HBVAXPRO Leaflet

ANNEX I
SUMMARY OF PRODUCT CHARACTERISTICS
1
1. NAME OF THE MEDICINAL PRODUCT
HBVAXPRO 5 micrograms, suspension for injection
Hepatitis B vaccine (rDNA)
2. QUALITATIVE AND QUANTITATIVE COMPOSITION
One dose (0.5 ml) contains:

Hepatitis B virus surface antigen, recombinant (HBsAg) * ................... 5 micrograms
Adsorbed on amorphous aluminium hydroxyphosphate sulfate (0.25 milligram Al+)
* produced in Saccharomyces cerevisiae (strain 2150-2-3) yeast by recombinant DNA technology.
This vaccine may contain traces of formaldehyde and potassium thiocyanate, which are used during the
manufacturing process. See sections 4.3, 4.4 and 4.8.
For the full list of excipients, see section 6.1
3. PHARMACEUTICAL FORM
Suspension for injection

Slightly opaque white suspension.
4. CLINICAL PARTICULARS
4.1 Therapeutic indications
HBVAXPRO is indicated for active immunisation against hepatitis B virus infection caused by all known
subtypes in individuals from birth through 15 years of age considered at risk of exposure to hepatitis B
virus.
The specific at risk categories to be immunised are to be determined on the basis of the official
recommendations.
It can be expected that hepatitis D will also be prevented by immunisation with HBVAXPRO as
hepatitis D (caused by the delta agent) does not occur in the absence of hepatitis B infection.
4.2 Posology and method of administration
Posology
Individuals from birth through 15 years of age: 1 dose (0.5 ml) at each injection:
Primary vaccination:
A course of vaccination should include at least three injections.
Two primary immunisation schedules can be recommended:
2
0, 1, 6 months: two injections with an interval of one month; a third injection 6 months after the first
administration.
0, 1, 2, 12 months: three injections with an interval of one month; a fourth dose should be administered at
12 months.
It is recommended that the vaccine be administered in the schedules indicated. Infants receiving the
compressed regimen (0, 1, 2 months dosing schedule) must receive the 12 month booster to induce higher
antibody titres.
Booster:
Immunocompetent vaccinees
The need for a booster dose in healthy individuals who have received a full primary vaccination course
has not been established. However, some local vaccination schedules currently include a recommendation
for a booster dose and these should be respected.
Immunocompromised vaccinees (e.g. dialysis patients, transplant patients, AIDS Patients)
In vaccinees with an impaired immune system, administration of additional doses of vaccine should be
considered if the antibody level against hepatitis B virus surface antigen (anti-HBsAg) is less than 10 IU/l.
Revaccination of nonresponders
When persons who do not respond to the primary vaccine series are revaccinated, 15-25 % produce an
adequate antibody response after one additional dose and 30-50 % after three additional doses. However,
because data are insufficient concerning the safety of hepatitis B vaccine when additional doses in excess
of the recommended series are administered, revaccination following completion of the primary series is
not routinely recommended. Revaccination should be considered for high-risk individuals, after weighing
the benefits of vaccination against the potential risk of experiencing increased local or systemic adverse
reactions.
Special dosage recommendations:
Dosage recommendation for neonates of mothers who are hepatitis B virus carriers
- At birth, one dose of hepatitis B immunoglobulin (within 24 hours).

- The first dose of the vaccine should be given within 7 days of birth and can be administered
simultaneously with hepatitis B immunoglobulin but at a separate injection site.
- Subsequent doses of vaccine should be given according to the locally recommended vaccination
schedule.
Dosage recommendation for known or presumed exposure to hepatitis B virus (e.g needlestick with
contaminated needle)
- Hepatitis B immunoglobulin should be given as soon as possible after exposure (within 24 hours).
- The first dose of the vaccine should be given within 7 days of exposure and can be administered
- Serologic testing is also recommended, with the administration of subsequent doses of vaccine, if
necessary, (i.e according to the serologic status of the patient) for short and long term protection.
3
- In the case of unvaccinated or incompletely vaccinated individuals, additional doses should be
given as in the recommended immunisation schedule. The accelerated schedule including the
12 month booster dose can be proposed.
Method of administration
This vaccine should be administered intramuscularly.
The anterolateral thigh is the preferred site for injection in neonates and infants. The deltoid muscle is the
preferred site for injection in children and adolescents.
Do not inject intravascularly.
Exceptionally, the vaccine may be administered subcutaneously in patients with thrombocytopoenia or

bleeding disorders.
Precautions to be taken before handling or administering the product: see section 6.6.
4.3 Contraindications
- History of hypersensitivity to the active substance, or to any of the excipients, or trace residuals
(e.g. formaldehyde and potassium thiocyanate), see sections 6.1 and 2.
- Vaccination should be postponed in individuals with a severe febrile illness or acute infection.
4.4 Special warnings and precautions for use
As with all injectable vaccines, appropriate medical treatment should always be readily available in case
of rare anaphylactic reactions following the administration of the vaccine (see section 4.8).
manufacturing process. Therefore, hypersensitivity reactions may occur (see sections 2 and 4.8).
Use caution when vaccinating latex-sensitive individuals since the vial stopper contains dry natural latex
rubber that may cause allergic reactions.
For clinical or laboratory monitoring regarding immunocompromised individuals or individuals with

