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

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

FLULAVAL, an influenza vaccine1:

  • 0.5-mL single-dose prefilled syringes (package of 10)
  • Not made with thimerosal
  • Disposable
  • Packaged without needles
  • CPT code 90656
FLULAVAL 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, per the annual Advisory Committee on Immunization Practices (ACIP) recommendations 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 FLULAVAL

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

Storing FLULAVAL

  • FLULAVAL 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 FLULAVAL

VACCINE CPT CODE 2024-2025 NDC CODE ICD-10 CODE
FLULAVAL Package of 10 – Prefilled syringes1 90656 Box NDC Code: 19515-810-52
Unit NDC Code: 19515-810-41
Z23

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

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, FLULAVAL QUADRIVALENT 0.5 mL demonstrated a safety profile comparable to both quadrivalent and trivalent flu vaccines and placebo, across a broad age range of patients.1

Children Aged 6 Through 35 Months

Safety data were obtained with FLULAVAL QUADRIVALENT in children aged 6 through 35 months. Data with FLULAVAL QUADRIVALENT are relevant to FLULAVAL because both vaccines are manufactured using the same process and have overlapping compositions.1

FLULAVAL QUADRIVALENT demonstrated a safety profile comparable to Fluzone Quadrivalent (Influenza Vaccine) in a clinical trial.1

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

  FLULAVAL % Active Comparatorc %
  Any Grade 3d Any Grade 3d
Local n=1151 n=1146
Pain 40 2 37 1
Swelling 1 0 0.4 0
Redness 1 0 1 0
Systemic n=1155 n=1148
Irritability 49 4 46 3
Drowsiness 37 3 37 3
Loss of appetite 29 2 29 1
Fevere 6 1 6 1

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available (ie, diary card completed for solicited symptoms). n=number of subjects with diary card completed. Values ≥0.5 have been rounded to the nearest integer.

  • aSeven days included day of vaccination and the subsequent 6 days.
  • b Trial 5: NCT02242643.
  • c US-licensed quadrivalent, inactivated influenza vaccine (manufactured by Sanofi Pasteur Inc.).
  • dGrade 3 pain: defined as cried when limb was moved/spontaneously painful.
  • Grade 3 swelling, redness: defined as >100 mm.
  • Grade 3 irritability: defined as crying that could not be comforted/prevented normal activity.
  • Grade 3 drowsiness: defined as prevented normal activity.
  • Grade 3 loss of appetite: defined as not eating at all.
  • Grade 3 (or higher) fever: defined as >102.2°F (39.0°C).
  • eFever: defined as ≥100.4°F (38.0°C).

Children Aged 3 Through 17 Years

FLULAVAL demonstrated a safety profile comparable to a trivalent inactivated influenza vaccine in a clinical trial.1

Trial 4: FLULAVAL: 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

  FLULAVAL % Active Comparatorc %
  Any Grade 3d Any Grade 3d
Aged 3 Through 4 Years
Local n=1042 n=1026
Pain 56 2 53 2
Swelling 4 0.2 5 0
Redness 4 0.1 5 0
Aged 3 Through 4 Years
Systemic n=293 n=279
Irritability 25 2 27 1
Drowsiness 19 1 19 0.4
Loss of appetite 16 2 13 0.4
Fevere 5 1 3 0.4
Aged 5 Through 17 Years
Systemic n=750 n=747
Muscle aches 24 1 23 1
Headache 17 1 15 1
Fatigue  17 1 17 1
Arthralgia 8 0.3 10 0.3
Shivering 6 0.1 5 0.4
Fevere 5 2 4 2

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available. n=number of subjects with diary card completed. Values ≥0.5 have been rounded to the nearest integer.

  • aFour days included day of vaccination and the subsequent 3 days.
  • bTrial 4: NCT00980005.
  • cUS-licensed trivalent, inactivated influenza vaccine (manufactured by Sanofi Pasteur Inc.).
  • dGrade 3 pain: defined as cried when limb was moved/spontaneously painful (children <5 years), or pain that prevented normal activity (children ≥5 years).
  • Grade 3 swelling, redness: defined as >100 mm.
  • Grade 3 irritability, drowsiness, muscle aches, headache, fatigue, arthralgia, shivering: Defined as prevented normal activity.
  • Grade 3 loss of appetite: defined as not eating at all.
  • Grade 3 (or higher) fever: defined as ≥102.2°F (39.0°C).
  • eFever: defined as ≥100.4°F (38.0°C).

