAM2000, (SMALLPOX (VACCINIA) VACCINE, LIVE LYOPHILIZED PREPARATION FOR PERCUTANEOUS SCARIFICATION INITIAL U.S. APPROVAL: 2007 RECENT MAJOR CHANGES none INDICATIONS AND USAGE ACAM2000 is indicated for active immunization against smallpox disease for persons determined to be at high risk for smallpox infection. (1) DOSAGE AND ADMINISTRATION • • • • • CONTRAINDICATIONS • WARNINGS AND PRECAUTIONS • • • • • ADVERSE REACTIONS Common adverse events include inoculation site signs and symptoms, lymphadenitis, and constitutional symptoms, such as malaise, fatigue, fever, myalgia, and headache (6.1). These adverse events are less frequent in revaccinated persons than persons receiving the vaccine for the first time. (6) Inadvertent inoculation at other sites is the most frequent complication of vaccinia vaccination. The most common sites ® Administer ACAM2000 only after being trained on the safe and effective administration of the vaccine by the percutaneous route (scarification). (2.3) A droplet of ACAM2000 is administered by the percutaneous route (scarification) using 15 jabs of a bifurcated needle. ACAM2000 should not be injected by the intradermal, subcutaneous, intramuscular, or intravenous route. (2.3) The droplet (0.0025 mL) of reconstituted vaccine is picked up with a bifurcated needle by dipping needle into ACAM2000 vial. (2.3) See full prescribing information for instructions for vaccine preparation (2.2), administration including provision of the Medication Guide to vaccinees and instruction to vaccinees about vaccination site care, (2.3) and interpretation of response to vaccination. (2.4) Re-vaccination may be recommended (e.g. every 3 years). (2.5) Individuals Læs hele dokumentet