known or presumed exposure to hepatitis B virus, see section 4.2
The potential risk of apnoea and the need for respiratory monitoring for 48 to 72 hours should be
considered when administering the primary immunisation series to very premature infants (born
≤ 28 weeks of gestation) and particularly for those with a previous history of respiratory immaturity (see
section 4.8). As the benefit of vaccination is high in this group of infants, vaccination should not be
withheld or delayed.
Because of the long incubation period of hepatitis B, it is possible for unrecognised hepatitis B infection to
be present at the time of vaccination. The vaccine may not prevent hepatitis B infection in such cases.
The vaccine will not prevent infection caused by other agents such as hepatitis A, hepatitis C and hepatitis
E and other pathogens known to infect the liver.
Caution should be exercised when prescribing to pregnant or breast-feeding women. (see section 4.6).
4.5 Interaction with other medicinal products and other forms of interaction
4
This vaccine can be administered:
- with hepatitis B immunoglobulin, at a separate injection site.
- to complete a primary immunisation course or as a booster dose in subjects who have previously
received another hepatitis B vaccine.
- concomitantly with other vaccines, using separate sites and syringes.
The concomitant administration of pneumococcal conjugate vaccine (PREVENAR) given with hepatitis B
vaccine using the 0, 1 and 6 and 0, 1, 2 and 12 month schedules has not been sufficiently studied.
4.6 Fertility, pregnancy and lactation
Fertility:
HBVAXPRO has not been evaluated in fertility studies.
Pregnancy:
There is no clinical data on the use of HBVAXPRO on pregnant women.
The vaccine should be used during pregnancy only if the potential benefit justifies the potential risk to the
foetus.
Breast-feeding:
There is no clinical data on the use of HBVAXPRO on breast-feeding women.
4.7 Effects on ability to drive and use machines
No studies on the effects on the ability to drive and use machines have been performed. However,
HBVAXPRO is expected to have no or negligible influence on the ability to drive and use machines.
4.8 Undesirable effects
a. Summary of the safety profile
The most common side effects seen are injection-site reactions: transient soreness, erythema, induration.
b. Tabulated summary of adverse reactions
The following undesirable effects have been reported following the widespread use of the vaccine.
As with other hepatitis B vaccines, in many instances, the causal relationship to the vaccine has not been
established.
5
Adverse reactions Frequency
General disorders and administration site conditions
Common
Local reactions (injection site): Transient soreness, Erythema, Induration
(≥1/100 to, <1/10)
Fatigue, Fever, Malaise, Influenza-like symptoms Very rare (<1/10,000)
Blood and the lymphatic system disorders
Thrombocytopenia, Lymphadenopathy Very rare (<1/10,000)
Immune system disorders
Serum sickness, Anaphylaxis, Polyarteritis nodosa Very rare (<1/10,000)
Nervous system disorders
Paresthesia, Paralysis (including Bell's palsy, facial paralysis), Peripheral
neuropathies (polyradiculoneuritis, Guillain Barre Syndrome), Neuritis
(including optical neuritis), Myelitis (including transverse Myelitis), Very rare (<1/10,000)
Encephalitis, Demyelinating disease of the central nervous system, Exacerbation
of multiple sclerosis, Multiple sclerosis, Seizure, Headache, Dizziness, Syncope
Eye Disorders
Uveitis Very rare (<1/10,000)
Vascular disorders
Hypotension, Vasculitis Very rare (<1/10,000)
Respiratory, thoracic and mediastinal disorders
Bronchospasm-like symptoms Very rare (<1/10,000)
Gastrointestinal disorders
Vomiting, Nausea, Diarrhoea, Abdominal pain Very rare (<1/10,000)
Skin and subcutaneous tissue disorders
Rash, Alopecia, Pruritus, Urticaria, Erythema multiforme, Angioedema, Eczema Very rare (<1/10,000)
Musculoskeletal, connective tissue and bone disorders
Arthralgia, Arthritis, Myalgia, Pain in extremity Very rare (<1/10,000)
Investigations
Elevation of liver enzymes Very rare (<1/10,000)
c. Other special population
Apnoea in very premature infants (born ≤ 28 weeks of gestation) (see section 4.4)
Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows
continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are
asked to report any suspected adverse reactions via the national reporting system listed in Appendix V.
4.9 Overdose
There have been reports of administration of higher than recommended doses of HBVAXPRO.
In general, the adverse event profile reported with overdose was comparable to that observed with the
recommended dose of HBVAXPRO.
6
5. PHARMACOLOGICAL PROPERTIES
5.1 Pharmacodynamic properties
Pharmacotherapeutic group: anti-infectious, ATC code: J07BC01
The vaccine induces specific humoral antibodies against hepatitis B virus surface antigen (anti-HBsAg).
Development of an antibody titre against hepatitis B virus surface antigen (anti-HBsAg) equal to or
greater than 10 IU/l measured 1 to 2 months after the last injection correlates with protection to hepatitis B
virus infection.
In clinical trials, 96 % of 1,497 healthy infants, children, adolescents and adults given a 3 dose course of a
previous formulation of Merck’s recombinant hepatitis B vaccine developed a protective level of
antibodies against hepatitis B virus surface antigen ( 10 IU/l). In two infant trials using different dosing
schedules and concomitant vaccines, the proportion of infants with protective levels of antibodies were
97.5 % and 97.2 % with geometric mean titres of 214 and 297 IU/l, respectively.
The protective efficacy of a dose of hepatitis B immunoglobulin at birth followed by 3 doses of a previous
formulation of Merck’s recombinant hepatitis B vaccine has been demonstrated for neonates born to
mothers positive for both hepatitis B virus surface antigen (HBsAg) and hepatitis B virus e antigen
(HBeAg). Among 130 vaccinated infants, the estimated efficacy in prevention of chronic hepatitis B
infection was 95 % as compared to the infection rate in untreated historical controls.
Although the duration of the protective effect of a previous formulation of Merck’s recombinant hepatitis
B vaccine in healthy vaccinees is unknown, follow-up over 5-9 years of approximately 3,000 high-risk
subjects given a similar plasma-derived vaccine has revealed no cases of clinically apparent hepatitis B
infection.
In addition, persistence of vaccine-induced immunologic memory for hepatitis B virus surface antigen
(HBsAg) has been demonstrated through an anamnestic antibody response to a booster dose of a previous
formulation of Merck’s recombinant hepatitis B vaccine. As with other hepatitis B vaccines, the duration
of the protective effect in healthy vaccinees is unknown at present. The need for a booster dose of
HBVAXPRO is not yet defined beyond the 12 month booster dose required for the 0, 1, 2 compressed
schedule.
Reduced risk of Hepatocellular Carcinoma

Hepatocellular carcinoma is a serious complication of hepatitis B virus infection. Studies have
demonstrated the link between chronic hepatitis B infection and hepatocellular carcinoma and 80 % of
hepatocellular carcinomas are caused by hepatitis B virus infection. Hepatitis B vaccine has been
recognized as the first anti-cancer vaccine because it can prevent primary liver cancer.
5.2 Pharmacokinetic properties
Not applicable.
5.3 Preclinical safety data
Animal reproduction studies have not been conducted.
7
6. PHARMACEUTICAL PARTICULARS
6.1 List of excipients
Sodium chloride
Borax
Water for injections
6.2 Incompatibilities
In the absence of compatibility studies, this medicinal product must not be mixed with other medicinal
products.
6.3 Shelf life
3 years.
6.4 Special precautions for storage
Store in a refrigerator (2 °C – 8 °C).

Do not freeze.
6.5 Nature and contents of container
0.5 ml of suspension in vial (glass) with stopper (gray butyl rubber) and aluminum seals with plastic flip
caps. Pack size of 1, 10.
0.5 ml of suspension in vial (glass) with stopper (gray butyl rubber) and aluminum seals with plastic flip
caps with an empty sterile injection syringe with needle. Pack size of 1.
Not all pack sizes may be marketed.
6.6 Special precautions for disposal and other handling
The vaccine should be inspected visually in order to detect any appearance of precipitate or discolouring
of the content prior to administration. If these conditions exist, the product should not be administered.
Before use, the vial should be well shaken.
Once the vial has been penetrated, the withdrawn vaccine should be used promptly, and the vial must be
discarded.
Any unused medicinal product or waste material should be disposed of in accordance with local
requirements.
7. MARKETING AUTHORISATION HOLDER
MSD VACCINS
162 avenue Jean Jaurès
69007 Lyon
France
8
8. MARKETING AUTHORISATION NUMBER(S)
EU/1/01/183/001
EU/1/01/183/018
EU/1/01/183/019
9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION
Date of first authorisation: 27/04/2001

Date of last renewal: 27/04/2011
10. DATE OF REVISION OF THE TEXT
Detailed information on this product is available on the website of the European Medicines Agency:
http://www.ema.europa.eu
9
HBVAXPRO 5 micrograms, suspension for injection in pre-filled syringe
One dose (0.5 ml) contains:

manufacturing process. See section 4.3, 4.4 and 4.8.
For the full list of excipients, see section 6.1
Suspension for injection in pre-filled syringe

virus.
recommendations.
Posology
Individuals from birth through 15 years of age: 1 dose (0.5 ml) at each injection.
10
administration.
12 months.
It is recommended that the vaccine be administered in the schedules indicated. Infants receiving the
antibody titres.
Booster:
reactions.
Special dosage recommendations:
Dosage recommendations for neonates born to mothers who are hepatitis B virus carriers
- At birth, one dose of hepatitis B immunoglobulin (within 24 hours).

