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AboutAboutNimenrix Dosing and AdministrationNimenrix in the Green BookNimenrix TravelSupport & ResourcesSupport & ResourcesClinic Support MaterialsVideosMaterials

Click here for Nimenrix® (meningococcal groups A, C, W-135 and Y conjugate vaccine) Prescribing Information.
Adverse event reporting information can be found at the bottom of the page.

Nimenrix Dosing and Administration

Nimenrix (meningococcal groups A, C, W-135 and Y conjugate vaccine) is for active immunisation of individuals from the age of 6 weeks against invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, W-135 and Y.1

Nimenrix dosing schedule:*,†,1
Recipient Age Primary Immunisation Schedule
Infants from 6 weeks to less than 6 months of age  
Two doses:
1st dose (0.5ml) given from 6 weeks of age
2nd dose (0.5ml) given 2 months after 1st dose

Infants from 6 months of age, children, adolescents and adults Single (0.5ml) dose
Booster Dose:1

After completion of the primary immunisation course in infants 6 weeks to less than 12 months of age, a booster dose should be given at 12 months of age with an interval of at least 2 months after the last Nimenrix vaccination.

In previously vaccinated individuals 12 months of age and older, Nimenrix may be given as a booster dose if they have received primary vaccination with a conjugated or plain polysaccharide meningococcal vaccine.

Method of administration:1Immunisation should be carried out by intramuscular injection only.

In infants, the recommended injection site is the anterolateral aspect of the thigh.

In individuals from 1 year of age, the recommended injection site is either the anterolateral aspect of the thigh or deltoid muscle.

*See prescribing information for further information
†Nimenrix should be used in accordance with official recommendations

Nimenrix Reconstitution and Administration

Nimenrix is available as a single pack with two needles for reconstitution and administration (23G blue and 25G orange, 25mm).2

Nimenrix is supplied as powder in a vial and solvent in a pre-filled syringe. The vaccine is reconstituted with the solvent presented in the pre-filled syringe.  These components require reconstitution prior to administration.1

How is Nimenrix reconstituted?1​​​​​​​1

In one hand, hold the syringe barrel (avoid holding the syringe plunger) and unscrew the syringe cap by twisting it anti-clockwise.

2

Attach the needle to the syringe by twisting it clockwise into the syringe until it locks, then remove the needle protector.

3

Inject the solvent from the syringe into the vial containing powder to reconstitute the vaccine components.

4

After all the solvent has been injected into the vial, shake well to ensure all the powder has dissolved.

How is Nimenrix administered?11

Once reconstituted, inspect the solution. Nimenrix should appear as a clear, colourless solution. If any foreign particulate matter is visible or there is a variation in the physical appearance, the vaccine should be discarded.

2

Using a new needle, administer 0.5 ml of reconstituted Nimenrix as a single intramuscular injection.

3

Dispose of any unused product or waste material in accordance with local requirements.

Visuals sourced and adapted from www.vecteezy.com.​​​​​​​

How should Nimenrix be stored?1

Before reconstitution – Nimenrix should be stored in the refrigerator between 2°C and 8°C in its original packaging. It has a shelf life of 4 years, but the expiry date on the packaging should always be checked prior to use.

After reconstitution – Nimenrix should be used promptly following reconstitution. Although delay is not recommended, stability has been demonstrated for 8 hours at 30°C after reconstitution. If the vaccine is not used within 8 hours, it should not be administered.

References

Nimenrix. Summary of Product Characteristics, Great Britain, Pfizer Ltd. Available herePfizer Ltd Data on File.
PP-NIM-GBR-0409. September 2023
Educational Module Series

Five educational training modules explaining meningococcal disease and who might be at increased risk, types of meningococcal vaccination and the details of Nimenrix vaccine and administration. Each is accompanied by a knowledge check Q&A resource. 

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Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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