Vaxigrip

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Vaxigrip

Method of action: Vacciness

Treatment option:

Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Vaxigrip

Quick Facts

Property Description
Active Ingredient Influenza Virus Surface Antigens (Haemagglutinin and Neuraminidase)
Form Suspension for injection (in a Pre-filled syringe)
Pharmacological Class Immunological Agent; Inactivated Vaccine
Common Use Prophylaxis of influenza disease (Active immunisation)
Origin Biological medicinal product; viral strains selected by WHO

What is Vaxigrip?

What Type of Medicine is Vaxigrip? (Identity and Classification)

Vaxigrip is classified as a biological medicinal product and an Immunological Agent, specifically an Inactivated Influenza Vaccine (Split Virion). This type of vaccine is rendered non-infectious through the manufacturing process, utilizing only purified surface fragments (split virions) of the Influenza virus. This ensures the product cannot cause the influenza disease it is intended to prevent. Vaxigrip is an established brand used in annual seasonal vaccination efforts. It is available as a Trivalent Influenza Vaccine or a Quadrivalent Influenza Vaccine (Vaxigrip Tetra), reflecting its nature as a combination product designed to achieve active immunisation.

Composition, Form, and General Purpose (Composition and Use Intents)

The active ingredient(s) in Vaxigrip are the Influenza Virus Surface Antigens (Haemagglutinin and Neuraminidase). These components are sourced from strains, including Type A and Type B components, which are updated annually according to global surveillance data and recommendations from the World Health Organization (WHO). The finished product is supplied as a sterile Suspension for injection, presented in a Pre-filled syringe. The vaccine is designed to induce a humoral immune response, stimulating the production of specific antibodies against the viral surface proteins, which provides the basis for limiting subsequent infection. This fundamental action of creating immunological memory is intended to help achieve seroprotection and mitigate the risk of influenza disease in the target population.

What side effects are possible with Vaxigrip ?

Possible Side Effects and Safety Information

The safety profile for Vaxigrip, documented in official regulatory sources, classifies adverse reactions based on the frequency observed in clinical studies and post-marketing surveillance. Most reported reactions are generally transient and typically resolve within one to three days of onset.

Frequency-Classified Adverse Reactions

The majority of effects are categorized as Very Common or Common, primarily affecting the administration site and manifesting as temporary systemic symptoms.

Classification Examples (System-Organ Class)
Very Common (ge 1/10) Injection site pain, Headache, Myalgia (muscle ache), Malaise (feeling unwell)
Common (ge 1/100 to < 1/10) Fever, Shivering, Injection site erythema (redness), Swelling, Induration (hardness)

Serious and Post-Marketing Safety Notes

Certain clinically significant events are documented in post-marketing surveillance with a frequency classified as Not Known (cannot be estimated from available data). These Serious Adverse Reactions include rare occurrences of severe Allergic reactions such as Anaphylaxis, and specific Neurological disorders such as Guillain-Barré Syndrome (GBS), Convulsions, and Vasculitis.

Population-Specific Constraints

The vaccine is contraindicated in individuals with a known hypersensitivity to the active substances, any excipients, or to traces of components such as egg protein or neomycin. Furthermore, caution is advised in subjects with a bleeding disorder or thrombocytopenia due to the risk of bleeding from intramuscular administration. Adverse reaction frequencies may differ in Older Adults and Children (under 24 months of age), where specific symptoms like irritability are noted.

Overdose and Emergency Response

Overdose and When to Seek Help: Official Regulatory Information

The information below summarizes the official guidance on Vaxigrip overdose and emergency response, derived strictly from governmental regulatory documents.

Overdose is defined as the administration of a dose larger than recommended. Regulatory documents confirm that the clinical effects observed following such an over-administration are reported to be consistent with the known safety profile of the vaccine, meaning no unique toxicological syndrome is expected.


Documented Management Protocol

Action/Measure Regulatory Requirement
Symptom Profile Manifestations align with the known adverse reaction profile (e.g., pain, malaise, headache).
Post-Administration Step The individual should be monitored and given symptomatic treatment as appropriate.
Antidote Availability No specific antidote is documented.

