2.	What should I know before I am given Fluzone High-Dose Quadrivalent?
            
         
            
            Do not use if you have ever had an allergic reaction to Fluzone High-Dose Quadrivalent
               or any of the ingredients listed at the end of the CMI.
            
            
               Talk to your doctor if you have any other medical conditions or take any other medicines.
                  
               
            
            
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Some medicines may interfere with Fluzone High-Dose Quadrivalent and affect how it
               works.
            
            
             
         
            
            
4.	How is Fluzone High-Dose Quadrivalent given?
            
         
            
            Fluzone High-Dose Quadrivalent is administered to you by a health care professional.
            
            
             
         
            
            
5.	What should I know about being given Fluzone High-Dose Quadrivalent?
            
         
            
            
               
                  
                  
               
               
                  
                     
                     | 
                        
                         
                           Things you should do
                            
                         | 
                     
                     
                        
                         Tell your doctor, nurse or pharmacist if you notice  
                        
                        
                        signs of allergic reactions that may include difficulty breathing, shortness of breath,
                           swelling of the face, lips, throat or tongue, cold, clammy skin, palpitations, dizziness,
                           weakness, fainting, rash or itching. 
                        
                         | 
                     
                  
                     | 
                        
                         
                           Looking after your vaccine
                            
                         | 
                     
                        
                         Fluzone High-Dose Quadrivalent is usually stored in the doctor’s surgery or clinic,
                           or at the pharmacy. However, if you need to store Fluzone High-Dose Quadrivalent: 
                        
                        
                        Keep it in the refrigerator, store at 2°C to 8°C. Do not freeze. 
                        
                         | 
                  
               
            
            
            
             
         
            
            
6.	Are there any side effects?
            
         
            
            Serious side effects can include severe allergic reactions (anaphylaxis) including
               swelling of the face, lips, tongue, throat or any other part of the body and which
               may cause difficulty in swallowing or breathing (angioedema). See your doctor immediately if you notice this. 
               
            
            Common local side effects include pain, redness, swelling, hardness and bruising at
               the injection site. Common systemic side effects include muscle aches, feeling unwell,
               headache, shivering, nausea and tiredness.
            
            
            
            
             
         
            
            
            
         
            
            
               Active ingredient(s): 
               Inactivated Quadrivalent Influenza Vaccine (Split Virion) Influenza Virus Haemagglutinin
               
            
            
            
            
            
            Full Consumer Medicine Information (CMI)
            
            This leaflet provides important information about using Fluzone High-Dose Quadrivalent.
               You should also speak to your doctor, nurse or pharmacist if you would like further
                  information or if you have any concerns or questions about using Fluzone High-Dose
                  Quadrivalent.
               
            
            
               Where to find information in this leaflet:
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
             
         
            
            
1.	Why am I using Fluzone High-Dose Quadrivalent?
            
         
            
            
               Fluzone High-Dose Quadrivalent contains the active ingredient influenza virus haemagglutinin. Fluzone High-Dose Quadrivalent is a vaccine. Vaccines are used to help protect you
               against infectious diseases.
            
            
               Fluzone High-Dose Quadrivalent is recommended to help protect you against influenza
                  (flu) and associated pneumonia in persons aged 60 years and older.  Influenza (flu) is a disease caused by different strains of the influenza virus.
               The influenza virus can spread rapidly, especially in homes or institutions, where
               it can be very easy for someone to catch flu and spread the disease. 
            
            Fluzone High-Dose Quadrivalent works by helping the body to make antibodies. These
               antibodies help the body to recognise the flu virus and help prevent the infection.
               It takes a few weeks for the body to produce these antibodies. 
            
            Fluzone High-Dose Quadrivalent will only help to prevent flu if it is caused by one
               of the four strains of virus contained in the vaccine or other strains closely related
               to them. Fluzone High-Dose Quadrivalent will not prevent flu if you are incubating
               the disease before vaccination or if it is caused by another virus.
            
            Previous injections of flu vaccine are unlikely to give you protection against the
               current strains of flu virus most common this year, so you will need to receive a
               vaccine against flu every year especially if you are at risk.
            
            Your doctor will be able to recommend the best time for you to be vaccinated. Flu
               is present every year, even when epidemics or outbreaks are not reported.
             
         
            
            
2.	What should I know before I am given Fluzone High-Dose Quadrivalent?
            
         
            
            
Warnings
            
         
            
            Do not use Fluzone High-Dose Quadrivalent if:
            
            
            you are allergic to the active ingredients, or any of the ingredients listed at the
               end of this leaflet
            
            you have ever had a severe allergic reaction after getting any flu vaccine.
            
            
            Always check the ingredients to make sure you can receive this vaccine.
             