- The first dose of the vaccine should be given within 7 days of birth and can be administered
simultaneously with hepatitis B immunoglobulin at birth, but at a separate injection site.
- Subsequent doses of vaccine should be given according to the locally recommended vaccination
schedule.
Dosage recommendation for known or presumed exposure to hepatitis B virus (e.g needlestick with
contaminated needle)
11
The anterolateral thigh is the preferred site for injection in neonates and infants. The deltoid muscle is the
preferred site for injection in children and adolescents.

bleeding disorders.
This vaccine may contain traces of formaldehyde and potassium thiocyanate which are used during the
Use caution when vaccinating latex-sensitive individuals since the syringe plunger stopper and tip cap
contain dry natural latex rubber that may cause allergic reactions.

known or presumed exposure to hepatitis B virus, see section 4.2.
The potential risk of apnoea and the need for respiratory monitoring for 48 to 72 hours should be
considered when administering the primary immunisation series to very premature infants (born
≤ 28 weeks of gestation) and particularly for those with a previous history of respiratory immaturity (see
section 4.8). As the benefit of vaccination is high in this group of infants, vaccination should not be
withheld or delayed.
12

The concomitant administration of pneumococcal conjugate vaccine (PREVENAR) given with hepatitis B
vaccine using the 0, 1 and 6 and 0, 1, 2 and 12 month schedules has not been sufficiently studied.
Fertility:
Pregnancy:
foetus.
Breast-feeding:
established.
13
Common
(≥1/100 to, <1/10)
(including optical neuritis), Myelitis (including transverse Myelitis),
Very rare (<1/10,000)
Encephalitis, Demyelinating disease of the central nervous system,
Exacerbation of multiple sclerosis, Multiple sclerosis, Seizure, Headache,
Dizziness, Syncope
Eye disorders
Vascular disorders
Rash, Alopecia, Pruritus, Urticaria, Erythema multiforme, Angioedema,
Very rare (<1/10,000)
Eczema
Investigations
c. Other special population
Apnoea in very premature infants (born ≤ 28 weeks of gestation) (see section 4.4)

4.9 Overdose
14
virus infection.
antibodies against hepatitis B virus surface antigen ( 10 IU/l). In two infant trials using different dosing
schedules and concomitant vaccines, the proportion of infants with protective levels of antibodies were
97.5 % and 97.2 % with geometric mean titres of 214 and 297 IU/l, respectively.
The protective efficacy of a dose of hepatitis B immunoglobulin at birth followed by 3 doses of a previous
formulation of Merck’s recombinant hepatitis B vaccine has been demonstrated for neonates born to
mothers positive for both hepatitis B virus surface antigen (HBsAg) and hepatitis B virus e antigen
(HBeAg). Among 130 vaccinated infants, the estimated efficacy in prevention of chronic hepatitis B
infection was 95 % as compared to the infection rate in untreated historical controls.
infection.
formulation of Merck’s recombinant hepatitis B vaccine. As with other hepatitis B vaccines, the duration
of the protective effect in healthy vaccinees is unknown at present. The need for a booster dose of
HBVAXPRO is not yet defined beyond the 12 month booster dose required for the 0, 1, 2 compressed
schedule.

Not applicable.
15
Sodium chloride
Borax
products.
6.3 Shelf life
3 years.

Do not freeze.
0.5 ml of suspension in pre-filled syringe (glass) without needle with a plunger stopper (gray chlorobutyl).
Pack size of 1, 10, 20, 50.
0.5 ml of suspension in pre-filled syringe (glass) with 1 separate needle with a plunger stopper (gray
chlorobutyl). Pack size of 1, 10.
0.5 ml of suspension in pre-filled syringe (glass) with 2 separate needles with a plunger stopper (gray
chlorobutyl). Pack size of 1, 10, 20, 50.
Before use, the syringe should be well shaken.
Hold the syringe barrel and attach the needle by twisting in clockwise direction, until the needle fits
securely on the syringe.
requirements.
MSD VACCINS
69007 Lyon
France
16
EU/1/01/183/004
EU/1/01/183/005
EU/1/01/183/020
EU/1/01/183/021
EU/1/01/183/022
EU/1/01/183/023
EU/1/01/183/024
EU/1/01/183/025
EU/1/01/183/030
EU/1/01/183/031

Detailed information on this product is available on the website of the European Medicines Agency
17

One dose (1 ml) contains:

For the full list of excipients, see section 6.1.

subtypes in individuals 16 years of age or more considered at risk of exposure to hepatitis B virus.
recommendations.
Posology
Individuals 16 years of age or more: 1 dose (1 ml) at each injection.
18
administration.
12 months.
It is recommended that the vaccine be administered in the schedules indicated. Those receiving the
antibody titres.
Booster:
reactions.
Special dosage recommendations for known or presumed exposure to hepatitis B virus (e.g needlestick
with contaminated needle):
simultaneously with hepatitis B immunoglobulin, but at a separate injection site.
Individuals less than 16 years of age:
HBVAXPRO 10 micrograms is not indicated in this subset of paediatric population.
The appropriate strength for administration to individuals from birth through 15 years of age is
HBVAXPRO 5 micrograms.
19
The deltoid muscle is the preferred site for injection in adults and adolescents.

bleeding disorders.

A number of factors have been observed to reduce the immune response to hepatitis B vaccines. These
factors include older age, male gender, obesity, smoking, route of administration and some chronic
underlying diseases. Consideration should be given to serological testing of those subjects who may be at
risk of not achieving seroprotection following a complete course of HBVAXPRO. Additional doses may
need to be considered for persons who do not respond or have a sub-optimal response to a course of
vaccinations.

20
Fertility:
Pregnancy:
There is no clinical data on the use of HBVAXPRO in pregnant women
foetus.
Breast-feeding:
established.
21
Common
(≥1/100 to, <1/10)
Very rare (<1/10,000)
Dizziness, Syncope
Eye disorders
Vascular disorders
Very rare (<1/10,000)
Eczema
Investigations

4.9 Overdose
22
virus infection.
antibodies against hepatitis B virus surface antigen ( 10 IU/l). In two trials conducted in older
adolescents and adults, 95.6-97.5 % of vaccinees developed a protective level of antibodies, with
geometric mean titres in these trials ranging from 535 – 793 IU/l.
infection.
formulation of Merck’s recombinant hepatitis B vaccine in healthy adults. As with other hepatitis B
vaccines, the duration of the protective effect in healthy vaccinees is unknown at present. The need for a
booster dose of HBVAXPRO is not yet defined beyond the 12 month booster dose required for the 0, 1,
2 compressed schedule.

Not applicable.
Sodium chloride
Borax
23
products.
6.3 Shelf life
3 years.