When to Seek Urgent Medical Help

The most severe outcome noted by regulators that requires immediate action is a severe allergic reaction, such as anaphylactic shock, which is a rare, life-threatening risk associated with any injectable vaccine.

Individuals must seek immediate medical attention or go to the nearest hospital emergency room immediately if signs of a life-threatening allergic reaction occur, including difficulty breathing, swelling of the face, tongue, or throat, or dizziness.

For non-life-threatening over-administration events, contacting a regional Poison Control Centre may be advised.

Therapeutic Uses of Vaxigrip

What Vaxigrip Treats: Main Uses and Benefits

Vaxigrip is commonly used for prophylaxis (prevention) and its use is focused on therapeutic benefits related to preventing disease.


Preventing Seasonal Influenza Disease

This core domain is applied for prophylactic measures to protect against the specific Influenza A and Influenza B viral strains circulating during the seasonal risk period. The primary purpose for patients is establishing a defense against the circulating strains, which generally supports a reduced risk of contracting seasonal influenza illness. It assists with managing symptoms related to systemic imbalance and acute or episodic changes, supporting patients by easing distressing symptoms that interfere with daily functioning.

Mitigating Severe Outcomes and Complications

The primary purpose is generally associated with reducing the risk of experiencing severe laboratory-confirmed influenza illnesses. This supports managing severe outcomes and may assist with maintaining functional stability against serious disease manifestations. This support is especially vital for older adults and individuals with chronic medical conditions who may experience heightened symptomatic intensity.


Quick Fact: Relief for Severe Disease Outcomes

Property Description
Primary Use Prevention of seasonal influenza disease
Symptom Scope Mitigation of high-impact systemic symptoms related to acute viral illness
Patient Benefit Supports managing severe outcomes and may assist with maintaining functional stability against serious illness.

Eligibility and Restrictions for Use

Vaxigrip is officially indicated for active immunisation against influenza in adults and children from 6 months of age and older. Eligibility and restrictions are strictly defined by regulatory documents based on the patient's condition and history.

Who Cannot Use Vaxigrip (Contraindications)

Individuals must not use Vaxigrip if they have a known hypersensitivity to the active substances, to any excipients in the vaccine, or to any trace components remaining from the manufacturing process. These trace components specifically include egg proteins (ovalbumin, chicken proteins), neomycin, formaldehyde, and octoxinol-9.

Eligibility and Specific Population Rules

Population Group Regulatory Status
Infants under 6 months Use for active immunisation is not established (no data available).
Pregnant or Breastfeeding Women Permitted for use during all stages of pregnancy and while breastfeeding. Maternal vaccination may provide passive protection to the infant.
Acute Illness Vaccination must be postponed in the event of moderate or severe febrile disease or acute illness until the patient has recovered.
Bleeding Disorders Requires caution during administration due to the risk of bleeding in subjects with thrombocytopenia or a bleeding disorder.
Immunosuppressed Persons The expected immune response may be diminished in these individuals.

These rules outline the groups permitted, those contraindicated, and those requiring conditional use, as specified in the official prescribing information.

What should I know about interactions with other medicines?

The official regulatory profile for Vaxigrip is defined by its role as an immunological agent, focusing on interactions that affect the immune response rather than typical drug metabolism pathways.

Interaction Scope

The primary documented interaction involves a pharmacodynamic effect with Immune-Altering Therapies. Co-administration with immunosuppressant treatment or the presence of an underlying immunocompromised status may result in a diminished or reduced immunological response to the vaccine. This is a documented caution tied to the expected outcome of the active immunization.

The regulatory labeling does not formally list any specific non-vaccine medicine or substance as a contraindicated combination. Furthermore, the regulatory label generally indicates that no formal pharmacokinetic interaction studies have been performed with specific non-vaccine medicinal products, meaning interactions related to CYP enzymes or drug transporters are not documented in the official prescribing information.

