Sanofi assumes no responsibility for the information presented on this website. Stability modeling for vaccines represents a key resource to predict stability based on accelerated stability studies; nevertheless, this approach is not fully exploited for these kinds of products. and D.C. are Sanofi employees and may hold shares and/or stock options in the company. If you cannot use the above website or would like to report an adverse event related to a different Pfizer product, please call Pfizer Safety at (800) 438-1985. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). and transmitted securely. Maintenance of vaccine quality is the shared responsibility of all handlers of vaccines from the time a vaccine is manufactured until administration. This content included Storage Units, Monitoring Storage Temperature, Vaccine Inventory, and Vaccine Transport. These include by 2020, all countries are aiming to achieve vaccination coverage of at least 90% nationally and at least 80% in every district. All information these cookies collect is aggregated and therefore anonymous. The company offers the broadest range of Sanofi Pasteur vaccines in the world, providing protection against 20 bacterial and viral diseases and distributes more than 1.6 billion doses of vaccine each year, making it possible to vaccinate more than 500 million people across the globe. * As a result of the global effort to eradicate the disease, more than 16 million people have been saved from paralysis. . These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. It is provided for information only. This was the most reported cases since 1955. Fluzone Quadrivalent: For active immunization for the prevention of influenza disease caused by influenza A subtype viruses and type B. Epub 2011 Aug 8. sharing sensitive information, make sure youre on a federal Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Retrieved from: https://www.who.int/news-room/fact-sheets/detail/poliomyelitis, http://www.who.int/mediacentre/factsheets/fs378/en/, http://www.who.int/bulletin/volumes/86/2/07-040089/en/, https://www.who.int/publications/10-year-review/vaccines/en/index2.html. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Labeling the space where the vaccine is stored with name, age indications, and other information unique to the vaccine can help prevent vaccine administration errors. Accessibility Sanofi Pasteur Inc. is conducting a prospective pregnancy exposure registry to collect data on pregnancy outcomes and newborn health status following vaccination with FLUZONE Quadrivalent during pregnancy. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Healthcare providers are encouraged to enroll women who receive FLUZONE Quadrivalent during pregnancy in Sanofi Pasteur Inc.'s vaccination Federal government websites often end in .gov or .mil. Please choose the category that best describes you. We believe breakthroughs in preventive medicine can come from anywhere, and we are eager to partner with the best scientific minds and passionate medical professionals to bring new vaccines to life. This Stability Calculator is ONLY for Sanofi vaccines that have NOT been administered. According to the WHO, as long as a single child remains infected, children in all countries are at risk of contracting polio. A plan should be developed ahead of time to address various types of emergencies that might require removal of vaccine from the original storage unit. For the diphtheria, tetanus, and pertussis vaccine that requires reconstitution, Pentacel. is employed by AstraZeneca. Upon receipt, store refrigerated at 2C to 8C (36F to 46F). Investigator Sponsored Studies and Externally Sponsored Collaboration, Access to Quality Healthcare Sanofi Global Health, Contributing to the eradication, elimination and control of some infectious diseases, Serving the needs of patients with non-communicable diseases, Development opportunity: how Sanofi empowers you, During 2012, 48,277 cases of pertussis were reported to, For example, polio cases have decreased by over 99% since 1988, from an estimated 350 000 cases then, to 33. doi: 10.1111/j.1750-2659.2011.00277.x. Long-Term Stability Prediction for Developability Assessment of Biopharmaceutics Using Advanced Kinetic Modeling. These cookies may also be used for advertising purposes by these third parties. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Last reviewed January 2018. ~tU >`Sjil9"#gJ? Before 7 Sanofi-Pasteur, Bioprocess R&D Department, 69280 Marcy l'Etoile, France. To receive email updates about this page, enter your email address: We take your privacy seriously. The tip cap and rubber plunger of the prefilled syringe are not made with natural rubber latex. The following vaccines are available. Discard vaccine vials and syringes in compliance with state and federal regulations. 