Do not freeze.
1 ml of suspension in vial (glass) with stopper (gray butyl rubber) and aluminum seals with plastic flip
caps. Pack size of 1, 10.
discarded.
requirements.
MSD VACCINS
69007 Lyon
France
EU/1/01/183/007
EU/1/01/183/008

Date of latest renewal: 27/04/2011
24
25


Suspension for injection in pre-filled syringe

recommendations.
Posology
Individuals 16 years of age or more: 1 dose (1 ml) at each injection.
administration.
26
12 months.
It is recommended that the vaccine be administered in the schedules indicated. Those receiving the
antibody titres.
Booster:
reactions.
Special dosage recommendations for known or presumed exposure to hepatitis B virus (e.g. needlestick
necessary, (i.e. according to the serologic status of the patient) for short and long term protection.
- In the case of unvaccinated or incompletely vaccinates individuals, additional doses should be given
as in the recommended immunisation schedules. The accelerated schedule including the 12 month
booster dose can be proposed.
Individuals less than 16 years of age:
HBVAXPRO 10 micrograms is not indicated in this subset of paediatric population.
The appropriate strength for administration to individuals from birth through 15 years of age is
HBVAXPRO 5 micrograms.
27
The deltoid muscle is the preferred site for injection in adults and adolescents.

bleeding disorders.
Use caution when vaccinating latex-sensitive individuals since the syringe plunger stopper and tip cap
contain dry natural latex rubber that may cause allergic reactions.

vaccinations.
28

Fertility:
Pregnancy:
foetus.
Breast-feeding:
established.
29
Common
(≥1/100 to, <1/10)
Very rare (<1/10,000)
Dizziness, Syncope
Eye disorders
Vascular disorders
Very rare (<1/10,000)
Eczema
Investigations

4.9 Overdose
30
virus infection.
antibodies against hepatitis B virus surface antigen ( 10 IU/l). In two trials conducted in older
adolescents and adults, 95.6-97.5 % of vaccinees developed a protective level of antibodies, with
geometric mean titres in these trials ranging from 535 – 793 IU/l.
infection.
formulation of Merck’s recombinant hepatitis B vaccine in healthy adults. As with other hepatitis B
vaccines, the duration of the protective effect in healthy vaccinees is unknown at present. The need for a
booster dose of HBVAXPRO is not yet defined beyond the 12 month booster dose required for the 0, 1, 2
compressed schedule.

Not applicable.
Sodium chloride
Borax
31
products.
6.3 Shelf life
3 years.

Do not freeze.
1 ml of suspension in pre-filled syringe (glass) without needle with a plunger stopper (gray chlorobutyl ).
Pack size of 1, 10
1 ml of suspension in pre-filled syringe (glass) with 1 separate needle with a plunger stopper (gray
chlorobutyl). Pack size of 1, 10
1 ml of suspension in pre-filled syringe (glass) with 2 separate needles with a plunger stopper (gray
chlorobutyl). Pack size of 1, 10, 20
Before use, the syringe should be well shaken.
Hold the syringe barrel and attach the needle by twisting in clockwise direction, until the needle fits
securely on the syringe.
requirements.
MSD VACCINS
69007 Lyon
France
EU/1/01/183/011
EU/1/01/183/013
EU/1/01/183/026
EU/1/01/183/027
EU/1/01/183/028
EU/1/01/183/029
EU/1/01/183/032
32

33



HBVAXPRO is indicated for the active immunisation against hepatitis B virus infection caused by all
known subtypes in predialysis and dialysis adult patients.
Posology
Predialysis and dialysis adult patients: 1 dose (1 ml) at each injection.
A course of vaccination should include three injections:

Schedule 0, 1, 6 months: two injections with an interval of one month; a third injection 6 months after the
first administration.
Booster:
A booster dose must be considered in these vaccinees if the antibody level against hepatitis B virus surface
antigen (anti-HBsAg) after primary series is less than 10 IU/l.
34
In accordance with standard medical practice for hepatitis B vaccine administration, regular antibody
testing should be done in hemodialysis patients. A booster dose should be given when antibody levels
decline below 10 IU/l.
Special dosage recommendations for known or presumed exposure to hepatitis B virus (e.g needlestick
given as in the recommended immunisation schedule.
The deltoid muscle is the preferred site for injection in adults.

bleeding disorders.
vaccinations.
35

- to complete a primary immunisation course or as a booster dose in subjects who have
previously received another hepatitis B vaccine.
Fertility:
Pregnancy:
foetus.
Breast-feeding:
established.
36
Common
(≥1/100 to, <1/10)
Very rare (<1/10,000)
Dizziness, Syncope
Eye Disorders
Vascular disorders
Very rare (<1/10,000)
Eczema
Investigations

4.9 Overdose
37
virus infection.
antibodies against hepatitis B virus surface antigen ( 10 IU/l).
infection.
formulation of Merck’s recombinant hepatitis B vaccine in healthy adults.
In accordance with standard medical practice for hepatitis B vaccine administration, regular antibody
testing should be done in hemodialysis patients. A booster dose should be given when antibody levels
decline below 10 IU/l. In subjects in whom insufficient antibody titres are achieved after boosting, the use
of alternative hepatitis B vaccines should be considered.

Not applicable.
Sodium chloride
Borax
Water for injections.
38
products.
6.3 Shelf life
3 years.

Do not freeze.
1 ml of suspension in vial (glass) with stopper (gray butyl rubber) and aluminum seals with plastic flip
caps. Pack size of 1.
discarded.
requirements.
MSD VACCINS
69007 Lyon
France
EU/1/01/183/015

39
40
ANNEX II
A. MANUFACTURER OF THE BIOLOGICAL ACTIVE

SUBSTANCES AND MANUFACTURER RESPONSIBLE FOR
BATCH RELEASE
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY

AND USE
C. OTHER CONDITIONS AND REQUIREMENTS OF THE

MARKETING AUTHORISATION
D. CONDITIONS OR RESTRICTIONS WITH REGARD TO THE

SAFE AND EFFECTIVE USE OF THE MEDICINAL PRODUCT
41
A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCES AND
MANUFACTURER RESPONSIBLE FOR BATCH RELEASE
Name and address of the manufacturer of the biological active substances
Merck Sharp & Dohme Corp.

Sumneytown Pike
West POINT,
Pennsylvania 19486
USA
Name and address of the manufacturer responsible for batch release
Merck Sharp & Dohme B.V.

Waaderweg 39,
2031 BN Haarlem
The Netherlands
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE
Medicinal product subject to medical prescription
 Official batch release
In accordance with Article 114 of Directive 2001/83/EC, the official batch release will be
undertaken by a state laboratory or a laboratory designated for that purpose.
C. OTHER CONDITIONS AND REQUIREMENTS OF THE MARKETING

AUTHORISATION
 Periodic Safety Update Reports
The marketing authorisation holder shall submit periodic safety update reports for this product in
accordance with the requirements set out in the list of Union reference dates (EURD list) provided for
under Article 107c(7) of Directive 2001/83/EC and published on the European medicines web-portal.
D. CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND EFFECTIVE

USE OF THE MEDICINAL PRODUCT
 Risk Management Plan (RMP)
Not applicable.
42
ANNEX III
LABELLING AND PACKAGE LEAFLET
43
A. LABELLING
44
PARTICULARS TO APPEAR ON THE OUTER PACKAGING
HBVAXPRO 5 micrograms - single dose vial - Pack of 1, 10

2. STATEMENT OF ACTIVE SUBSTANCE(S)
1 dose (0.5 ml) contains:

3. LIST OF EXCIPIENTS
Sodium chloride, borax and water for injections.
4. PHARMACEUTICAL FORM AND CONTENTS

1 single dose 0.5 ml vial
10 single doses 0.5 ml vials
5. METHOD AND ROUTE(S) OF ADMINISTRATION
Shake well before use.