Timing and Co-administration Rules

Vaxigrip can be given at the same time as other vaccines, including the Pneumococcal Polysaccharide Vaccine and Zoster vaccine, based on clinical experience. For any concomitant administration of injectable vaccines, regulatory text requires a mandatory procedural constraint: separate injection sites and separate syringes must be used. This constraint addresses a requirement for physical compatibility during the administration process.

Mechanism of Action

Antigenic Priming and Adaptive Immunity Induction

This mechanism is initiated when non-infectious viral antigens, specifically Haemagglutinin and Neuraminidase, are presented to host Antigen-Presenting Cells (APCs). This first step engages the Adaptive Immune System Pathway by activating specific T-helper cells, a process that programs the entire defense system for recognition.

️ Humoral Cascade and Neutralizing Antibody Synthesis

Following priming, the mechanism shifts to the Humoral Immunity domain, where B lymphocytes are stimulated to mature into Plasma Cells. This molecular cascade results in the mass synthesis and release of specific, high-affinity neutralizing antibodies into systemic circulation, thereby establishing a physiological defense mechanism. The antibodies create a physical antagonism mechanism to viral binding by inhibiting the attachment of the wild-type virus to healthy host cells.

Establishing Immunological Memory and Long-Term Defense

The ultimate physiological consequence is the Establishment of Immunological Memory, achieved through the formation of long-lived Memory Cells. This mechanism ensures that the body is permanently programmed for a rapid and amplified secondary response upon subsequent encounter with the specified viral surface proteins, supporting the restriction of viral dissemination within the host.

Dosage and Administration Information

Administration Scope

The administration of Vaxigrip is performed according to established protocols. The vaccine is a suspension for injection and is generally administered by the intramuscular (IM) route, although the subcutaneous (SC) route is permitted. Intravascular administration (into a vein) is strictly prohibited.


Labeled Dosing and Schedule

The standard dose for adults and children 9 years of age and older is a single 0.5 mL volume. This standard 0.5 mL dose is intended for annual administration, typically before the influenza season, reflecting the constant change in circulating viral strains. Prior to use, the contents of the pre-filled syringe must be shaken gently to ensure the suspension is uniform. The preferred injection site for adults is the deltoid muscle.


Age-Group Administration Rules

A specific schedule applies to younger children: an initial course of two doses of 0.5 mL is required for children 6 months to less than 9 years who have never been vaccinated against influenza. The two doses must be separated by an interval of at least four weeks to complete the primary course. For all individuals, if Vaxigrip is administered at the same time as other vaccines, separate injection sites and syringes must be used.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Vaxigrip


Evidence for Use in Adults and Older Adults (Active Immunization)

Studies have been conducted to explore the use of Vaxigrip in adults (ages 18–60) and older adults (over 60). Research examined measurements related to the body's response and the occurrence of certain health events during follow-up. These short-term clinical trials involved monitoring participants over defined time intervals.

The findings describe patterns observed in these studies. Research describes measurements related to specific biological indicators during the study period. Studies monitored outcomes reflecting systemic or functional imbalance, reporting that a response was observed in the studied participants. Studies found that different patterns were reported between adults under 60 and older adults.

Evidence for Use in Children and Adolescents (Active Immunization)

Research explored the use of Vaxigrip in pediatric populations, typically starting from 6 months of age up through adolescents. These studies were structured to examine short-term changes, focusing on monitoring outcomes monitoring physiological strain or stress and certain outcomes reflecting systemic or functional imbalance.

Studies report measurements of specific biological markers in these observed populations. Research describes findings that reflect patterns related to the measured physiological response in these groups. However, data for certain age groups, particularly very young children, remain insufficient, and sample sizes were modest in some cohorts.

What is Still Uncertain About Vaxigrip

Long-term outcomes are not fully established, as follow-up durations were limited across much of the evidence base. Data for certain groups, including very young children and individuals with specific chronic health conditions, remain insufficient.

