Rely on the same dose (0.5 mL) for a broad age range of patients, aged 6 months and older.1

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Dosing & Administration

FLUARIX, an influenza vaccine1:

  • 0.5-mL single-dose prefilled syringes (package of 10)
  • Not made with thimerosal
  • Disposable
  • Packaged without needles
  • CPT code 90656
FLUARIX Vaccination Dose

Vaccination Dose and Schedule by Age1

  Aged 6 Months Through 8 Years Aged 9 Years and Older
Vaccination Status
Not previously vaccinated with influenza vaccine
Vaccinated with influenza vaccine in a previous season Not Applicable
Dose and Schedule

2 doses

(0.5 ml each)

at least 4 weeks apart

1 or 2 dosesa

(0.5 ml each)

1 dosea

(0.5 ml)

aOne dose or 2 doses (0.5 mL each) depending on vaccination history as per the annual Advisory Committee on Immunization Practices (ACIP) recommendation on prevention and control of influenza with vaccines. If 2 doses, administer each 0.5-mL dose at least 4 weeks apart.

Icon: Syringe

Administering FLUARIX

  • Shake well before administration. Attach a sterile needle to the prefilled syringe and administer intramuscularly1
Icon: Thermometer

Storing FLUARIX

  • FLUARIX should be refrigerated between 36°F and 46°F (2°C and 8°C). Do not freeze. Discard if the vaccine has been frozen. Store in the original package to protect from light1

Coding

CPT, NDC, and ICD-10 Codes for FLUARIX

VACCINE CPT CODE 2024-2025 NDC NUMBER ICD-10 CODE
FLUARIX Package of 10 Prefilled syringes1 90656 Box NDC Code: 58160-884-52
Unit NDC Code: 58160-884-41
Z23

See CPT, NDC, and ICD-10 codes for FLULAVAL.

Please refer to your most up-to-date Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) manuals for appropriate coding.

Administration codes will vary based on the service provided.

Prefilled syringe includes:

  • Color-coding and color band for easy and quick identification
  • 2-D bar code with the NDC numbers, lot number, and expiration date to help simplify the documentation process

More information about coding

Safety Information

In clinical trials, FLUARIX 0.5 mL demonstrated a safety profile comparable to placebo and other trivalent influenza vaccines.1

Children Aged 6 Through 35 Months

The safety experience with FLUARIX QUADRIVALENT is relevant to FLUARIX because both vaccines are manufactured using the same process and have overlapping compositions.1

Trial 5: FLUARIX QUADRIVALENT: Incidence of Solicited Local Adverse Reactions Within 7 Daysa After First Vaccination in Children Aged 6 Through 35 Monthsb (Total Vaccinated Cohort)1

  FLUARIX QUADRIVALENT % Non-Influenza Active Comparatorc,d %
  Any Grade 3e Any Grade 3e
Local n=5899 n=5896
Pain 17 0.4 18 0.5
Redness 13 0 14 0
Swelling 8 0 9 0

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aSeven days included day of vaccination and the subsequent 6 days.
  • bTrial 5: NCT01439360.
  • cChildren younger than 12 months: pneumococcal 13-valent conjugate vaccine [Diphtheria CRM197 Protein] (Wyeth Pharmaceuticals, Inc.).
  • dChildren 12 months and older: HAVRIX (Hepatitis A Vaccine) for those with a history of influenza vaccination; or HAVRIX (Dose 1) and a varicella vaccine (US-licensed manufactured by Merck & Co., Inc. or non—US-licensed manufactured by GlaxoSmithKline Biologicals) (Dose 2) for those with no history of influenza vaccination.
  • eGrade 3 pain: defined as cried when limb was moved/spontaneously painful.
  • Grade 3 swelling, redness: defined as >50 mm.
  •  
  • In children who received a second dose of FLUARIX QUADRIVALENT or the Non-Influenza Active Comparator vaccine, the incidences of solicited adverse reactions following the second dose were generally lower than those observed after the first dose.

Trial 5 Study Design

Trial 5: FLUARIX QUADRIVALENT: Incidence of Systemic Adverse Reactions Within 7 Daysa After First Vaccination in Children Aged 6 Through 35 Monthsb (Total Vaccinated Cohort)1

  FLUARIX QUADRIVALENT % Non-Influenza Active Comparatorc,d %
  Any Grade 3e Any Grade 3e
Systemic n=5898 n=5896
Irritability 16 0.7 18 1
Loss of appetite 14 1 15 1
Drowsiness 13 0.7 14 0.9
Feverf 6 1 7 1