Read the package leaflet before use.
Intramuscular use.
6. SPECIAL WARNING THAT THE MEDICINAL PRODUCT MUST BE STORED OUT OF

THE SIGHT AND REACH OF CHILDREN
Keep out of the sight and reach of children.
7. OTHER SPECIAL WARNING(S), IF NECESSARY
45
8. EXPIRY DATE
EXP MM/YYYY
9. SPECIAL STORAGE CONDITIONS
Store in a refrigerator
Do not freeze
10. SPECIAL PRECAUTIONS FOR DISPOSAL OF UNUSED MEDICINAL PRODUCTS OR

WASTE MATERIALS DERIVED FROM SUCH MEDICINAL PRODUCTS, IF
APPROPRIATE
11. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER
MSD VACCINS
69007 Lyon
France
EU/1/01/183/001 – pack of 1
EU/1/01/183/018 – pack of 10
13. MANUFACTURER’S BATCH NUMBER
Batch
14. GENERAL CLASSIFICATION FOR SUPPLY
15. INSTRUCTIONS ON USE
16. INFORMATION IN BRAILLE
Justification for not including Braille accepted.
46
HBVAXPRO 5 micrograms - single dose vial + syringe with needle - Pack of 1



1 single dose 0.5 ml vial
1 sterile injection syringe with needle.

Intramuscular use.

47
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/019 – pack of 1
Batch
48
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS
HBVAXPRO 5 micrograms
1. NAME OF THE MEDICINAL PRODUCT AND ROUTE(S) OF ADMINISTRATION

IM use
2. METHOD OF ADMINISTRATION
Shake well before use
3. EXPIRY DATE
EXP MM/YYYY
4. BATCH NUMBER
Lot
5. CONTENTS BY WEIGHT, BY VOLUME OR BY UNIT
0.5 ml
6. OTHER
MSD VACCINS
49
HBVAXPRO 5 micrograms - single dose pre-filled syringe without needle - Pack of 1, 10, 20, 50



1 single dose 0.5 ml pre-filled syringe without needle
10 single dose 0.5 ml pre-filled syringes without needle

Intramuscular use.

Keep out of the sight and reach of children
50
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/004 – pack of 1
EU/1/01/183/005 – pack of 10
EU/1/01/183/020 – pack of 20
EU/1/01/183/021 – pack of 50
Batch
51
HBVAXPRO 5 micrograms - single dose pre-filled syringe with 1 separate needle - Pack of 1, 10



1 single dose 0.5 ml pre-filled syringe with 1 separate needle
10 single dose 0.5 ml pre-filled syringes with 1 separate needle (for each syringe)

Intramuscular use.

52
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/022 – pack of 1
EU/1/01/183/023 – pack of 10
Batch
53
HBVAXPRO 5 micrograms - single dose pre-filled syringe with 2 separate needles - Pack of 1, 10,
20, 50



1 single dose 0.5 ml pre-filled syringe with 2 separate needles
10 single dose 0.5 ml pre-filled syringes with 2 separate needles (for each syringe)

Intramuscular use.

54
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/024 – pack of 1
EU/1/01/183/025 – pack of 10
EU/1/01/183/030 – pack of 20
EU/1/01/183/031 – pack of 50
Batch
55

IM use
3. EXPIRY DATE
EXP MM/YYYY
4. BATCH NUMBER
Lot
0.5 ml
6. OTHER
MSD VACCINS
56
HBVAXPRO 10 micrograms - single dose vial - Pack of 1, 10

1 dose (1 ml) contains:


1 single dose 1 ml vial.
10 single dose 1 ml vials.

Intramuscular use.

57
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/007 – pack of 1
EU/1/01/183/008 – pack of 10
Batch
58

IM use
3. EXPIRY DATE
EXP MM/YYYY
4. BATCH NUMBER
Lot
1 ml
6. OTHER
MSD VACCINS
59
HBVAXPRO 10 micrograms - single dose pre-filled syringe without needle - Pack of 1, 10


Hepatitis B virus surface antigen, recombinant (HBsAg) * .................... 10 micrograms

1 single dose 1 ml pre-filled syringe without needle
10 single dose 1 ml pre-filled syringes without needle

Intramuscular use.

60
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/011 – pack of 1
EU/1/01/183/013 – pack of 10
Batch
61
HBVAXPRO 10 micrograms - single dose pre-filled syringe with 1 separate needle - Pack of 1, 10



1 single dose 1 ml pre-filled syringe with 1 separate needle
10 single dose 1 ml pre-filled syringes with 1 separate needle (for each syringe)

Intramuscular use.

62
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/026 – pack of 1
EU/1/01/183/027 – pack of 10
Batch
63
HBVAXPRO 10 micrograms - single dose pre-filled syringe with 2 separate needles - Pack of 1, 10,
20



1 single dose 1 ml pre-filled syringe with 2 separate needles
10 single dose 1 ml pre-filled syringes with 2 separate needles (for each syringe)
20 single dose 1 ml pre-filled syringes with 2 separate needles (for each syringe)

Intramuscular use.

64
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/028 – pack of 1
EU/1/01/183/029 – pack of 10
EU/1/01/183/032 – pack of 20
Batch
65

IM use
3. EXPIRY DATE
EXP MM/YYYY
4. BATCH NUMBER
Lot
1 ml
6. OTHER
MSD VACCINS
66
HBVAXPRO 40 micrograms - single dose vial - Pack of 1



1 single dose 1 ml vial.

Intramuscular use.

67
8. EXPIRY DATE
EXP MM/YYYY
Do not freeze

APPROPRIATE
MSD VACCINS
69007 Lyon
France
EU/1/01/183/015
Batch
68

IM use
3. EXPIRY DATE
EXP MM/YYYY
4. BATCH NUMBER
Lot
1 ml
6. OTHER
MSD VACCINS
69
B. PACKAGE LEAFLET
70
Package leaflet: Information for the user

Read all of this leaflet carefully before you or your child is vaccinated because it contains important
information.
- Keep this leaflet. You may need to read it again.
- If you have any further questions, ask your doctor, pharmacist or nurse.
- 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. See section 4.
What is in this leaflet:

1. What HBVAXPRO 5 micrograms is and what it is used for
2. What you need to know before you or your child receive HBVAXPRO 5 micrograms
3. How HBVAXPRO 5 micrograms is given
4. Possible side effects
5. How to store HBVAXPRO 5 micrograms
6. Contents of the pack and other information
This vaccine is indicated for active immunisation against hepatitis B virus infection caused by all known
virus.
It can be expected that hepatitis D will also be prevented by immunisation with HBVAXPRO as hepatitis
D does not occur in the absence of hepatitis B infection.
Do not use HBVAXPRO 5 micrograms

- if you or your child is allergic to hepatitis B surface antigen or to any of the other ingredients of
HBVAXPRO (see section 6.)
- if you or your child has a severe illness with fever
Warnings and precautions

The container of this vaccine contains latex rubber. Latex rubber may cause severe allergic reactions.
Talk to your doctor, pharmacist or nurse before you or your child receives HBVAXPRO 5 micrograms.
Others vaccines and HBVAXPRO 5 micrograms

HBVAXPRO can be administered at the same time as with hepatitis B immunoglobulin, at a separate
injection site.
HBVAXPRO can be used to complete a primary immunisation course or as a booster dose in subjects who
have previously received another hepatitis B vaccine.
71
HBVAXPRO may be administered at the same time as with some other vaccines, using separate sites and
syringes.
Tell your doctor, pharmacist or nurse if you or your child is taking, or has recently taken, any other
medicines, including medicines obtained without a prescription.
Pregnancy and breast-feeding