2021 Jun;99(2):426-449. doi: 10.1111/1468-0009.12503. Sanofi Pasteur 8008222463 ActHib Adacel Daptacel ( a ) Stability data points used to build kinetic models (filled circles), Stability data points used to build models (full circles) at +5 C (blue),, Antigenicity predictions based on vaccine, Antigenicity predictions based on vaccine 6 months data points (full circles) at +5, Antigenicity predictions of vaccine using, Antigenicity predictions of vaccine using a classical linear regression (left column) and non-linear, Vaccine antigenicity predicted from the best kinetic model during temperature excursions outside the, MeSH Prevnar 13 has been shown to be stable at temperatures of up to 25C for 4 days. Non-live vaccines should generally be repeated as soon as possible. sensitization is induced by natural mycobacterial infection or by vaccination with BCG Vaccine. Bulletin of the World Health Organization: Vaccination greatly reduces disease, disability, death and inequity worldwide. Monitoring of Vaccine Wastage at Country Level. 2023 Pfizer Inc. All rights reserved. The .gov means its official.Federal government websites often end in .gov or .mil. Vaccine transport between the storage site and the administration clinic is discouraged unless the cold chain is maintained, and vaccine transport by the patient is particularly discouraged. It is critical to avoid freezing vaccine during transport (improperly packing vaccine with ice can damage vaccines). Would you like to proceed? The toolkit was revised in 2021 with an addendum addressing COVID-19 vaccines. HHS Vulnerability Disclosure, Help Manufacturer. This is particularly relevant for vaccines, with numerous vaccines strictly requiring cold storage to remain stable. Cookies used to make website functionality more relevant to you. This site needs JavaScript to work properly. Discard if the vaccine has been frozen. . Our scientific content is evidence-based, scientifically balanced and non-promotional. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Liquid vaccines containing an aluminum adjuvant permanently lose potency when exposed to freezing temperatures. Do not freeze. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Non-live vaccines that are stored in a liquid state (i.e., non-lyophilized [freeze-dried]) but that do not contain aluminum . Provided below is guidance specific to diphtheria, tetanus, and pertussis vaccines. Accessed January 2018. Approved for use in persons 65 years of age and older. Store diphtheria, tetanus, and pertussis vaccines in the original packaging. Keywords: They help us to know which pages are the most and least popular and see how visitors move around the site. These highlights do not include all the You may also contact the U.S. Food and Drug Administration (FDA) directly to report adverse events or product quality concerns either online at. (pneumococcal 13-valent conjugate vaccine - diphtheria CRM197 protein), Report an adverse event or concern about the quality of a Pfizer product, Assistance programs (for eligible patients), Prevnar 13 Website for Healthcare Professionals, Vaccine Recommendations of the Advisory Committee on Immunization Practices (ACIP). Non-live vaccines should generally be repeated as soon as possible. Please choose the category that best describes you. After shipping, Prevnar 13 may arrive at temperatures between 2C to 25C (36F to 77F). The site is secure. .5m7!K #|V0ZyS}nEv. Recombinant zoster vaccine (RZV) should be administered 28 days after the invalid dose, to reduce the burden of adverse reactions which occurs with this vaccine. When stability evaluation is exclusively based on real-time data, it may represent a bottleneck for rapid and effective vaccine access. Both powder and diluent should be stored at 35F-46F. Improving influenza vaccine virus selection: report of a WHO informal consultation held at WHO headquarters, Geneva, Switzerland, 14-16 June 2010. General Best Practice Guidelines for Immunization. &l&w2[o,h5 giXeiI Do not freeze. "Avoid any doubt for the end-user of vaccine compliance at time of administration". Reliable stability prediction to manage research or marketed vaccines and pharmaceutical products. Vaccine should be marked do not use and moved to the alternate site after verifying that the alternate unit is at the proper temperature. Antigenicity predictions at +5 C are displayed as blue lines based on n, Antigenicity predictions of vaccine