l.What REPEVAX is and what it is used for

REPEVAX is a vaccine. Vaccines are used to protect against infectious diseases. They work by causing the body to produce its own protection against the bacteria and viruses that cause the targeted diseases.

This vaccine is used to boost protection against diphtheria, tetanus, pertussis (whooping cough) and poliomyelitis (polio) in children from the age of three years, adolescents and adults following a complete primary course of vaccination.

Limitations in the protection provided

REPEVAX will only prevent these diseases if they are caused by the bacteria or viruses targeted by the vaccine. You or your child could still get similar diseases if they are caused by other bacteria or viruses. REPEVAX does not contain any live bacteria or viruses and it cannot cause any of the infectious diseases against which it protects.

Remember that no vaccine can provide complete, life long protection in all people who are vaccinated.

2. What you need to know before REPEVAX is given to you or your child

To make sure that REPEVAX is suitable for you or your child, it is important to tell your doctor or nurse if any of the points below apply to you or your child. If there is anything you do not understand, ask your doctor or nurse to explain.

Do not use REPEVAX if you or your child

•    Has had an allergic reaction:

-    to diphtheria, tetanus, pertussis or poliomyelitis vaccines

-    to any of the other ingredients (listed in section 6)

-    to any residual component carried over from manufacture (formaldehyde, glutaraldehyde, streptomycin, neomycin, polymyxin B and bovine serum albumin) which may be present in trace amounts.

•    has ever had

-    a severe reaction affecting the brain within one week after a previous dose of a whooping cough vaccine

•    has an acute illness with or without fever. The vaccination should be delayed until you or your child has recovered. A minor illness without fever is not usually a reason to defer vaccination. Your doctor will determine if you or your child should receive REPEVAX.

Warnings and precautions

Tell your doctor or nurse before vaccination if you or your child has:

•    received a booster dose of a vaccine for diphtheria and tetanus within the last 4 weeks. In this case you or your child should not receive REPEVAX and your doctor will decide on the basis of official recommendations when you or your child can receive a further injection.

•    ever had a Guillain-Barre syndrome (temporary loss of movement and feeling in all or part of the body) or brachial neuritis (loss of movement, pain and numbness of the arm and the shoulder] following a previous dose of a tetanus containing vaccine. Your doctor will decide if you or your child should receive REPEVAX.

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•    a progressive illness affecting the brain/nerves or uncontrolled fits. Your doctor will first start treatment and vaccinate when the condition has stabilized.

•    a poor or reduced immune system, due to:

■ medication (e.g. steroids, chemotherapy or radiotherapy)

-    HIV infection or AIDS

-    any other illness.

The vaccine may not protect as well as it protects people whose immune system is healthy. If possible, vaccination should be postponed until the end of such disease or treatment.

•    any problems with the blood that causes easy bruising, or bleeding for a long time after minor cuts (for instance due to a blood disorder such as haemophilia or thrombocytopenia or treatment with blood thinning medicines).

Fainting can occur following, or even before, any needle injection. Therefore tell the doctor or nurse if you or your child fainted in connection with a previous injection.

Other medicines or vaccines and REPEVAX

Tell your doctor or pharmacist if you or your child is taking, has recently taken or might take any other medicines.

As REPEVAX does not contain any live bacteria or viruses it can generally be given at the same time as other vaccines or immunoglobulins, but at a different injection site. Studies have demonstrated that REPEVAX can be used at the same time as any of the following vaccines: an inactivated influenza vaccine, a hepatitis B vaccine, and a recombinant Human Papillomavirus vaccine respectively. Injections of more than one vaccine at the same time will be given in different limbs.

If you or your child is receiving medical treatment affecting your or your child's blood or immune system (such as blood thinning medicines, steroids, chemotherapy), please refer to the section "Warnings and precautions" above.

Pregnancy, breast-feeding and fertility

Tell your doctor or nurse if you or your child is pregnant or breast-feeding, think you or your child might be pregnant or planning to have a baby. Your doctor or nurse can advise you whether or not vaccination should be delayed.

Driving and using machines;

It has not been studied if the vaccine affects the ability to drive or use machines. The vaccine has no or negligible influence on the ability to drive and use machines.

3. How and when REPEVAX is given

When you or your child will be given the vaccine

Vaccination history

Your doctor will determine if REPEVAX is suitable for you or your child, depending on:

•    what vaccines have been given to you or your child in the past

•    how many doses of similar vaccines have been given to you or your child in the past

•    when the last dose of a similar vaccine was given to you or your child Your doctor will decide how long you have to wait between vaccinations.

Dosage and melhod of administration

Who will give you REPEVAX?

REPEVAX should be given by healthcare professionals who have been trained in the use of vaccines and at a clinic or surgery that is equipped to deal with any rare severe allergic reaction to the vaccine.

Dosage

All age groups for whom REPEVAX is indicated will receive one injection (half a millilitre).

In case you or your child experience an injury which requires preventative action for tetanus disease, your doctor may decide to give REPEVAX with or without tetanus immunoglobulin.

REPEVAX can be used for repeat vaccination. Your doctor will give you advice on repeat vaccination.

Use in children and adolescents

REPEVAX should not be used in children under 3 years of age.

