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22 October 2009 @ 01:58 pm
H1N1 info dump  
With the H1N1 vaccine starting to hit communities, I thought I would share with you the info about preservatives, latex, etc that I collected for the nurses at work in case any of you have concerns.

Main CDC H1N1 influenza site:

http://www.cdc.gov/h1n1flu/

Main FDA influenza H1N1 vaccine site:

http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm150305.htm

Vaccination recommendations:

http://www.cdc.gov/h1n1flu/vaccination/acip.htm

 

Basic Vaccine Info

Manufacturer

Route of delivery

Live or inactivated

Allergens*

Package

Preservative

Latex

CSL

Injectable

Inactivated

Eggs

Chicken

protein

Polymyxin

Neomycin

Multi-dose vial

Thimerosol

NO

Single dose syringe

Preservative-free

NO

Novartis

Injectable

Inactivated

Egg Protein

Polymyxin

Neomycin

Multi-dose vial

Thimerosol

NO

Single dose syringe

Trace thimerosol

NO

Sanofi Pasteur

Injectable

Inactivated

Egg Protein

Gelatin

Single dose syringe or vial

Preservative-free

NO

Multi-dose vial

Thimerosol

NO

MedImmune

Nasal

Live

Eggs

Egg protein

Gentamicin

Gelatin

Arginine

Single use nasal spray

Preservative-free

?

Not in PI

*Other excipients and trace manufacturing ingredients may be present. Refer to Prescribing Information (PI) for full details.

 

 


Vaccine Information Sheets:

VIS for injection (inactivated)

http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-inact-h1n1.pdf

VIS for nasal mist (LIVE)

http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-laiv-h1n1.pdf

 

 


Other vaccine info:

CDC info on other vaccines

Manufacturers and live/inactivated status:

http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/us-vaccines.pdf

Latex content:

http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/B/latex-table.pdf


Prescribing info:

Injectable:

CSL:

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM182401.pdf

Novartis:

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM182242.pdf

Sanofi Pasteur:

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM182404.pdf

Nasal:

MedImmune

http://www.fda.gov/downloads/BiologicsBloodVaccines/Vaccines/ApprovedProducts/UCM182406.pdf

My two major recommendations remain the same:
1. Don't freak out
2. Wash your hands

to which I will add:
3. Get yourself and your loved ones vaccinated, unless you have contraindications.

I am more than happy to answer questions, either in the comments or privately.

 
 
Current Mood: productiveproductive
 
 
 
Mark Gordon: seriousmtgordon on October 22nd, 2009 08:09 pm (UTC)
There are people who are allergic to arginine? Srsly?
eithni: do I need to kill you?eithni on October 22nd, 2009 08:59 pm (UTC)
Probably not. I think that's just a CYA. :p
Mark Gordon: seriousmtgordon on October 22nd, 2009 09:18 pm (UTC)
BTW, thanks for the reminder. I called up the pediatrician to schedule flu vaccinations for Isaac. H1N1 vaccine for the general (non-pediatric, in this context) population is still a bit scarce here, so it's likely to be a while before I'm vaccinated. I haven't gone out of my way to get the seasonal vaccine this year; I'm under the impression that H1N1 is effectively this season's dominant strain.
eithni: PharmDeithni on October 23rd, 2009 03:24 am (UTC)
Likely so. I'm still getting both, though.
jtdiiijtdiii on October 22nd, 2009 11:07 pm (UTC)
I have been encouraging everyone around me to do 3 until I can find one not made with eggs.

A simple scratch test for egg allergies comes back positive and doctors start freaking when you want vaccines...
eithni: PharmDeithni on October 23rd, 2009 03:23 am (UTC)
Well, you are excused from doing your civic duty, then... ;)
jtdiiijtdiii on October 23rd, 2009 03:34 am (UTC)
But I actually want the vaccination...
eithni: PharmDeithni on October 23rd, 2009 07:02 am (UTC)
Sometimes we don't get what we want, though. :p

Egg allergies are an odd thing. Maybe you can get your MD to prescribe a vaccinationand an EpiPen?
jtdiiijtdiii on October 23rd, 2009 07:25 am (UTC)
Heh,

His basic attitude has been more of rely on the herd immunity and avoid the anti vaccination crowd like the plague. Note this means there are several friends and their kids I will not be near for a few months.