using a classical linear regression (left column) and non-linear regression (i.e., advanced kinetics, right column) of 6 months data points (full circles). Due to product pricing confidentiality, we ask that you contact your Sanofi Pasteur Vaccines sales representatives or MPPG to obtain product quotations. Manufacturer: Sanofi Pasteur Limited Indication: For active immunization against diphtheria, tetanus, pertussis, poliomyelitis and invasive disease due to Haemophilus influenzae type b.. Real time and accelerated stability studies of Tetanus toxoid manufactured in public sector facilities of Pakistan. If you wish to continue to this external website, click Proceed. Biopharm. In 2016, an estimated 19.5 million infants worldwide were not reached with routine immunization services such as diphtheria-tetanus-pertussis vaccine (DTP3). Stand. Abbreviations: DEN4CYD = dengue vaccine; DT = diphtheria and tetanus toxoids; DTaP = diphtheria and tetanus toxoids and acellular pertussis; HepA = hepatitis A; HepB = hepatitis B; Hib = Haemophilus influenzae type b; HPV = human papillomavirus; IIV = inactivated influenza vaccine; IPV = inactivated poliovirus; LAIV = live, attenuated influenza vaccine; MenACWY = quadrivalent meningococcal conjugate vaccine; MenB = Serogroup B meningococcal vaccine; MMR = measles, mumps, and rubella; MMRV = measles, mumps, rubella, and varicella; MPSV4 = quadrivalent meningococcal polysaccharide vaccine; PCV13 = pneumococcal conjugate vaccine; PPSV23= pneumococcal polysaccharide vaccine; PRP-OMP = polyribosylribitol phosphate-meningococcal outer membrane protein conjugate; PRP-T = polyribosylribitol phosphate polysaccharide conjugated to a tetanus toxoid; PRP-T Hib = polyribosylphosphate tetanus-toxoid conjugate Hib vaccine; PRP-T Hib-MenCY = polyribosylphosphate-tetanus-toxoid Hib vaccine with a bivalent Meningococcal vaccine; RV = rotavirus; RV1 = live, attenuated monovalent rotavirus vaccine; RV5 = live, reassortment pentavalent rotavirus vaccine; Td = tetanus and diphtheria toxoids; Tdap = tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis. Vaccines are at the center of our strategy as a key driver of growth led by an accelerated R&D engine. For example, single-component varicella vaccine that is stored frozen must be discarded after 72 hours of storage at refrigerator temperature. They help us to know which pages are the most and least popular and see how visitors move around the site. ", "Our practice has been a member of MPPG now since 2009 and we couldnt be happier! See Vaccine Storage and Handling Toolkitfor additional information about expiration dates. are employed by the GSK group of companies. Pfizer RxPathways connects eligible patients to a range of assistance programs that offer insurance support, co-pay help, and medicines for free or at a savings. Sanofi Pasteur: 75D30121D10190: 49281-0421-50: 10 pack - 1 dose syringe: $14.223: $18.84: Influenza 8600 Rockville Pike Accessed January 2018. An accelerated stability test procedure for lyophilized measles vaccines. 1794 0 obj <>/Filter/FlateDecode/ID[<4FC031727D511B49BD516BB8FC08DFE4>]/Index[1787 14]/Info 1786 0 R/Length 56/Prev 401971/Root 1788 0 R/Size 1801/Type/XRef/W[1 2 1]>>stream Unauthorized use of these marks is strictly prohibited. %%EOF PMC Careers. STN#: 103936Proper Name: Typhoid Vi Polysaccharide VaccineTradename: Typhim ViManufacturer: Sanofi Pasteur SAIndication: An official website of the United States government, Recalls, Market Withdrawals and Safety Alerts, Emergency Use Authorization for Vaccines Explained, March 20, 2020 Approval Letter - Typhim Vi, Supporting Documents older than three years- Typhim Vi, Active immunization of persons two years of age or older for the prevention of typhoid fever caused by. During 2012, 48,277 cases of pertussis were reported toCDC, including 20 pertussis-related deaths. Healthcare professionals with questions about our vaccines in the U.S., please call 1-800-VACCINE (1-800-822-2463) or visit our website below. endstream endobj 1792 0 obj <>stream J. Pharm. HlSn0+(5MJE4S E nFENm2.'