Adults Aged 18 Years and Older

FLULAVAL demonstrated a safety profile comparable to a trivalent inactivated influenza vaccine and placebo, in 3 clinical trials.1

Trial 1, 2, & 3: FLULAVAL: Incidence of Solicited Local and Systemic Adverse Reactions Within 4 Daysa of First Vaccination in Adults Aged 18 Years and Older (Total Vaccinated Cohort)1

  Trial 1b Aged 18 Through 64 Years Trial 2b Aged 50 Years and Older Trial 3b Aged 18 Through 49 Years
  FLULAVAL n=721 % Comparatorc n=279 % FLULAVAL n=610 % Comparatorc n=615 % FLULAVAL n=3783 % Placebo n=3828 %
  Any Grade 3d Any Grade 3d Any Grade 3d Any Grade 3d Any Grade 3d Any Grade 3d
Local
Pain 24 0 31 0.4 25 0 32 0 51 0.2 14 <0.1
Swelling 11 0.1 10 0 10 0.2 11 0.2 13 0.3 6 0.1
Redness 10 0.1 10 0.4 7 0.3 9 1 11 0.3 3 0
Systemic
Headache 18 0.4 17 0 11 0.2 12 0.3 18 1 19 1
Fatigue 17 0.3 15 0 12 0.2 13 1 20 1 18 0.4
Muscle achese 13 0.4 16 0 11 0.2 10 0 18 0.2 10 0.2
Feverf 11 0 10 0.4 1 0 2 0 3 <0.1 1 0.1
Malaise 10 0.4 10 0.4 6 0.3 7 0 9 0.3 6 0.4
Sore throat 9 0.4 9 0 5 0.2 6 0 9 0.3 9 0.4
Reddened eyes 6 0.3 5 0 4 0 7 0 7 <0.1 6 <0.1
Cough 6 0.3 7 0 5 0.2 6 0 8 0.1 7 0.1
Chills 5 0.3 2 0 3 0.2 6 0 4 0.2 4 0.2
Chest tightness 3 0 1 0 3 0.3 2 0 3 <0.1 3 0.1
Facial swelling 1 0 0.4 0 1 0 2 0 1 0 1 0
Trial 1b Aged 18 Through 64 Years
  FLULAVAL n=721 % Comparatorc n=279 %
  Any Grade 3d Any Grade 3d
Local
Pain 24 0 31 0.4
Swelling 11 0.1 10 0
Redness 10 0.1 10 0.4
Systemic
Headache 18 0.4 17 0
Fatigue 17 0.3 15 0
Muscle achese 13 0.4 16 0
Feverf 11 0 10 0.4
Malaise 10 0.4 10 0.4
Sore throat 9 0.4 9 0
Reddened eyes 6 0.3 5 0
Cough 6 0.3 7 0
Chills 5 0.3 2 0
Chest tightness 3 0 1 0
Facial swelling 1 0 0.4 0
Trial 2b Aged 50 Years and Older
  FLULAVAL n=610 % Comparatorc n=615 %
  Any Grade 3d Any Grade 3d
Local
Pain 25 0 32 0
Swelling 10 0.2 11 0.2
Redness 7 0.3 9 1
Systemic
Headache 11 0.2 12 0.3
Fatigue 12 0.2 13 1
Muscle achese 11 0.2 10 0
Feverf 1 0 2 0
Malaise 6 0.3 7 0
Sore throat 5 0.2 6 0
Reddened eyes 4 0 7 0
Cough 5 0.2 6 0
Chills 3 0.2 6 0
Chest tightness 3 0.3 2 0
Facial swelling 1 0 2 0
Trial 3b Aged 18 Through 49 Years
  FLULAVAL n=3783 % Placebo n=3828 %
  Any Grade 3d Any Grade 3d
Local
Pain 51 0.2 14 <0.1
Swelling 13 0.3 6 0.1
Redness 11 0.3 3 0
Systemic
Headache 18 1 19 1
Fatigue 20 1 18 0.4
Muscle achese 18 0.2 10 0.2
Feverf 3 <0.1 1 0.1
Malaise 9 0.3 6 0.4
Sore throat 9 0.3 9 0.4
Reddened eyes 7 <0.1 6 <0.1
Cough 8 0.1 7 0.1
Chills 4 0.2 4 0.2
Chest tightness 3 <0.1 3 0.1
Facial swelling 1 0 1 0

Total vaccinated cohort for safety included all vaccinated subjects for whom safety data were available. n=number of subjects with diary card completed. Values ≥0.5 have been rounded to the nearest integer.

  • aFour days included day of vaccination and the subsequent 3 days.
  • b Trial 1: NCT01389479; Trial 2: NCT00232947; Trial 3: NCT00216242.
  • cUS-licensed trivalent, inactivated influenza vaccine (manufactured by Sanofi Pasteur Inc.).
  • dGrade 3 pain, headache, fatigue, muscle aches, malaise, sore throat, cough, chills, chest tightness: defined as prevented work/school/normal activities.
  • Grade 3 redness, swelling: defined as >50 mm.
  • Grade 3 fever: defined as >103.1°F (39.5°C).
  • Grade 3 reddened eyes: defined as very reddened, interfered with vision or caused a doctor’s visit.
  • Grade 3 facial swelling: defined as very swollen, prevented work/school/normal activities or caused a doctor’s visit.
  • e For Trial 2 and Trial 3, includes muscle aches and arthralgia.
  • fFever: defined as ≥99.5°F (37.5°C).