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aSeven days included day of vaccination and the subsequent 6 days.
  • bTrial 5: NCT01439360.
  • cChildren younger than 12 months: pneumococcal 13-valent conjugate vaccine [Diphtheria CRM 197 Protein] (Wyeth Pharmaceuticals, Inc.).
  • dChildren 12 months and older: HAVRIX (Hepatitis A Vaccine) for those with a history of influenza vaccination; or HAVRIX (Dose 1) and a varicella vaccine (US-licensed manufactured by Merck & Co., Inc. or non—US-licensed manufactured by GlaxoSmithKline Biologicals) (Dose 2) for those with no history of influenza vaccination.
  • eGrade 3 pain: defined as cried when limb was moved/spontaneously painful.
  • Grade 3 swelling, redness: defined as >50 mm.
  • Grade 3 irritability: defined as crying that could not be comforted/prevented normal activity.
  • Grade 3 loss of appetite: defined as not eating at all.
  • Grade 3 drowsiness: defined as prevented normal activity.
  • Grade 3 fever: defined as >102.2°F (39.0°C).
  • fFever: Defined as ≥100.4°F (38.0°C).
  •  
  • In children who received a second dose of FLUARIX QUADRIVALENT or the Non-Influenza Active Comparator vaccine, the incidences of solicited adverse reactions following the second dose were generally lower than those observed after the first dose.
  •  

Trial 5 Study Design

Children Aged 3 Through 17 Years

Trial 4: FLUARIX: Incidence of Solicited Local and Systemic Adverse Reactions Within 4 Daysa of First Vaccination in Children Aged 3 Through 17 Yearsb (Total Vaccinated Cohort)1

  Aged 3 Through 4 Years Aged 5 Through 17 Years
  FLUARIX n=350 % Comparator n=341 % FLUARIX n=1348 % Comparator n=451 %
  Any Grade 3s Any Grade 3s Any Grade 3s Any Grade 3s
Local                
Pain 35 2 38 1 56 0.8 56 0.7
Redness 23 0.3 20 0 18 1 16 0.7
Swelling 14 0 13 0 14 2 13 0.7
Aged 3 Through 4 Years
  FLUARIX n=350 % Comparator n=341 %
  Any Grade 3c Any Grade 3c
Local        
Pain 35 2 38 1
Redness 23 0.3 20 0
Swelling 14 0 13 0
Aged 5 Through 17 years
  FLUARIX n=1348 % Comparator n=451 %
  Any Grade 3c Any Grade 3c
Local        
Pain 56 0.8 56 0.7
Redness 18 1 16 0.7
Swelling 14 2 13 0.7

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aFour days included day of vaccination and the subsequent 3 days.
  • bTrial 4: NCT00383123. The active control was FLUZONE, a US-licensed trivalent, inactivated influenza vaccine (Sanofi Pasteur Inc.).
  • cGrade 3 pain.
  • Grade 3 swelling, redness: defined as >50 mm.
  •  
  • In children who received a second dose of FLUARIX or the comparator vaccine, the incidences of adverse reactions following the second dose were similar to those observed after the first dose.

Trial 4 Study Design

Trial 4: FLUARIX: Incidence of Solicited Systemic Adverse Reactions Within 4 Daysa of First Vaccination in Children Aged 3 Through 17 Yearsb (Total Vaccinated Cohort)1

  Aged 3 Through 4 Years Aged 5 Through 17 Years
  FLUARIX n=350 % Comparator n=341 % FLUARIX n=1348 % Comparator n=451 %
  Any Grade 3s Any Grade 3s Any Grade 3s Any Grade 3s
Systemic                
Irritability 21 0.9 22 0 - - - -
Loss of appetite 13 0.9 15 0.9 - - - -
Drowsiness 13 0.6 20 0.9 - - - -
Feverd 7 1 8 2 4 0.3 3 0.2
Muscle aches - - - - 29 0.4 29 0.4
Fatigue - - - - 20 1 19 1
Headache - - - - 15 0.5 16 0.9
Arthralgia - - - - 6 0.1 6 0.2
Shivering - - - - 3 0.1 4 0.2
Aged 3 Through 4 Years
  FLUARIX n=350 % Comparator n=341 %
  Any Grade 3s Any Grade 3s
Systemic        
Irritability 21 0.9 22 0
Loss of appetite 13 0.9 15 0.9
Drowsiness 13 0.6 20 0.9
Feverd 7 1 8 2
Muscle aches - - - -
Fatigue - - - -
Headache - - - -
Arthralgia - - - -
Shivering - - - -
Aged 5 Through 17 Years
  FLUARIX n=1348 % Comparator n=451 %
  Any Grade 3s Any Grade 3s
Systemic        
Irritability - - - -
Loss of appetite - - - -
Drowsiness - - - -
Feverd 4 0.3 3 0.2
Muscle aches 29 0.4 29 0.4
Fatigue 20 1 19 1
Headache 15 0.5 16 0.9
Arthralgia 6 0.1 6 0.2
Shivering 3 0.1 4 0.2