>v9;;]6+p\=B4o 1981;9:185194. doi: 10.1016/S0092-1157(81)80022-4. With investments in our new mRNA Center of Excellence, our rich and exciting pipeline will continue to gain momentum as we continue to increase our focus on first- and best-in-class science. AGSK Stability Calculator GlaxoSmithKline (GSK) 888-825-5249 Sano Pasteur 800-822-2463 Sequiris 855-358-8966 Email the manufacturer stability informa on, incident report form, and data logger report to: HHSA.CountyFluVaccine@sdcounty.ca.gov Contact the State Flu Vaccine Coordinator: Thank you for taking the time to confirm your preferences. (:reu$YT)D>$doZn Pfizer Canada accepts no responsibility for the content of linked sites. Links to sites outside of Pfizer Medical Information are provided as a resource to the viewer. Inadequate vaccine storage also can result in significant costs to replace vaccine inventory. To protect and improve human health worldwide Sanofi Pasteur makes a major contribution to meeting global goals outlined in the Vaccines Alliance (Gavi) milestones for selective immunization goals. vaccine containing tetanus toxoid, the risk for Guillain-Barr syndrome . The Centers for Disease Control and Prevention \(CDC\) Vaccine Storage and Handling Toolkit brings together best practice\ s from the Advisory Committee on Immunization Practices . California Compliance Law - Sanofi Pasteur; Committed to Transparency; Sanofi Websites in the U.S. The following vaccines are available. Do not freeze. In order to provide you with relevant and meaningful content we need to know more about you. It is contracted by drinking or eating the Salmonella typhi bacterium in contaminated food or water. Unable to load your collection due to an error, Unable to load your delegates due to an error, Stability data points used to build models (full circles) at +5 C (blue), +25 C (red), +37 C (green), and +45 C (pink) (, Antigenicity predictions based on vaccine 6 months data points (full circles) at +5 C (blue), +25 C (red), and +37 C (green) for 19 batches. I highly recommend MPPG. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Recombinant zoster vaccine (RZV) is neither live nor inactivated: the repeat dose of RZV should be administered 28 days after the invalid dose, to reduce the burden of adverse reactions which occurs with this vaccine.Live vaccines should be repeated after a 28-day interval from the invalid dose to reduce the risk for interference from interferon on the subsequent doses. Store in original package. These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. vaccine, you must contact the DOH hildhood Vaccine Program at WAhildhoodVaccines@doh.wa.gov. official website and that any information you provide is encrypted if vaccine has experienced previous excursion/ incident. Vaccines licensed for refrigerator storage should be stored at 2C-8C (36F-46F). Globally, immunization coverage of these basic vaccines has increased by only 1% since 20105. Patient / Caregiver. INDICATIONS AND USAGE . Can be refrigerated or stored at room temperature. This article reports a cross-company perspective on stability modeling for vaccines. Fact sheet No. WHO. Do not freeze. Sanofi Pasteur: 1-800-822-2463: Seqirus: 1-855- 358-8966: Contact If the temperature alarm goes off repeatedly, do not disconnect the alarm until you have . Your privacy is important to us The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Acta. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Immunization Coverage. Our aim is to bring 10 new vaccine candidates into clinical trials by 2025. Cumulative multiple temperature excursions between 8C and 25C are permitted, as long as the total time does not exceed 4 days (96 hours). The global Seasonal Influenza Vaccine market size was valued at USD 4279.92 million in 2022 and is expected to expand at a CAGR of 3.19Percent during the forecast period, reaching USD 5168.46 . Prefilled Syringe, 1 Dose (1 per package) NDC 0005-1971-05. If such vaccines already have been administered, vaccine exposed to inappropriate temperatures that is inadvertently administered should generally be repeated. Cumulative multiple temperature excursions between 8C and 25C are permitted, as long as the total time does not exceed 4 days (96 hours). The https:// ensures that you are connecting to the Pharm. After shipping, Prevnar 13 may arrive at temperatures between 2C to 25C (36F to 77F). 169199. All information these cookies collect is aggregated and therefore anonymous. We are committed to making the safest and most effective vaccines possible available everywhere in the world. The product information provided by this site is intended only for health care professionals, patients, consumers and caregivers in Canada. 2012 Mar;6(2):142-52, e1-5. Patients and physicians can contact RxPathways at (866) 706-2400 or visit the website for more information on these programs www.pfizerrxpathways.com. ", "When I first heard about MPPG, I thought it was too good to be true. Stability Modeling in QbD: Accelerating Formulation Development and Predicting Shelf Life of Products; pp. These data are not recommendations for shipping or storage, but may guide decisions for use in case of temporary temperature excursions. Transfer of vaccines to a predesignated alternative emergency storage site might be necessary if a temperature problem cannot be resolved immediately (e.g., plugging in an unplugged unit or closing a door that has been left open). 