         
            
            Check with your doctor if you:
            
            
            have or have had Guillain-Barré syndrome (severe muscle weakness) after getting a
               flu vaccine
            
            have or have had an immune response problem because the immune response to the vaccine
               may be diminished
            
            have bleeding problems or bruise easily
            
            have an illness with a high or moderate temperature or an acute illness, the vaccination
               should be postponed until after you have recovered.
            
            
            After vaccination, you may be at risk of developing certain side effects. It is important
               you understand these risks and how to monitor for them. See additional information
               under Section 
6. Are there any side effects?  
 
             
         
            
            
3.	What if I am taking other medicines?
            
         
            
            Tell your doctor, nurse or pharmacist if you are taking any other medicines, including
               any medicines, vitamins or supplements that you buy without a prescription from your
               pharmacy, supermarket or health food shop.
            
            
               Some medicines may interfere with Fluzone High-Dose Quadrivalent and affect how it
                  works.
               
            
            Tell your doctor, nurse or pharmacist if you are taking medicines that may reduce
               your immune response such as corticosteroids (for example prednisone), medicines used
               to treat cancer (chemotherapy), radiotherapy or other medicines affecting the immune
               system.  
            
            
               Having other vaccines
               
            
            Your doctor will advise you if Fluzone High-Dose Quadrivalent may be given with another
               vaccine.
            
            
               Check with your doctor, nurse or pharmacist if you are not sure about what medicines,
                  vitamins or supplements you are taking and if these affect Fluzone High-Dose Quadrivalent.
               
             
         
            
            
4.	How is Fluzone High-Dose Quadrivalent given?
            
         
            
            Fluzone High-Dose Quadrivalent is administered by your doctor, nurse or pharmacist
               as a single 0.7 mL injection injected into the muscles of the upper arm.
             
         
            
            
5.	What should I know about being given Fluzone High-Dose Quadrivalent?
            
         
            
            
Things you should do
            
         
            
            Call your doctor straight away if you notice:
            
            
            signs of allergic reactions that may include difficulty breathing, shortness of breath,
               swelling of the face, lips, throat or tongue, cold, clammy skin, palpitations, dizziness,
               weakness, fainting, rash or itching.
            
             
         
            
            Driving or using machines
            
            Do not drive or use machines if you are feeling unwell after vaccination. Wait until
               any effects of the vaccine have worn off before you drive or use machines. 
             
         
            
            Looking after your vaccine
            
            Fluzone High-Dose Quadrivalent is usually stored in the doctor’s surgery or clinic,
               or at the pharmacy. However, if you need to store Fluzone High-Dose Quadrivalent:
            
            
            Keep Fluzone High-Dose Quadrivalent in the original packaging until it is time for
               it to be given.
            
            Keep it in the refrigerator, store at 2°C to 8°C. Do not freeze Fluzone High-Dose
               Quadrivalent.
            
            
            Do not use Fluzone High-Dose Quadrivalent after the expiry date which is stated on
               the carton after EXP.
            
            Do not use Fluzone High-Dose Quadrivalent if the packaging is torn or shows signs
               of tampering.
            
            
               Keep it where young children cannot reach it.
               
             
         
            
            Getting rid of any unwanted vaccine
            
            If you no longer need to use this vaccine or it is out of date, take it to any pharmacy
               for safe disposal.
            
            Do not use this vaccine after the expiry date.
             
         
            
            
6.	Are there any side effects?
            
         
            
            All medicines can have side effects. If you do experience any side effects, most of
               them are minor and temporary. However, some side effects may need medical attention.
               
            
            See the information below and, if you need to, ask your doctor, nurse or pharmacist
               if you have any further questions about side effects.
             
         
            
            Less serious side effects
            
            
               
                  
                  
               
               
                  
                     
                     | 
                        
                         
                           Less serious side effects
                            
                         | 
                     
                     
                        
                         
                           What to do
                            
                         | 
                     
               
               
                  
                     | 
                        
                         
                           At the injection site:
                            
                        
                        
                        pain  
                        
                        redness (erythema) 
                        
                        swelling, hardness (induration) 
                        
                        bruising 
                        
                        Itching (pruritis)  
                        
                        
                        
                           Systemic side effects:
                            
                        
                        
                        muscle aches (myalgia) 
                        
                        feeling unwell (malaise) 
                        
                        headache 
                        
                        fever, chills (shivering) 
                        
                        feeling sick (nausea) 
                        
                        diarrhoea  
                        
                        cough 
                        
                        vertigo 
                        
                        tiredness (fatigue) 
                        
                        vomiting 
                        
                        dizziness 
                        
                        flushing 
                        
                        hives (urticaria) 
                        
                        joint pain (arthralgia) 
                        
                        night sweats 
                        
                        rash 
                        
                        inflammation of the nose (rhinorrhoea) 
                        
                        pain in extremity 
                        
                        inflammation of the throat (oropharyngeal pain) 
                        
                        abnormal lack of energy (asthenia) 
                        
                        temporary reduction in the number of blood particles called platelets (thrombocytopenia) 
                        
                        swollen glands in neck, armpit or groin (lymphadenopathy) 
                        
                         | 
                     
                        
                         
                           Speak to your doctor if you have any of these less serious side effects and they worry
                              you.
                            