Caution should be exercised when prescribing the vaccine to pregnant or breast-feeding women.
Ask your doctor, pharmacist or nurse for advice before taking any medicine.
Driving and using machines

HBVAXPRO is expected to have no, or negligible, influence on the ability to drive and use machines.
HBVAXPRO 5 micrograms contains sodium: This medicinal product contains less than 1 mmol
sodium (23 mg) per dose, i.e. essentially "sodium- free".
Dosage
The recommended dose for each injection (0.5 ml) is 5 micrograms for individuals from birth through
15 years of age.
Two immunisation schedules can be recommended:

- two injections with an interval of one month followed by a third injection 6 months after the first
administration (0,1,6 months).
- if immunity is needed quickly: three injections with an interval of one month and a fourth dose 1
year later (0,1,2,12 months).
In case of a recent exposure to the hepatitis B virus, a first dose of HBVAXPRO together with the
appropriate dose of immunoglobulin can be given.
Some local vaccination schedules currently include recommendations for a booster dose. Your doctor,
pharmacist or nurse will inform you if a booster dose should be given.
The vial should be well shaken until a slightly opaque white suspension is obtained.
discarded.
The doctor or nurse will give the vaccine as an injection into muscle. The upper side of the thigh is the
preferred site for injection in neonates and infants. The upper arm muscle is the preferred site for injection
in children and adolescents.
This vaccine should never be given into a blood vessel.
Exceptionally, the vaccine may be administered subcutaneously in patients with thrombocytopoenia

(diminution of blood platelets) or to persons at risk of haemorrhage.
If you or your child forget one dose of HBVAXPRO 5 micrograms
72
If you or your child miss a scheduled injection, talk to your doctor, pharmacist or nurse. Your doctor or
nurse will decide when to give the missed dose.
If you or your child have any further questions on the use of this product, ask your doctor, pharmacist or
nurse.
Like all medicines, this vaccine can cause side effects, although not everybody gets them.
As with other hepatitis B vaccines, in many instances, the causal relationship of side effects to the vaccine
has not been established.
The most common side effects seen are injection-site reactions: soreness, redness and hardening.
Other side effects are reported very rarely:

 Low platelet count, Lymph node disease
 Allergic reactions
 Nervous system disorders such as pins and needles, Facial paralysis, Nerve inflammations including
Guillain-Barre Syndrome, Inflammation of the nerve of the eye that leads to impaired vision, Brain
inflammation, Exacerbation of multiple sclerosis, Multiple sclerosis, Convulsions, Headache,
Dizziness and Fainting
 Low blood pressure, Blood vessel inflammation
 Asthma-like symptoms
 Vomiting, Nausea, Diarrhoea, Abdominal pain
 Skin reactions such as eczema, Rash, Itching, Hives and Skin blistering, Hair loss
 Joint pain, Arthritis, Muscle pain, Pain in extremity
 Fatigue, Fever, Vague illness, Flu-like symptoms
 Elevation of liver enzymes
 Inflammation of the eye which causes pain and redness
In babies born very prematurely (at or before 28 weeks of gestation) longer gaps than normal between
breaths may occur for 2-3 days after vaccination.
Reporting of side effects

If you 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 the national reporting system listed in
Appendix V. By reporting side effects you can help provide more information on the safety of this
medicine.
73
Keep this vaccine out of the sight and reach of children.
Do not use this vaccine after the expiry date which is stated on the label.
Store in a refrigerator between 2°C and 8°C

Do not freeze
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.
What HBVAXPRO 5 micrograms contains
The active substance is :

The other ingredients are sodium chloride, borax and water for injections.
What HBVAXPRO 5 micrograms looks like and contents of the pack
HBVAXPRO 5 micrograms is a suspension for injection in a vial.

Pack sizes of 1 and 10 vials without syringe/needle.
Pack size of 1 vial with syringe and needle.
Marketing Authorisation Holder and Manufacturer
Marketing Authorisation Holder:

MSD VACCINS
69007 Lyon
France
Manufacturer Responsible for Batch Release:

Merck Sharp and Dohme, B.V.
Waarderweg, 39
2031 BN Haarlem
The Netherlands
For any information about this vaccine, please contact the local representative of the Marketing
Authorisation Holder.
België/Belgique/Belgien Lietuva
MSD Belgium BVBA/SPRL UAB Merck Sharp & Dohme
74
Tél/Tel: 0800 38 693 (+32(0)27766211) Tel.: +370.5.2780.247
dpoc_belux@merck.com msd_lietuva@merck.com
България Luxembourg/Luxemburg
Мерк Шарп и Доум България ЕООД, MSD Belgium BVBA/SPRL
тел.: + 359 2 819 3737 Tél/Tel: +32(0)27766211
info-msdbg@merck.com
dpoc_belux@merck.com
Česká republika Magyarország

Merck Sharp & Dohme s.r.o. MSD Pharma Hungary Kft.
Tel.: +420 233 010 111 Tel.: + 36.1.888.5300
dpoc_czechslovak@merck.com hungary_msd@merck.com
Danmark Malta
MSD Danmark ApS Merck Sharp & Dohme Cyprus Limited.
Tlf: + 45 4482 4000 Tel: 8007 4433 (+356 99917558)
dkmail@merck.com malta_info@merck.com
Deutschland Nederland
MSD SHARP & DOHME GMBH Merck Sharp & Dohme BV
Tel: 0800 673 673 673 (+49 (0) 89 4561 2612) Tel: 0800 9999000 (+31 23 5153153)
e-mail@msd.de medicalinfo.nl@merck.com
Eesti Norge
Merck Sharp & Dohme OÜ, MSD (Norge) AS
Tel: +372.614.4200 Tlf: +47 32 20 73 00
msdeesti@merck.com msdnorge@msd.no
Ελλάδα Österreich
MSD Α.Φ.Β.Ε.Ε. Merck Sharp & Dohme Ges.m.b.H.
Τηλ: +30 210 98 97 300 Tel: +43 (0) 1 26 044
dpoc_greece@merck.com msd-medizin@merck.com
España Polska
Merck Sharp & Dohme de España, S.A. MSD Polska Sp. z o.o.
Tel: +34 91 321 06 00 Tel.: +48.22.549.51.00
msd_info@merck.com msdpolska@merck.com
France Portugal
MSD VACCINS Merck Sharp & Dohme, Lda
Tél: +33 (0)1 80 46 40 40 Tel: +351 21 4465700
clic@merck.com
Hrvatska România
Merck Sharp & Dohme d.o.o. Merck Sharp & Dohme Romania S.R.L
Tel: +385 1 66 11 333 Tel: + 4021 529 29 00
croatia_info@merck.com msdromania@merck.com
Ireland Slovenija
Merck Sharp & Dohme Ireland (Human Health) Merck Sharp & Dohme, inovativna zdravila d.o.o.
Limited Tel: +386.1.520.4201
Tel: +353 (0)1 2998700 msd.slovenia@merck.com
medinfo_ireland@merck.com
Ísland Slovenská republika
Vistor hf. Merck Sharp & Dohme, s. r. o
75
Sími: + 354 535 7000 Tel: +421 2 58282010
dpoc_czechslovak@merck.com
Italia Suomi/Finland
MSD Italia S.r.l. MSD Finland Oy
Tel: +39 06 361911 Puh/Tel: +358 (0)9 804 650
medicalinformation.it@merck.com info@msd.fi
Κύπρος Sverige
Merck Sharp & Dohme Cyprus Limited Merck Sharp & Dohme (Sweden) AB
Τηλ: 800 00 673 (+357 22866700) Tel: +46 77 5700488
cyprus_info@merck.com medicinskinfo@merck.com
Latvija United Kingdom
SIA Merck Sharp & Dohme Latvija Merck Sharp & Dohme Limited
Tel: +371.67364.224 Tel: +44 (0) 1992 467272
msd_lv@merck.com medicalinformationuk@merck.com
This leaflet was last approved in {MM/YYYY}.
Detailed information on this medicine is available on the European Medicines Agency website:
http://www.ema.europa.eu.
The following information is intended for medical or health care professionals only:
Instructions
The vaccine should be inspected visually prior to administration for any foreign particulate matter and/or
abnormal physical appearance. The vial should be well shaken until a slightly opaque white suspension is
obtained.
76