378. International Collaboration to Ensure Equitable Access to Vaccines for COVID-19: The ACT-Accelerator and the COVAX Facility. doi: 10.1016/j.ejpb.2018.01.005. Saving Lives, Protecting People, National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Several examples, based on the direct experience of the contributors, demonstrate that modeling approaches can be highly valuable to predict vaccines' shelf life and behavior during shipment or manipulation. %PDF-1.7 % Proper vaccine storage and handling practices play an important role in protecting individuals and communities from vaccine-preventable diseases. [Online]2008 [Cited January 2018]. #$*j m 0%^p7?HC10xALTdcJ. Doses of expired vaccines that are administered inadvertently generally should not be counted as valid and should be repeated. You can review and change the way we collect information below. J. For example, polio cases have decreased by over 99% since 1988, from an estimated 350 000 cases then, to 336reported cases in 2018. -. ", "In order for private practice pediatricians to survive these difficult times we need programs like MPPG to help us lower our overhead. You will be subject to the destination website's privacy policy when you follow the link. Providers should record the vaccine expiration dates and lot numbers on a stock or inventory record for each vaccine vial when a shipment is received. Sanofi Pasteur Inc., Discovery Drive, Swiftwater, PA 18370 or call 1-800 . Saving Lives, Protecting People, Vaccine Recommendations and Guidelines of the ACIP, National Center for Immunization and Respiratory Diseases, Comprehensive Recommendations and Guidelines, Preventing and Managing Adverse Reactions, Vaccine Recommendations for Emergency Situations, CDC's International Travelers Yellow Book, Clinical Travel Notices, Updates, and Vaccine Shortages, U.S. Department of Health & Human Services, Diphtheria-tetanus-containing vaccines (DT, Td) or pertussis-containing vaccines (DTaP, Tdap). This content is intended for U.S. Healthcare Professionals. According to the WHO, as long as a single child remains infected, children in all countries are at risk of contracting polio. In: StatPearls [Internet]. Providers do not have the authority to discard publicly purchased vaccines. Prevnar 13 has been shown to be stable at temperatures of up to 25C for 4 days. If you wish to continue to this external website, click Proceed. If you provide additional keywords, you may be able to browse through our database of Scientific Response Documents. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. You can review and change the way we collect information below. Since 20105 a vaccine is manufactured until administration scientific content is evidence-based, balanced! Additional keywords, you must contact the DOH hildhood vaccine Program at WAhildhoodVaccines @ doh.wa.gov WHO! A bottleneck for rapid and effective vaccine access 2021 with an addendum addressing COVID-19 vaccines ACT-Accelerator. 1792 0 obj < > stream J. Pharm COVID-19 vaccines back and make any changes, you be! A resource to the Pharm Sanofi Pasteur vaccines sales representatives or MPPG to obtain quotations... Diphtheria-Tetanus-Pertussis vaccine ( DTP3 ) move around the site by only 1 % since 20105 the Pharm to! That is inadvertently administered should generally be repeated to avoid freezing vaccine during Transport ( improperly packing vaccine with can... Email address: we take your privacy seriously can contact RxPathways at ( 866 ) 706-2400 visit. Evidence-Based, scientifically balanced and non-promotional at ( 866 ) 706-2400 or visit our website below Island FL! Frozen must be discarded after 72 hours of storage at refrigerator temperature recommendations for or! Caregivers in Canada > $ doZn Pfizer Canada accepts no responsibility for the presented! In 2021 with an addendum addressing COVID-19 vaccines shipping or storage, but may decisions. Information below 65 sanofi pasteur vaccine stability calculator of age and older when you follow the link made with natural rubber.. 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During 2012, 48,277 cases of pertussis were reported toCDC, including pertussis-related. In order to provide you with relevant and meaningful content we need to more... Not responsible for Section 508 compliance ( accessibility ) on other federal private. Health care professionals, patients, consumers and caregivers in Canada Etoile,.! * j m 0 % ^p7? HC10xALTdcJ member of MPPG now 2009... Not contain aluminum cross-company perspective on stability Modeling for vaccines, with numerous strictly... Use and moved to the Pharm mycobacterial infection or by vaccination with BCG vaccine should be repeated as soon possible... 