                         | 
                  
               
            
             
         
            
            Serious side effects
            
            
               
                  
                  
               
               
                  
                     
                     | 
                        
                         
                           Serious side effects
                            
                         | 
                     
                     
                        
                         
                           What to do
                            
                         | 
                     
               
               
                  
                     | 
                        
                        
                         Severe allergic reactions (anaphylaxis) including swelling of the face, lips, tongue,
                           throat or any other part of the body and which may cause difficulty in swallowing
                           or breathing (angioedema) 
                        
                        rare skin condition with severe blisters and bleeding in the lips, eyes, mouth, nose
                           and genitals (Stevens-Johnson Syndrome) 
                        
                        numbness or pins and needles sensation (paresthesia)  
                        
                        neurological disorders that may result in stiff neck, confusion, numbness, pain and
                           weakness of the limbs, loss of balance, loss of reflexes, paralysis of part or all
                           the body (encephalomyelitis and transverse myelitis, brachial neuritis, Guillain-Barré
                           Syndrome), fits (convulsions including febrile convulsions), facial palsy (Bell’s
                           palsy), vision disorders due to the optic nerves dysfunction (optic neuritis/neuropathy),
                           fainting (syncope) shortly after vaccination 
                        
                        blood vessel inflammation (vasculitis) which may result in skin rashes and in very
                           rare cases in temporary kidney problems, blood vessel opening (vasodilatation) 
                        
                        chest pain 
                        
                        wheezing, throat tightness, difficulty breathing (dyspnoea) 
                        
                        excess of blood in the white of the eye (ocular hyperaemia). 
                        
                         | 
                     
                        
                         
                           Call your doctor straight away, or go straight to the Emergency Department at your
                              nearest hospital if you notice any of these serious side effects.
                            
                         | 
                  
               
            
            
            
               Tell your doctor, nurse or pharmacist if you notice anything else that may be making
                  you feel unwell. 
               
            
            Other side effects not listed here may occur in some people.
             
         
            
            Reporting side effects
            
            After you have received medical advice for any side effects you experience, you can
               report side effects to the Therapeutic Goods Administration online at 
www.tga.gov.au/reporting-problems . By reporting side effects, you can help provide more information on the safety of
               this vaccine.
 
            
            
               Always make sure you speak to your doctor, nurse or pharmacist before you decide to
                  stop taking any of your medicines.
               
             
         
            
            
7.	Product details
            
         
            
            What Fluzone High-Dose Quadrivalent contains
            
            
               
                  
                  
               
               
                  
                     
                     | 
                        
                         
                           Active ingredient 
                            
                        
                        
                           (main ingredient)
                            
                         | 
                     
                     
                        
                         Influenza virus haemagglutinin of the following strains  
                        
                        
                        A/Victoria/4897/2022 (H1N1)pdm09-like strain (A/Victoria/4897/2022, IVR-238) 
                        
                        A/Croatia/10136RV/2023 (H3N2)-like strain (A/Croatia/10136RV/2023, X-425A) 
                        
                        B/Austria/1359417/2021-like strain (B/Michigan/01/2021, wild type) 
                        
                        B/Phuket/3073/2013-like strain (B/Phuket/3073/2013, wild type) 
                        
                         | 
                     
                  
                     | 
                        
                         
                           Other ingredients
                            
                        
                        
                           (inactive ingredients)
                            
                         | 
                     
                        
                         sodium chloride, dibasic sodium phosphate, monobasic sodium phosphate, octoxinol-9,
                           water for injection, and traces of formaldehyde.  
                         | 
                  
                  
                     | 
                        
                         
                           Potential allergens
                            
                         | 
                     
                        
                         Fluzone High-Dose Quadrivalent contains less than 1 microgram ovalbumin (egg protein)
                           per dose. 
                         | 
                  
               
            
            
            
               Do not receive this vaccine if you are allergic to any of these ingredients.
               
            
            Fluzone High-Dose Quadrivalent does not contain any antibiotics or preservative.
            
            Fluzone High-Dose Quadrivalent syringes are not made with natural rubber latex.
             
         
            
            What Fluzone High-Dose Quadrivalent looks like
            
            Fluzone High-Dose Quadrivalent is supplied as single-dose, 0.7mL pre-filled syringe
               without needles (Aust R 320962)
             
         
            
            Who distributes Fluzone High-Dose Quadrivalent
            
            sanofi-aventis australia pty ltd
12 - 24 Talavera Road
Macquarie Park NSW 2113
Australia
            
            Tel: 1800 818 806
            
            
            
            
            
            This leaflet was prepared in November 2024.
            
            
            
            fluz-hd-qiv-ccdsv4-cmiv6-15nov24