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ABRYSVO®(Respiratory Syncytial Virus Vaccine [bivalent, recombinant]) Prescribing Information for the United Kingdom click here.  

Adult vaccination with ABRYSVOABRYSVO is indicated for:1
  • Active immunisation for the prevention of lower respiratory tract disease (LRTD) caused by respiratory syncytial virus (RSV) in individuals 60 years of age and older.
  • Active immunisation for the prevention of LRTD caused by RSV in individuals 18 through 59 years of age who are at increased risk for LRTD caused by RSV.
The use of this vaccine should be in accordance with official recommendations.1
ABRYSVO and the RSV Vaccination Programme

An older adult RSV vaccination programme using ABRYSVO was introduced across the UK in 2024.² Following advice from the Joint Committee on Vaccination and Immunisation (JCVI), eligibility has expanded to include three adult populations.3

Adults aged 75 years and over who have not previously received RSV vaccination3
Residents of care homes for older adults, regardless
of age3
Adults aged 65 to 74 years with chronic respiratory disease or immunosuppression4
View the eligible clinical risk groups4

Adults aged 65-74 years are eligible if they have:4

  • Poorly controlled asthma
  • Chronic obstructive pulmonary disease (COPD)
  • Bronchiectasis
  • Cystic fibrosis
  • Interstitial lung fibrosis
  • Pneumoconiosis
  • Bronchopulmonary dysplasia
  • Immunosuppression due to disease or treatment (see section 4.4 of the Summary of Product Characteristics)
Click here for UKHSA Green Book: RSV Chapter 27a for guidance on implementationLoadingClick here to view the complete routine immunisation scheduleLoading
Older age is a known risk factor for RSV disease in adults5-9Characterising the burden of RSV disease

3 minute video from global experts explaining the burden of RSV disease compared to influenza and the impact it has on older adults and the healthcare system.

Watch more videos in this seriesLoading
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RSV is associated with a substantial disease burden in adults comparable to influenza, with most of the hospitalisation and mortality burden in the elderly.5

 

Each year, RSV is estimated to lead to around 120,000 GP consultations, 13,000 hospitalisations, and 13,000 A&E attendances* for adults 75 years and older in the UK.**8

Hospital admission estimates were nearly 3 times higher in adults ≥85 years compared to those 75-84 years old in England between October 2018 and April 2023.9

*Only includes A&E attendances that did not result in hospitalisation. **Data published in 2025. 587 admissions per 100,000 per year compared to 221 admissions per 100,000 per year. 

Vaccination delivery in care homes for older adults Considerations if you oversee residents in care homes for older adults
  • Please ensure the eligibility expansion is integrated into your vaccination service planning.
  • If a patient misses vaccination during your visit due to illness or other reasons, schedule a follow-up visit to offer ABRYSVO administration. 
  • Where clinically appropriate, co-administering vaccines can support efficiency and minimise the number of appointments for patients, especially for eligible care-home residents. 
Bitesize videos explaining RSV, transmission and recognising symptoms

Although it gets less attention than influenza, RSV is highly contagious and can be spread by asymptomatic carriers.11-13 Learn more about long RSV transmission and incubation periods and how symptoms can vary widely and are more severe at the extremes of age.11-16

Watch more videos in this seriesLoadingWatch more videos in this seriesLoading
The impact of RSV infection from a patient perspective Rebecca's RSV Story

In this video Rebecca shares her experience of RSV infection, including her symptoms, hospitalisation and the importance of being aware of RSV within the broader context of respiratory illnesses. 