Children from the age of 3 years onwards and adolescents should receive the same dosage as adults.

Method of administration

Your doctor or nurse will give you the vaccine into a muscle in the upper outer part of the arm (deltoid muscle).

Your doctor or nurse will not give you the vaccine into a blood vessel, into the buttocks or under the skin.

In case of blood clotting disorders they may decide to inject under the skin, although this might result in more local side effects, including a small lump under the skin.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

4. Possible side effects

Like all medicines, REPEVAX can cause side effects, although not everybody gets them.

Serious allergic reactions

If any of these symptoms occur after leaving the place where you or your child received the injection, you must consult a doctor IMMEDIATELY.

•    difficulty in breathing

•    blueness of the tongue or lips

•    a rash

•    swelling of the face or throat

•    low blood pressure causing dizziness or collapse

When these signs or symptoms occur they usually develop very quickly after the injection is given and while you or your child is still in the clinic or doctor's surgery. Serious allergic reactions are a very rare possibility (may affect up to 1 in 10,000 people) after receiving any vaccine.

Other side effects

The following side effects were observed during clinical studies carried out in specific age groups.

In children 3 ta 6 years of age

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

•    pain

•    swelling and redness in the area where the vaccine was injected

•    tiredness

•    fever (a temperature at or above 37.5°C)

•    diarrhoea.

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

•    bruising

•    itching and skin inflammation in the area where the vaccine was injected

•    headache

•    nausea

•    vomiting

•    rashes

•    aching or swollen joints

•    irritability.

In adolescents (11 years of age and older) and adults

Teenagers are a little more likely than adults to have side effects. Most

side effects occur within the first 3 days after vaccination.

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

•    pain

•    swelling and redness in the area where the vaccine was injected

•    headache

•    nausea

•    aching or swollen joints

•    aching muscles

•    weakness

•    chills.

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

•    vomiting

•    diarrhoea

•    fever (a temperature at or above 38.0°C).

The following additional adverse events have been reported in the various recommended age groups during the commercial use of REPEVAX. The frequency of these adverse events cannot be precisely calculated, as it would be based on voluntary reporting in relation to the estimated number of vaccinated persons.

Lymph node disorder, allergic/serious allergic reactions, fits (convulsions), fainting, paralysis of part or all the body (Guillain-Barre syndrome), facial paralysis, inflammation of the spinal cord, inflammation of the nerves in the arm (brachial neuritis), temporary loss or alteration of sensation in vaccinated limb, dizziness, pain in vaccinated limb, extensive limb swelling (frequently associated with redness, and sometimes with blisters), feeling ill, pale skin, a hard lump (induration) in the area where vaccine was injected, abdominal pain.

Reporting side effects

If you or your child 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 Medicines and Healthcare products Regulatory Agency (MHRA): Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

By reporting side effects you can help provide more information on the safety of this medicine.

5. How to store REPEVAX

Keep out of the sight and reach of children.

REPEVAX must not be used after the expiry date which is stated on the label after "EXP". The expiry date refers to the last day of that month. Store in a refrigerator (at 2°C to 8°C). Do not freeze. Discard the vaccine if it has been frozen.

Keep the container in the outer carton in order to protect from light.

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 REPEVAX contains

The active substances in each dose (0.5 mL) of vaccine are:

Diphtheria Toxoid    not less than 2 International Units (2 Lf)

Tetanus Toxoid    not less than 20 International Units (5 Lf)

Pertussis Antigens:

Pertussis Toxoid    2.5    micrograms

Filamentous Haemagglutinin    5    micrograms

Pertactin    3    micrograms

Fimbriae Types 2 and    3    5    micrograms

Inactivated Poliomyelitis Virus (produced in Vera cells):

Type 1    40    D    antigen    units

Type 2    8    D    antigen    units

Type 3    32    D    antigen    units

Adsorbed on aluminium phosphate 1.5 mg (0.33    mg aluminium]

The other ingredients are: phenoxyethanol, polysorbate 80, water for injections

What REPEVAX looks like and contents of the pack

REPEVAX is presented as a suspension for injection in pre-filled syringes (0.5 mL):

•    without attached needle - pack size of 1, 10 or 20

•    with 1 or 2 separate needles - pack size of 1 or 10

•    with attached needle - pack size of 1, 10 or 20

Not all pack sizes may be marketed.

The normal appearance of the vaccine is a uniform cloudy white suspension, which may sediment during storage. After shaking well it is a uniformly white liquid.

Marketing Authorisation Holder and Manufacturer

The Marketing Authorisation Holder in the UK is:

Sanofi Pasteur Europe 2, Avenue Pont Pasteur 69007 Lyon France

The manufacturer responsible for batch release is:

Sanofi Pasteur 2, Avenue Pont Pasteur 69007 Lyon France

This medicinal product is authorised in the Member States of the EEA under the following names:

Austria, Denmark, Finland, France, Germany, Greece,

Iceland, Ireland, Norway, Portugal, United Kingdom:

Belgium, Luxembourg, Netherlands:    TRIAXIS POLIO

This leaflet was last revised in 07/2016.

Selon gabarit version 1 du 27/01/2016 - Module notice vectoris^e 190 x 315 mm SPMSD 4V