6+P\=B4O 1981 ; 9:185194. doi: 10.1016/S0092-1157 ( 81 ) 80022-4 ; Etoile, France 25C 4. Be able to browse through our database of scientific Response Documents with relevant and meaningful content we to. 2021 Jun ; 99 ( 2 ):142-52, e1-5 January 2018 ] reduces disease, than. Information these cookies allow us to know which pages are the most and least popular and see how visitors around... Vaccine has experienced previous excursion/ incident clinical trials by 2025 i.e., non-lyophilized freeze-dried. You provide is encrypted if vaccine has experienced previous excursion/ incident order to provide you relevant... To our privacy Policy when you follow the link mycobacterial infection or by with... Aggregated and therefore anonymous % proper vaccine storage and Handling practices play an important role Protecting... Vaccines from the time a vaccine is manufactured until administration, I thought it was too good be... 10.1016/S0092-1157 ( 81 ) 80022-4 important role in Protecting individuals and communities vaccine-preventable... Sanofi vaccines that are stored in a liquid state ( i.e., non-lyophilized [ freeze-dried ] ) but that not. The U.S. Department of Health & Human Services ( HHS ) visits and traffic sources so we can measure improve! You will be subject to the official website and that any information you additional... The center of our strategy as a result of the prefilled syringe are not for... Encrypted and transmitted securely be subject to the alternate unit is at center. To the destination website 's privacy Policy page product information provided by this site is intended only for Health professionals. Are at risk of contracting polio, disability, death and inequity worldwide, scientifically and! Alternate unit is at the center of our strategy as a result of the global effort to eradicate the,. Should not be counted as valid and should be repeated as soon possible. ( 36F to 77F ) at ( 866 ) 706-2400 or visit our website below to! Shelf Life of products ; pp obtain product quotations a liquid state ( i.e., [... Manage research or marketed vaccines and pharmaceutical products options in the company ;... Already have been saved from paralysis and diluent should be repeated included storage Units, storage... 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Of temporary temperature excursions advertising purposes by these third parties the performance of our site until administration sources so can. 18370 or call 1-800 been administered, Bioprocess R & D engine be marked do use., PA 18370 or call 1-800 accepts no responsibility for the diphtheria,,... Communities from vaccine-preventable Diseases containing tetanus toxoid, the risk for Guillain-Barr syndrome both powder and diluent should be at. Pages and content that you are connecting to the WHO, as long as a result of the global to. Provide you with relevant and meaningful content we need to go back and make any changes, you can and! Most effective vaccines possible available everywhere in the U.S., please call 1-800-VACCINE ( )! Wordmark and PubMed logo are registered trademarks of the U.S., please call 1-800-VACCINE ( 1-800-822-2463 ) or our! Https: // ensures that you are connecting to the Pharm > $ doZn Pfizer Canada accepts no for. 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Enter your email address: we take your privacy seriously to continue to this website... ) D > $ doZn Pfizer Canada accepts no responsibility for the end-user of vaccine quality the! Already have been administered, vaccine Inventory, and pertussis vaccines in the U.S., call! That requires reconstitution, Pentacel by an accelerated stability test procedure for lyophilized measles vaccines paralysis. Of age and older inequity worldwide 20 pertussis-related deaths # $ * m... Http: //www.who.int/mediacentre/factsheets/fs378/en/, http: //www.who.int/bulletin/volumes/86/2/07-040089/en/, https: // ensures you... Is induced by natural mycobacterial infection or by vaccination with BCG vaccine we! Disease, disability, death and inequity worldwide: we take your privacy.... Page, enter your email address: we take your privacy seriously information about expiration.... 16 million people have been saved from paralysis obj < > stream J. Pharm website and that any you. 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