Learn more about RSV vaccination with our resources available here.Loading
ABRYSVO safety profile

The safety profile of administering a single dose of ABRYSVO to individuals 18 years and older (n=20,275) was evaluated in clinical trials.1

The majority of reactions in individuals 18 years of age and older were mild to moderate in severity and resolved within 1-2 days of onset.1

The most frequently reported adverse reactions were fatigue (23%), headache (20%), vaccination site pain (19%) and myalgia (16%).1

Scroll left to view table
System organ classVery common
(≥1/10)
Common
(≥1/100 to <1/10)
Uncommon
(≥1/1000 to <1/100)
Rare
(≥1/10,000 to <1/1000)
Very Rare
(<1/10,000)
Not known
(cannot be estimated
from the available data)
Blood and lymphatic system disorders---Lymphadenopathy--
Immune system disorders---Hypersensitivity reactions (includes rash, urticaria)Anaphylaxis-
Nervous system disordersHeadache--Guillain-Barré syndromea--
Musculoskeletal and connective
tissues disorders
MyalgiaArthralgia----
General disorders and administration
site conditions
Fatigue, Vaccination
site pain
Vaccination
site redness,
Vaccination
site swelling
PyrexiaVaccination site pruritus, Vaccination site bruising, Vaccination site haematoma--

aFrequency reported in individuals 60 years of age and older

Among immunocompromised individuals 18 years of age and older, reactogenicity was consistent with the known profile of ABRYSVO. There were no unexpected safety findings.1


Please refer to the SmPC for additional safety information. 

Click here to view the adverse reactions following administration of ABRYSVO for pregnant individuals ≤49 yearsLoading


Contraindications1

Hypersensitivity to the active substances or to any of the excipients listed in section 6.1 of the SmPC.

Scroll left to view table
Special warning1Precaution for use1
TraceabilityIn order to improve the traceability of biological medicinal products, the name and the batch number of the administered product should be clearly recorded.
Hypersensitivity and anaphylaxisAppropriate medical treatment and supervision should always be readily available in case of an anaphylactic event following the administration of the vaccine.
Anxiety-related reactionsAnxiety-related reactions, including vasovagal reactions (syncope), hyperventilation or stress-related reactions may occur in association with vaccination as a psychogenic response to the needle injection. It is important that procedures are in place to avoid injury from fainting.
Concurrent illnessVaccination should be postponed in individuals suffering from an acute febrile illness. However, the presence of a minor infection, such as a cold, should not result in the deferral of vaccination.
Thrombocytopenia and coagulation disordersABRYSVO should be given with caution to individuals with thrombocytopenia or any coagulation disorder since bleeding or bruising may occur following an intramuscular administration to these individuals.
Immunocompromised individualsSafety and immunogenicity have been assessed in immunocompromised individuals, including those receiving immunosuppressant therapy. The efficacy of ABRYSVO may be lower in immunosuppressed individuals.
Guillain-Barré syndromeGuillain-Barré syndrome has been reported rarely following vaccination with ABRYSVO in individuals ≥60 years1

The ABRYSVO patient information leaflet describes Guillain-Barré syndrome as a serious nerve condition that usually starts with pins and needles (an uncomfortable tingling sensation) and weakness of the legs and/or arms that can progress up to paralysis of part or all of the body, and include difficulty breathing. Urgent hospital treatment is required to help prevent the symptoms progressing and improve recovery, however the effects of Guillain-Barré syndrome may sometimes be long-lasting17.

Healthcare professionals should be attentive to signs and symptons of Guillain-Barré syndrome in all ABRYSVO recipients to ensure correct diagnosis, in order to initiate adequate supportive care and treatment, and rule out other causes1
Limitations of vaccine effectivenessAs with any vaccine, a protective immune response may not be elicited after vaccination.
ExcipientsThis medicinal product contains less than 1 mmol sodium (23 mg) per dose, that is to say essentially ‘sodium‑free’. ABRYSVO contains polysorbate 80. Polysorbate 80 may cause hypersensitivity reactions. 
Individuals less than 28 weeks gestationABRYSVO has not been studied in pregnant individuals less than 24 weeks of gestation and should not be used in pregnant individuals less than 28 weeks of gestation.
ABRYSVO special warnings and precautions for use

This content is for the United Kingdom only. Please refer to the Summary of Product Characteristics for more information.