Thankfully I work with engineers and the vast majority of them understand statistics. They all lined up at work for their shots.
Genevievekathryndana on October 23rd, 2009 03:05 am (UTC)
The last time I got a regular flu shot I got the flu bad, I haven't had one since and that was years ago and I've never had the flu since then. Now since I'm having surgery in a week and a half should I be getting the H1N1 vaccine or making an exception and get the seasonal flu shot as well? I just don't want to get sick before surgery, but I don't want to get sick while I'm recovering from a large incision in my abdomen either...
eithni: PharmDeithni on October 23rd, 2009 03:20 am (UTC)
The influenza vaccines in the shot (this year and always) use KILLED viruses.

Killed viruses are dead and and cannot give you influenza.

You have not, and will not, get influenza from the influenza vaccine.

*******************

That being said, there are live viruses in the NASAL immunization and in selected other vaccines.

*******************

If your "flu" involved puking, it probably was not influenza. The flu shot protects against influenza, a respiratory disease that usually involves coughing, sneezing, goo in the lungs, fever, etc. The flu shot does not protect at all against the pukey-flu, also called the stomach flu.

*******************

If you are currently well (i.e. not sick with a bacterial or viral illness), YES, get whichever flu shot you can get your hands on. However, there is currently a shortage of the seasonal influenza and the H1N1 is still being reserved for high-risk people.
Karen, aka Ana Lake, ska Aine inghean Cathalsummers_place on October 23rd, 2009 05:39 pm (UTC)
I'm still trying to figure out whether anyone in my household qualifies to get the H1N1 vaccination or not. I'm 45, generally healthy, but horribly prone to develop long-lasting bronchitis from almost any upper-respiratory infection I get. As in, get flu, get over flu in a week, then spend the next two months attempting to hack up a lung. My husband is 44, generally healthy, but employed in the restaurant industry, which means that not only is he in a prime position to spread infection via the food supply, he is also in a prime position to be exposed to it due to the fact that many restaurant employees come to work sick because they don't get paid sick days and some don't even get health insurance, so they don't even seek treatment (he at least gets insurance, thank goodness). The kicker is that my 80 year old father, who has COPD and dementia, lives with us and we are his caregivers. The general guidelines I see published appear to leave all three of us out of the pool considered to be at risk and therefore eligible to receive the vaccine, but surely that can't be right, can it?

(BTW, I found my way here courtesy of a comment someone made on Aztecknight's journal. The general tone of which was that you rock, and from what I've read I'm inclined to agree.)
eithni: PharmDeithni on October 26th, 2009 03:24 am (UTC)
Well, it sounds like none of you are actually in the highest priority group as announced by the CDC, but I think it would certainly be a good idea to contact your doctor's office and share your concerns. I'm pretty sure they will put you on the second round of immunizations as you are correct, the profiles you outline certainly would put you all at elevated risk.

Welcome to the list!
Karen, aka Ana Lake, ska Aine inghean Cathalsummers_place on October 28th, 2009 06:13 am (UTC)
Thanks, both for the advice and for the welcome!
murasakinoyoroimurasakinoyoroi on October 23rd, 2009 05:49 pm (UTC)
Just as an odd side note, I thought I'd share an interesting tid-bit I learned from my Children's Museum interview.

Apparently they keep a detailed list of which items are most often put into kids mouths (good to know for cleaning) and take them out of the display for the flu season. Everything is cleaned more often, too, and little hand washing stations are scattered through out the museum.

I thought that was pretty cool.
reneekytokorpireneekytokorpi on October 24th, 2009 04:50 am (UTC)
How long do I need to be not sick to get the vaccine? I'm still clearing the last bit of gunk out of my lungs, but appear to be perfectly healthy otherwise...
eithnieithni on October 24th, 2009 07:34 am (UTC)
Fever-free for five days without any fever reducers should be good.
fibergeekfibergeek on October 25th, 2009 03:16 pm (UTC)
Thanks for posting this. It gives me the info to discuss w/ my Dr about wheather I should get an H1N1 vaccine or not. The regular flu vaccine results in my being dog sick for 3 days. Apparently my body violently objects to having eggs injected into it. No I'm not allergic to eggs, I can eat them just fine... just can't have them injected. My dad is the same way. (yay genetics! :P )