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aFour days included day of vaccination and the subsequent 3 days.
  • bTrial 4: NCT00383123. The active control was FLUZONE, a US-licensed trivalent, inactivated influenza vaccine (Sanofi Pasteur Inc.).
  • cGrade 3 irritability, loss of appetite, drowsiness, muscle aches, fatigue, headache, arthralgia, shivering: defined as prevented normal activity.
  • Grade 3 fever: defined as >102.2°F (39.0°C).
  • dFever: defined as ≥99.5°F (37.5°C).
  •  
  • In children who received a second dose of FLUARIX or the comparator vaccine, the incidences of adverse reactions following the second dose were similar to those observed after the first dose.

Trial 4 Study Design

Adults Aged 18 Years and Older

Trial 1: FLUARIX: Incidence of Solicited Local and Systemic Adverse Reactions Within 4 Daysa of First Vaccination in Adults Aged 18 Through 64 Yearsb (Total Vaccinated Cohort)1

  FLUARIX n=760 % Placebo n=192 %
  Any Grade 3c Any Grade 3c
Local  
Pain 55 0.1 12 0
Redness 18 0 10 0
Swelling 9 0.1 6 0
Systemic  
Muscle aches 23 0.4 12 0.5
Fatigue 20 0.4 18 1
Headache 19 0.1 21 1
Arthralgia 6 0.1 6 0.5
Shivering 3 0.1 3 0
Feverd 2 0 2 0

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aFour days included day of vaccination and the subsequent 3 days.
  • bTrial 1: NCT00100399.
  • cGrade 3 pain, muscle aches, fatigue, headache, arthralgia, shivering: defined as prevented normal activity.
  • Grade 3 redness, swelling: defined as >50 mm.
  • Grade 3 fever: defined as >102.2°F (39.0°C).
  • dFever: defined as ≥100.4°F (38.0°C).

Trial 1 Study Design

Trial 2: FLUARIX: Incidence of Solicited Local and Systemic Adverse Reactions Within 4 Daysa of Vaccination in Adultsb (Total Vaccinated Cohort)1

  Aged 18 Through 64 Years Aged 65 Years and Older
  FLUARIX n=315 % Comparator n=314 % FLUARIX n=601-602 % Comparator n=596 %
  Any Grade 3c Any Grade 3c Any Grade 3c Any Grade 3c
Local    
Pain 48 0.3 53 0.3 19 0 18 0
Redness 13 0 16 1 11 0.2 13 0.7
Swelling 9 0 11 2 6 0 9 0.7
Systemic    
Fatigue 21 0.3 18 0.6 9 0.3 10 0.7
Headache 20 0.3 21 1 8 0.3 8 0.3
Muscle aches 16 0 13 1 7 0.3 7 0
Arthralgia 9 0 9 0.6 6 0.5 5 0.2
Shivering 3 0 5 0 2 0.2 2 0
Feverd 3 0 1 0 2 0 0.5 0
Aged 18 Through 64 Years
  FLUARIX n=315 % Comparator n=314 %
  Any Grade 3c Any Grade 3c
Local  
Pain 48 0.3 53 0.3
Redness 13 0 16 1
Swelling 9 0 11 2
Systemic  
Fatigue 21 0.3 18 0.6
Headache 20 0.3 21 1
Muscle aches 16 0 13 1
Arthralgia 9 0 9 0.6
Shivering 3 0 5 0
Feverd 3 0 1 0
Aged 65 Years and Older
  FLUARIX n=601-602 % Comparator n=596 %
  Any Grade 3c Any Grade 3c
Local    
Pain 19 0 18 0
Redness 11 0.2 13 0.7
Swelling 6 0 9 0.7
Systemic    
Fatigue 9 0.3 10 0.7
Headache 8 0.3 8 0.3
Muscle aches 7 0.3 7 0
Arthralgia 6 0.5 5 0.2
Shivering 2 0.2 2 0
Feverd 2 0 0.5 0

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available.

n=number of subjects with diary card completed.

  • aFour days included day of vaccination and the subsequent 3 days.
  • bTrial 2: NCT00197288. The active control was FLUZONE, a US-licensed trivalent, inactivated influenza vaccine (Sanofi Pasteur Inc.).
  • cGrade 3 pain, muscle aches, fatigue, headache, arthralgia, shivering: defined as prevented normal activity.
  • Grade 3 redness, swelling: defined as >50 mm.
  • Grade 3 fever: defined as >102.2°F (39.0°C).
  • dFever: defined as ≥99.5°F (37.5°C).

Trial 2 Study Design