Read all of this leaflet carefully before you or your child is vaccinated because it contains important
information.
- 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. See section 4.

6. Content of the pack and other information
virus.

- if you or your child is allergic to hepatitis B surface antigen or to any of the other ingredients of
HBVAXPRO (see section 6.)
- if you or your child has a severe illness with fever

Talk to your doctor, pharmacist or nurse before you or your child receive HBVAXPRO 5 micrograms.

injection site.
77
HBVAXPRO may be administered at the same time as with some other vaccines, using separate sites and
syringes.
Tell your doctor, pharmacist or nurse if you or your child is taking or has recently taken any other
medicines, including medicines obtained without a prescription.


Dosage
The recommended dose for each injection (0.5 ml) is 5 micrograms for individuals from birth through 15
years of age.

administration (0,1,6 months).
The doctor or nurse will give the vaccine as an injection into muscle. The upper side of the thigh is the
preferred site for injection in neonates and infants. The upper arm muscle is the preferred site for injection
in children and adolescents.

78
If you or your child forget one dose of HBVAXPRO 5 micrograms
If you or your child miss a scheduled injection, talk to your doctor, pharmacist or nurse. Your doctor or
nurse will decide when to give the missed dose.
If you or your child have any further questions on the use of this product, ask your doctor pharmacist or
nurse.

In babies born very prematurely (at or before 28 weeks of gestation) longer gaps than normal between
breaths may occur for 2-3 days after vaccination.

medicine.
79
Do not freeze
The active substance is:

HBVAXPRO 5 micrograms is a suspension for injection in a syringe.

Pack sizes of 1, 10, 20 and 50 pre-filled syringes without needle or with 2 separate needles,
Pack sizes of 1 and 10 pre-filled syringes with 1 separate needle.

MSD VACCINS
69007 Lyon
France

Waarderweg, 39
2031 BN Haarlem
The Netherlands
Tél/Tel: 0800 38 693 (+32(0)27766211) Tel.: +370.5.2780.247
msd_lietuva@merck.com
тел.: + 359 2 819 3737 Tél/Tel: +32(0)27766211
80

Tel.: +420 233 010 111 Tel.: + 36.1.888.5300
Danmark Malta
Tlf: + 45 4482 4000 Tel: 8007 4433 (+356 99917558)
Tel: 0800 673 673 673 (+49 (0) 89 4561 2612) Tel: 0800 9999000 (+31 23 5153153)
Eesti Norge
Tel: +372.614.4200 Tlf: +47 32 20 73 00
Τηλ: +30 210 98 97 300 Tel: +43 (0) 1 26 044
España Polska
Tel: +34 91 321 06 00 Tel.: +48.22.549.51.00
France Portugal
Tél: +33 (0)1 80 46 40 40 Tel: +351 21 4465700
clic@merck.com
Hrvatska România
Tel: +385 1 66 11 333 Tel: + 4021 529 29 00
Ireland Slovenija
Limited Tel: +386.1.520.4201
Sími: + 354 535 7000 Tel: +421 2 58282010
Tel: +39 06 361911 Puh/Tel: +358 (0)9 804 650
81
Τηλ: 800 00 673 (+357 22866700) Tel: +46 77 5700488
Tel: +371.67364.224 Tel: +44 (0) 1992 467272
Instructions
abnormal physical appearance. The syringe should be well shaken until a slightly opaque white suspension
is obtained.
The needle is attached by twisting in clockwise direction, until the needle fits securely on the syringe.
82

Read all of this leaflet carefully before you are vaccinated because it contains important information
for you.
- If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side
effects not listed in this leaflet. See section 4.

2. What do you need to know before you receive HBVAXPRO 10 micrograms
2. What you need to know before you receive HBVAXPRO 10 micrograms

- if you are allergic to hepatitis B surface antigen or to any of the other ingredients of HBVAXPRO
(see section 6.)
- if you have a severe illness with fever

Talk to your doctor, pharmacist or nurse before you receive HBVAXPRO 10 micrograms.
injection site.
HBVAXPRO can be administered at the same time as with other vaccines, using separate sites and
syringes.
83
Tell your doctor, pharmacist or nurse if you are taking or have recently taken any other medicines,
including medicines obtained without a prescription


Dosage
The recommended dose for each injection (1 ml) is 10 micrograms for individuals 16 years of age or
more.
A course of vaccination should include three injections.

- two injections with an interval of one month followed by a third injection 6 months after the
first administration (0,1,6 months)
For individuals less than 16 years of age, HBVAXPRO 10 micrograms is not recommended. The
appropriate strength for administration to individuals from birth through 15 years of age is HBVAXPRO 5
micrograms.
The doctor or nurse will give the vaccine as an injection into muscle. The upper arm muscle is the
preferred site for injection in adults and adolescents.

If you forget one dose of HBVAXPRO 10 micrograms
84
If you miss a scheduled injection, talk to your doctor, pharmacist or nurse. Your doctor or nurse will
decide when to give the missed dose.
If you have any further questions on the use of this product, ask your doctor, pharmacist or nurse.


medicine.

Do not freeze
85


Pack sizes of 1 and 10 vials.

MSD VACCINS
69007 Lyon
France

Waarderweg, 39
2031 BN Haarlem
The Netherlands
Tél/Tel: 0800 38 693 (+32(0)27766211) Tel.: +370.5.2780.247
тел.: + 359 2 819 3737 Tél/Tel: +32(0)27766211

Tel.: +420 233 010 111 Tel.: + 36.1.888.5300
86
Danmark Malta
Tlf: + 45 4482 4000 Tel: 8007 4433 (+356 99917558)
Tel: 0800 673 673 673 (+49 (0) 89 4561 2612) Tel: 0800 9999000 (+31 23 5153153)
Eesti Norge
Tel: +372.614.4200 Tlf: +47 32 20 73 00
Τηλ: +30 210 98 97 300 Tel: +43 (0) 1 26 044
España Polska
Tel: +34 91 321 06 00 Tel.: +48.22.549.51.00
France Portugal
Tél: +33 (0)1 80 46 40 40 Tel: +351 21 4465700
clic@merck.com
Hrvatska România
Tel: +385 1 66 11 333 Tel: + 4021 529 29 00
Ireland Slovenija
Limited Tel: +386.1.520.4201
Sími: + 354 535 7000 Tel: +421 2 58282010
Tel: +39 06 361911 Puh/Tel: +358 (0)9 804 650
Τηλ: 800 00 673 (+357 22866700) Tel: +46 77 5700488
87
Tel: +371.67364.224 Tel: +44 (0) 1992 467272
This leaflet was last approved in {MM/YYYY}
Instructions
obtained.
88

for you.

