Nukovax 13 Vaccine

• If you have a known allergy to Nukovax 13 vaccine or any of its components.
• If you have a known allergy to diphtheria toxoid, which is related to the carrier protein used in this vaccine.
• If you have had a severe allergic reaction, such as anaphylaxis, to a previous dose of any pneumococcal conjugate vaccine.

• Pain, tenderness, redness, swelling or hardening at the injection site
• Fever
• Headache
• Muscle pain and joint pain
• Tiredness

• Nausea, vomiting or diarrhoea
• Rash or itching
• Swollen glands near the injection site
• Dizziness, or feeling faint around the time of the injection

• Severe allergic reaction, with swelling of the face, lips, tongue or throat, difficulty breathing or swallowing, a widespread rash, a sudden drop in blood pressure or collapse
• Seizures or other severe or unusual symptoms following vaccination require prompt medical assessment.
• A fever that is high or that is not settling

Other General Warnings

• If you have a moderate or severe acute illness, particularly with fever, your doctor may postpone vaccination until you recover.
• You have a low resistance to infection because of a course of treatment, such as medicines or radiation treatment for cancer.
• You have a longstanding illness or an infection that may have lowered your resistance to pneumococcal infection.
• You have a bleeding or clotting disorder, a low platelet count, or take blood-thinning medicines, as an injection into a muscle can cause bleeding or bruising.
• You have fainted after an injection before, or have a history of seizures, including fits brought on by fever.
• You have had a severe allergic reaction to any vaccine, or to diphtheria toxoid.
• You have no spleen, a poorly functioning spleen, a cochlear implant or a cerebrospinal fluid leak, as additional pneumococcal vaccination may be recommended.

• Nukovax 13 vaccine will be administered by a doctor or nurse.
• Do not self-inject. Follow any aftercare instructions your doctor or nurse gives.
• It is given as a muscle injection, usually in the upper arm. It must never be given into a vein.
• Your doctor will advise whether vaccination is appropriate for you and when to give it.
• Tell the doctor or nurse before the injection about any allergies, fever on the day, bleeding or clotting problems, and any medicines that affect the immune system.
• Stay where you were vaccinated for a short observation period afterwards, so staff can treat any immediate reaction.
• Keep the vaccination record you are given and bring it to your next appointment.

• Store at 2°C to 8°C. Protect from light. Keep out of reach of children.
• Do not freeze. Discard the vaccine if it has been frozen, even if it has thawed and looks normal.
• Keep in the original carton until use, and shake before use to ensure a uniform suspension.
• Do not use the vaccine after its expiry date, if the packaging is damaged, or if the contents look unusual.
• Do not dispose of it in household waste or down a drain. The clinic or pharmacy disposes of vaccines and used syringes.

• Nukovax 13 is intended for adults aged 18 to 49 years. Ask your doctor whether it is the right pneumococcal vaccine for you.
• This vaccine protects only against 13 types of pneumococcus. It does not prevent every case of pneumonia or meningitis, and it does not treat an infection already present.
• If you have a high fever on the day of vaccination, we will usually postpone it until you recover. A mild cold without fever is not a reason to delay.
• A cool compress over the injection site may help relieve soreness. Ask your doctor before taking a painkiller.
• Tell your doctor if your spleen has been removed or works poorly, if you have a cochlear implant or a history of cerebrospinal fluid leak, or if you are planning treatment that weakens the immune system, as vaccination timing matters.
• Tell your doctor whether you have already received a pneumococcal polysaccharide vaccine, as the order and spacing of the two types matter.
• Keep the vaccination record and bring it to your next appointment.

Overdose

Missed a Dose

Interactions with other drugs

Interactions with food items