The findings were sometimes mixed across studies, and evidence quality varies, which means certainty remains low in certain areas. Furthermore, comparative evidence that directly contrasts different formulations or different age groups is sometimes lacking. The research provides context but not individual predictions, and studies help show what has been observed so far, though the full scope of potential outcomes is still emerging.

Frequently Asked Questions (FAQ)

Common questions about Vaxigrip (FAQ)


Q: What specific strains of virus are usually included in Vaxigrip?

A: The Vaxigrip Quadrivalent formula typically includes antigens from four strains of inactivated influenza virus. This includes two Type A subtypes and two Type B types, which are selected annually based on global surveillance and recommendations from the World Health Organization (WHO).


Q: How long is Vaxigrip considered effective or protective?

A: According to official information, it generally takes about two to three weeks after vaccination for the body to establish its protective immune response. Protection from the vaccine is limited, and annual administration is typically the schedule described in the product information because circulating viral strains often change each year.


Q: Why do some people feel ill after getting Vaxigrip?

A: Temporary symptoms like headache, muscle ache, fever, or a general feeling of being unwell (malaise) are documented in clinical studies. These are classified as very common or common side effects and usually resolve on their own within one to three days. These effects are temporary signs that the body's immune system is responding to the vaccine.


Q: Can I receive Vaxigrip if I have an autoimmune condition?

A: Official information indicates that people who are immunocompromised, such as those receiving immunosuppressant treatment, may have a diminished or reduced immune response to the vaccine. Regulatory documents note that the use of the vaccine depends on a complete assessment of individual circumstances.


Q: Does Vaxigrip interact with common pain relievers like ibuprofen or paracetamol?

A: The regulatory label does not formally list any specific non-vaccine medicine or substance, including common pain relievers, as a contraindicated combination. Official product information states that no formal clinical studies have been performed specifically with these types of medicinal products.


Q: Does Vaxigrip interact with blood thinners?

A: The product information states that caution is necessary during administration for people with a bleeding disorder or thrombocytopenia due to the risk of bleeding or bruising following the injection. There is no specific drug-to-drug (pharmacological) interaction listed in the regulatory texts.


Q: Are there any preservatives in Vaxigrip?

A: Trace amounts of components like neomycin or formaldehyde may be present as residuals from the manufacturing process. The pre-filled syringe presentation of Vaxigrip Tetra is described as thiomersal-free (mercury-free).


Q: Does Vaxigrip protect against all types of flu viruses?

A: The vaccine is prepared to provide protection against the four specific strains of influenza virus from which it is manufactured. Official product information indicates that the vaccine may not protect against all possible strains or types of influenza virus, nor does it protect against other respiratory illnesses like the common cold.


Q: What is the benefit of the quadrivalent formula versus the old trivalent formula?

A: The quadrivalent formula provides coverage against two influenza A subtypes and two influenza B types. This provides broader coverage compared to the older trivalent formula, which typically only includes one B virus type.


Q: What does 'haemagglutinin' mean in the description of Vaxigrip?

A: Haemagglutinin is one of the active substances in the vaccine. It is a protein found on the surface of the influenza virus used by the body to build a protective immune response.


Q: Why is Vaxigrip generally given as an injection, not a nasal spray?

A: Vaxigrip is an inactivated vaccine, meaning the virus is not live. This type of formulation is supplied as a suspension for injection and is designed to be administered into the muscle (intramuscular) or under the skin (subcutaneous) to ensure the correct immune response is developed.


Q: Is Vaxigrip approved in multiple countries, and are the formulas the same?

A: Vaxigrip is a globally established brand, and the selection of viral strains used in the vaccine is guided by the annual recommendations of the World Health Organization (WHO). This ensures that the viral components are relevant to the circulating strains determined globally.


Q: Can Vaxigrip be received by someone with a severe needle phobia?

A: The vaccine is most commonly administered by the intramuscular (IM) route, but the regulatory documents also permit the subcutaneous (SC) route. Official product information states that both the intramuscular (IM) route and the subcutaneous (SC) route are permitted for administration.


Q: What does the term 'seasonal prophylaxis' mean for Vaxigrip?