ABRYSVO Maternal Vaccination Home PageLoadingABRYSVO Private Market Home PageLoadingABRYSVO Useful ResourcesLoading
  • Stay up to date on ABRYSVO

  • Keep up to date with updates, events and key information. 
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1. ABRYSVO (Respiratory Syncytial Virus Vaccine [bivalent, recombinant]) Summary of Product Characteristics for the United Kingdom. Available at: https://www.medicines.org.uk/emc/product/15309.
2. UK Health Security Agency. RSV vaccination of older adults: information for healthcare practitioners. Updated June 2026. Available at: https://www.gov.uk/government/publications/respiratory-syncytial-virus-rsv-programme-information-for-healthcare-professionals/rsv-vaccination-of-older-adults-information-for-healthcare-practioners [Accessed August 2026]
3. UK Health Security Agency. RSV vaccination for older adults: expansion of eligibility. Annexe A: detailed information, guidance and resources for healthcare professionals. Published February 2026. Available at: https://www.gov.uk/government/publications/rsv-vaccination-for-older-adults-expansion-of-eligibility/annexe-a-detailed-information-guidance-and-resources-for-healthcare-professionals [Accessed August 2026]
4. UK Health Security Agency. Expansion of eligibility to adults aged 65 to 74 years in certain clinical at-risk groups letter. GOV.UK. Available at: https://www.gov.uk/government/publications/rsv-vaccination-expansion-of-eligibility-to-older-adults-in-certain-clinical-risk-groups/expansion-of-eligibility-to-adults-aged-65-to-74-years-in-certain-clinical-at-risk-groups-letter [Accessed August 2026]
5. Fleming DM, et al. BMC Infect Dis. 2015;15:443–455.
6. Stephens LM, Varga SM. Vaccines (Basel) 2021;9(6):624.

7. UK Department of Health and Social Care. Respiratory syncytial virus (RSV) immunisation programme for adults aged 80 years and older: JCVI advice, 16 July 2025. Available at: https://www.gov.uk/government/publications/rsv-immunisation-programme-jcvi-advice-16-july-2025/respiratory-syncytial-virus-rsv-immunisation-programme-for-adults-aged-80-years-and-older-jcvi-advice-16-july-2025 [Accessed August 2026].
8. Vyse A, et al. Journal of Pharmaceutical Policy and Practice. 2025; 18:1, 2576618.
9. 
Johannesen, C. et al. The Lancet Regional Health – Europe. 2025; 51, 101227.
10. 
UK Health Security Agency. Expansion of RSV vaccine eligibility to those aged 80 years and older and residents in care homes for older adults letter. Available at: https://www.gov.uk/government/publications/rsv-vaccination-for-older-adults-expansion-of-eligibility/expansion-of-rsv-vaccine-eligibility-to-those-aged-80-years-and-older-and-residents-in-care-homes-for-older-adults-letter. [Accessed August 2026].
11. Centres for Disease Control and Prevention. How RSV Spreads. Available at: https://www.cdc.gov/rsv/causes/index.html. [Accessed August 2026].
12. Carvajal JJ, et al. Front Immunol. 2019;10(2152):1-19.
13. Hall CB. Clin Infect Dis. 2000;31(2):590-596.
14. Eiland LS. J Pediatr Pharmacol Ther. 2009;14(2):75-85.
15. Talbot HK, et al. Infect Dis Clin Pract. 2016;24(6):295-302.
16. Centres for Disease Control and Prevention. RSV in older adults. https://www.cdc.gov/rsv/older-adults/index.html/ [Accessed August 2026].
17.
ABRYSVO Patient Information Leaflet. Available at: www.medicines.org.uk/emc/product/15309/pil. [Accessed August 2026].

PP-A1G-GBR-0663. August 2026

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