VOLUNTARY NON-SAFETY-RELATED RECALL OF SPECIFIC LOTS
OF NASAL SPRAY VACCINE FOR 2009 H1N1 INFLUENZA
Questions and Answers
Why are some lots of the nasal spray 2009 H1N1 flu
vaccine being recalled from the market?
As part of its quality
assurance program, the manufacturer of the nasal spray monovalent
2009 H1N1 flu vaccine, MedImmune, performs routine,
ongoing stability testing of the vaccine.
Stability testing means measuring the strength (also called potency) of the
vaccine over time to make sure it does not go below a pre-specified limit
during the vaccine’s “shelf life”. On December 18 and 21, the manufacturer notified
CDC and FDA that the potency in 13 batches (called “lots”) of nasal spray vaccine
had decreased below the pre-specified limit or were at risk of falling below
that limit within the upcoming week. The vaccine was within the specified range
at the time the vaccine was distributed. The slight decrease in potency should not
affect how the vaccine works. However,
the manufacturer will send providers directions for returning any unused
vaccine from these lots.
What does potency mean for the nasal
spray 2009 H1N1 vaccine?
Potency (or strength) is
determined by the measurement of the concentration of the active component in
the 2009 H1N1 vaccine.
Are there any concerns about safety of
vaccines from these lots?
No. There are no safety
concerns with these lots of 2009 H1N1 vaccine. All lots successfully passed
pre-release testing for safety, purity and potency.
Should people who received vaccines
from these lots be revaccinated?
No. The vaccine potency is
or will soon be only slightly below the limit.
In addition, much of this vaccine has already been administered while
fully potent and within specifications. The vaccine in these lots is still
expected to be effective in stimulating a protective response. There is no need
to re-administer a dose to those who received vaccine from these lots.
What action(s) should persons who have received
vaccine from the recalled lots take?
Persons who received vaccine from the recalled lots do not need to take any special
actions. As is recommended for all 2009
H1N1 vaccines, all children younger than 10 years old should get the
recommended two doses of 2009 H1N1 vaccine approximately a month apart for the
optimal immune response. Therefore, children younger than 10 years old who have
only received one dose of the nasal spray vaccine thus far should still receive
a second dose of 2009 H1N1 vaccine. It is best to use the same type of vaccine
for the first and second dose.
What are the affected lot numbers?
The affected lot numbers
are:
• 500754P
• 500751P
• 500756P
• 500757P
• 500758P
• 500759P
• 500760P
• 500761P
• 500762P
• 500763P
• 500764P
• 500765P
• 500776P
How many doses are in these lots?
There were approximately 4.7
million doses in these lots that were distributed to providers. Most of the doses were shipped to vaccine
providers in October and early November, during a time when the vaccine potency
was still at or above the recommended level.
The manufacturer is recalling any doses from these lots that may still
be unused.
Is the potency issue related to this recall isolated
to just the 13 lots of nasal spray vaccine?
The voluntary recall
described here is specific to the 13 lots of nasal spray 2009 H1N1 flu vaccine
noted above. Subsequent lots of the
vaccine were produced with a slightly higher potency to decrease the chance
that they would fall “below specification” before their expiration dates. As per their routine practice, the
manufacturer will continue to monitor the potency of those lots, and will
notify healthcare providers if the shelf life of any additional lots is shorter
than expected
This recall does not affect 2009
H1N1 vaccine produced by other manufacturers.
However, a similar recall was conducted recently which involved lots of Sanofi Pasteur’s pediatric 2009 H1N1 vaccine in 0.25 mL pre-filled syringes.
What testing was performed on these lots of vaccine
before they were released?
Before they were shipped, the
lots being recalled now passed all quality controls and met all specifications
for safety, purity, and potency
What is being done to notify providers who received
vaccine from the affected lots?
The manufacturer will send a
notification to providers who received doses from any of the 13 lots of vaccine
so that they can return any unused vaccine.
Where were the affected lots of vaccine
distributed?
Vaccine
from these 13 lots was distributed throughout the