A: This term means that the vaccine is used for active immunisation, or protection, against influenza disease. The term 'seasonal' refers to the fact that influenza activity occurs primarily during specific, recognized seasons.


Q: Does the efficacy of Vaxigrip vary depending on the patient's age?

A: Clinical trials have been conducted across all age groups, including children, adults, and older adults. Studies indicate that the observed biological response to the vaccine may show different patterns between various age cohorts.


Q: Is it possible to receive Vaxigrip too early or too late in the season?

A: Vaccination is typically suggested before the start of the influenza season. Public health guidance notes that receiving the vaccination much earlier than the start of the season may result in reduced protection later in the season. Similarly, receiving it late may mean that the immune response is not fully developed before peak influenza activity occurs.


Q: What should I know about the manufacturing or testing of Vaxigrip?

A: Vaxigrip is described as a split-virion, inactivated vaccine. The manufacturing process involves inactivating the virus and purifying its surface fragments, called antigens, to ensure the finished product cannot cause influenza disease.


Q: Can Vaxigrip be used by healthcare workers?

A: Vaxigrip is officially indicated for use in adults and children from 6 months of age and older. The prescribing information includes no specific restrictions on the use of the vaccine by healthcare workers.


Q: What is the official definition of a serious reaction to Vaxigrip?

A: A serious adverse reaction is formally defined by regulatory agencies as one that results in death, is life-threatening, requires hospitalisation, results in significant disability or incapacity, or is a birth defect.


Q: What is the purpose of the 'adjuvant' mentioned in some vaccine descriptions?

A: An adjuvant is an additional substance sometimes used in vaccines to help enhance or boost the body’s immune response to the active ingredients. Vaxigrip Tetra is a standard-dose vaccine and does not contain an adjuvant.


Q: What is the difference between Vaxigrip and the high-dose versions of flu medicines?

A: Vaxigrip is considered a standard-dose vaccine. High-dose vaccines are available and typically contain four times the amount of the active ingredient per viral strain. High-dose versions are generally specifically indicated for older adults.


Q: Why do official sources recommend getting Vaxigrip early in the season?

A: The product label or guidance notes that administration is typically suggested early in the season to allow sufficient time (about two to three weeks) for the body to develop a full immune response. This ensures the protection is in place before the seasonal influenza activity typically begins.


Q: What official body monitors the safety of Vaxigrip after it is distributed?

A: Drug agencies, such as the European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA), continuously monitor the safety of Vaxigrip. This is done through official post-marketing surveillance and vigilance systems that collect information after the drug is distributed.


Q: What is the official reporting process if someone suspects a side effect from Vaxigrip?

A: The official process for reporting suspected side effects is managed by the national regulatory authority in each region (for example, MedWatch in the US). The product information instructs individuals to contact a healthcare professional or pharmacist if they suspect a side effect.


Q: Why are there certain ingredients in Vaxigrip listed as 'trace amounts'?

A: Trace components, such as egg proteins, neomycin, formaldehyde, and octoxinol-9, are listed because they are used in the vaccine's manufacturing process. These ingredients may remain in minute, residual quantities in the final product.

How should Vaxigrip be stored and disposed of?

Storage and Disposal Requirements for Vaxigrip

Storage Conditions:

  • Temperature: Store Vaxigrip continuously in a refrigerator at 2 C to 8 C (36 F to 46 F). The vaccine must not be frozen; discard immediately if freezing has occurred.
  • Protection: Keep the syringe or vial in the original outer carton to protect the product from light.
  • Accessibility: As with all medicines, store Vaxigrip out of the sight and reach of children.

Stability and Handling:

  • Do not use the vaccine past the expiry date (EXP) printed on the packaging.
  • The vaccine should be allowed to warm to room temperature before administration.

Disposal Instructions:

Do not dispose of Vaxigrip via household waste or wastewater. To ensure environmental protection, consult your doctor, nurse, or pharmacist on how to properly dispose of unused or expired medicine.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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Equivalent of Vaxigrip  found in:

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