2. What do you need to know before you receive HBVAXPRO 10 micrograms

(see section 6.)

injection site.
syringes.
89
including medicines obtained without a prescription.


Dosage
The recommended dose for each injection (1 ml) is 10 micrograms for individuals 16 years of age or
more.

administration (0,1,6 months)
For individuals less than 16 years of age, HBVAXPRO 10 micrograms is not recommended. The
appropriate strength for administration to individuals from birth to 15 years of age is HBVAXPRO 5
micrograms.
preferred site for injection in adults and adolescents.

90


medicine.

Do not freeze
91

HBVAXPRO 10 micrograms is a suspension for injection in a syringe.

Pack sizes of 1, 10 and 20 pre-filled syringes with 2 separate needles.
Pack sizes of 1 and 10 pre-filled syringes without needle, or with 1 separate needle.

MSD VACCINS
69007 Lyon
France

Waarderweg, 39
2031 BN Haarlem
The Netherlands
Tél/Tel: 0800 38 693 (+32(0)27766211) Tel.: +370.5.2780.247
тел.: + 359 2 819 3737 Tél/Tel: +32(0)27766211

Tel.: +420 233 010 111 Tel.: + 36.1.888.5300
92
Danmark Malta
Tlf: + 45 4482 4000 Tel: 8007 4433 (+356 99917558)
Tel: 0800 673 673 673 (+49 (0) 89 4561 2612) Tel: 0800 9999000 (+31 23 5153153)
Eesti Norge
Tel: +372.614.4200 Tlf: +47 32 20 73 00
Τηλ: +30 210 98 97 300 Tel: +43 (0) 1 26 044
España Polska
Tel: +34 91 321 06 00 Tel.: +48.22.549.51.00
France Portugal
Tél: +33 (0)1 80 46 40 40 Tel: +351 21 4465700
clic@merck.com
Hrvatska România
Tel: +385 1 66 11 333 Tel: + 4021 529 29 00
Ireland Slovenija
Limited Tel: +386.1.520.4201
Sími: + 354 535 7000 Tel: +421 2 58282010
Tel: +39 06 361911 Puh/Tel: +358 (0)9 804 650
Τηλ: 800 00 673 (+357 22866700) Tel: +46 77 5700488
93
Tel: +371.67364.224 Tel: +44 (0) 1992 467272
This leaflet was last approved in {MM/YYYY}
Instructions
abnormal physical appearance. The syringe should be well shaken until a slightly opaque white suspension
is obtained.
The needle is attached by twisting in clockwise direction, until the needle fits securely on the syringe.
94

for you.

subtypes in predialysis and dialysis adult patients.
D (caused by the delta agent) does not occur in the absence of hepatitis B infection.
2. What you need to know before you use HBVAXPRO 40 micrograms

(see section 6.)
Warnings and precautions The container of this vaccine contains latex rubber. Latex rubber may cause
severe allergic reactions.

injection site.
95
syringes.
including medicines obtained without a prescription.


Dosage
The recommended dose for each injection (1 ml) is 40 micrograms for predialysis and dialysis adult
patients
A course of vaccination should include three injections.
The schedule is two injections with an interval of one month followed by a third injection 6 months after
the first administration (0, 1, 6 months).
A booster dose must be considered in these vaccinees if the antibody level against hepatitis B virus surface
antigen is less than 10 IU/l.
preferred site for injection in adults.

96


medicine.

Do not freeze
97


Pack size of 1 vial.

MSD VACCINS
69007 Lyon
France

Waarderweg, 39
2031 BN Haarlem
The Netherlands
Tél/Tel: 0800 38 693 (+32(0)27766211) Tel.: +370.5.2780.247
Luxembourg/Luxemburg
България
тел.: + 359 2 819 3737 Tél/Tel: +32(0)27766211
info-msdbg@merck.com dpoc_belux@merck.com

Tel.: +420 233 010 111 Tel.: + 36.1.888.5300
Danmark Malta
98
Tlf: + 45 4482 4000 Tel: 8007 4433 (+356 99917558)
Tel: 0800 673 673 673 (+49 (0) 89 4561 2612) Tel: 0800 9999000 (+31 23 5153153)
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HBVAXPRO Leaflet

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ANNEX I

SUMMARY OF PRODUCT CHARACTERISTICS

HBVAXPRO 5 micrograms, suspension for injection

Hepatitis B vaccine (rDNA)

2. QUALITATIVE AND QUANTITATIVE COMPOSITION

One dose (0.5 ml) contains:

* produced in Saccharomyces cerevisiae (strain 2150-2-3) yeast by recombinant DNA technology.

For the full list of excipients, see section 6.1

Suspension for injection

4.1 Therapeutic indications

4.2 Posology and method of administration

A course of vaccination should include at least three injections.

Two primary immunisation schedules can be recommended:

Immunocompromised vaccinees (e.g. dialysis patients, transplant patients, AIDS Patients)

Special dosage recommendations:

- At birth, one dose of hepatitis B immunoglobulin (within 24 hours).

This vaccine should be administered intramuscularly.

Do not inject intravascularly.

Exceptionally, the vaccine may be administered subcutaneously in patients with thrombocytopoenia or

4.4 Special warnings and precautions for use

For clinical or laboratory monitoring regarding immunocompromised individuals or individuals with

4.6 Fertility, pregnancy and lactation

4.7 Effects on ability to drive and use machines

4.8 Undesirable effects

a. Summary of the safety profile

b. Tabulated summary of adverse reactions

c. Other special population

Reporting of suspected adverse reactions

5.1 Pharmacodynamic properties

Pharmacotherapeutic group: anti-infectious, ATC code: J07BC01

Reduced risk of Hepatocellular Carcinoma

5.2 Pharmacokinetic properties

5.3 Preclinical safety data

Animal reproduction studies have not been conducted.

6.1 List of excipients

6.3 Shelf life

6.4 Special precautions for storage

Store in a refrigerator (2 °C – 8 °C).

6.5 Nature and contents of container

6.6 Special precautions for disposal and other handling

7. MARKETING AUTHORISATION HOLDER

9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION

Date of first authorisation: 27/04/2001

10. DATE OF REVISION OF THE TEXT

HBVAXPRO 5 micrograms, suspension for injection in pre-filled syringe

Hepatitis B vaccine (rDNA)

2. QUALITATIVE AND QUANTITATIVE COMPOSITION

One dose (0.5 ml) contains:

* produced in Saccharomyces cerevisiae (strain 2150-2-3) yeast by recombinant DNA technology.

For the full list of excipients, see section 6.1

Suspension for injection in pre-filled syringe

4.1 Therapeutic indications

4.2 Posology and method of administration

A course of vaccination should include at least three injections.

Two primary immunisation schedules can be recommended:

Immunocompromised vaccinees (e.g. dialysis patients, transplant patients, AIDS Patients)

Special dosage recommendations:

- At birth, one dose of hepatitis B immunoglobulin (within 24 hours).

This vaccine should be administered intramuscularly.