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SHE’S OUTGROWN
HER FIRST DOSE

IT’S TIME FOR ANOTHER

Are your patients protected from meningococcal disease?1-4

  • ACIPa recommends 16-year-old adolescents receive a 2nd dose of MenACWYb
  • About half of adolescents in the US may be at risk of contracting meningococcal disease because they have missed their 2nd dose of MenACWY

Menactra is indicated for active immunization to prevent invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, Y, and W-135. Menactra is approved for use in individuals 9 months through 55 years of age. Menactra does not prevent N meningitidis serogroup B disease.5

A single booster dose of Menactra may be given to individuals 15-55 years of age at continued risk for meningococcal disease if at least 4 years have elapsed since the prior dose.5

The most common local and systemic adverse reactions to Menactra include pain, redness, and swelling at the injection site and appetite loss (all age groups); induration at the injection site and diarrhea (all age groups except infants); irritability and drowsiness (infants and children); abnormal crying, vomiting, and fever (infants); headache, fatigue, malaise, and arthralgia (adolescents and adults).5

IT’S TIME FOR A 2ND DOSE

SINCE 2005

  • Menactra was first licensed in 2005 and received FDA approval to be administered as a 2nd dose to adolescents and adults in 20145,6

PRIMARY VACCINATION:

  • In children 9 through 23 months of age, Menactra is given as a 2-dose series,
    3 months apart5
  • In individuals 2 through 55 years of age, Menactra is given as a single dose5

BOOSTER VACCINATION:

  • A single booster dose of Menactra may be given to individuals 15 through
    55 years of age at continued risk for meningococcal disease if at least
    4 years have elapsed since the prior dose5

IMMUNOGENICITY

  • A 2nd dose of Menactra induced
    protective titer levels in more
    than
    99% of trial participants5,7

2nd Dose Immunogenicity in Adolescents
and Adults

Immunogenicity 2nd dose chart

Study Design: A phase 2, open-label study was conducted between September 2011 and July 2012 at 15 centers
in the US that evaluated the safety and immunogenicity of a single booster dose of Menactra at 4 to 6 years after
prior vaccination in persons first vaccinated at 11 through 55 years of age. A total of 834 participants were enrolled;
of these, 781 met criteria for inclusion in the per-protocol population for the immunogenicity analysis.5

SAFETY

FIRST DOSE:

  • The most common solicited injection site and systemic adverse reactions within 7 days after a single dose of Menactra in adolescents aged 11 to 18 years were injection site pain (59.2%), headache (35.6%), and fatigue (30%)5

SECOND DOSE:

  • The most common solicited injection site and systemic adverse reactions within 7 days after a second dose of Menactra in adolescents and adults were pain (60.2%) and myalgia (42.8%)5

NO RECONSTITUTION REQUIRED

IMPORTANT SAFETY INFORMATION
FOR MENACTRA

Menactra is contraindicated in persons who have had a severe allergic reaction (eg, anaphylaxis) after a previous dose of a meningococcal capsular polysaccharide-, diphtheria toxoid-, or CRM197-containing vaccine, or to any component of the vaccine.

Persons previously diagnosed with Guillain-Barré syndrome (GBS) may be at increased risk of GBS following receipt of Menactra. GBS has been reported in temporal relationship following administration of Menactra. The decision to give Menactra should be based on careful consideration of the potential benefits and risks.

Syncope (fainting) can occur in association with administration of injectable vaccines, including Menactra. Procedures should be in place to prevent falling injury and manage syncopal reactions.

The most common local and systemic adverse reactions to Menactra include pain, redness, and swelling at the injection site and appetite loss (all age groups); induration at the injection site and diarrhea (all age groups except infants); irritability and drowsiness (infants and children); abnormal crying, vomiting, and fever (infants); headache, fatigue, malaise, and arthralgia (adolescents and adults). Other adverse reactions may occur. Vaccination with Menactra may not protect all individuals.

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  • ACIP = Advisory Committee on Immunization Practices.
  • MenACWY = Quadrivalent (serogroups A, C, W, and Y) meningococcal conjugate vaccine.
  • hSBA = Serum bactericidal assay using human complement.
  • hSBA antibody titers ≥1:8 are considered protective against invasive meningococcal disease.

References: 1. Centers for Disease Control and Prevention (CDC). Recommended child and adolescent immunization schedule for ages 18 years or younger, United States, 2020. https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf. Accessed April 15, 2020. 2. CDC. Advisory Committee on Immunization Practices recommended immunization schedule for children and adolescents aged 18 years or younger—United States, 2017. MMWR. 2017;66(5):134-135. 3. CDC Prevention and control of meningococcal disease: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2013;62(RR-2):1-28. 4. Walker TY, Elam-Evans LD, Yankey D, et al. National, regional, state, and selected local area vaccination coverage among adolescents aged 13-17 years—United States, 2018. MMWR. 2019;68(33):718-723. 5. Menactra vaccine [Prescribing Information]. Swiftwater, PA: Sanofi Pasteur Inc. 6. Federal Drug Administration. September 4, 2014 approval letter - Menactra [letter]. September 4, 2014. http://wayback.archive-it.org/7993/20170723032500/https://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm413177.htm. Accessed April 15, 2020. 7. Robertson CA, Greenberg DP, Hedrick J. Pichichero M, Decker MD, Saunders M. Safety and immunogenicity of a booster dose of meningococcal (groups A, C, W and Y) polysaccharide diphtheria toxoid conjugate vaccine. Vaccine. 2016;34(44):5273-5278.

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MAT-US-2005494
Last Updated: 06/20

IMPORTANT SAFETY INFORMATION FOR MENACTRA

Menactra is contraindicated in persons who have had a severe allergic reaction (eg, anaphylaxis) after a previous dose of a meningococcal capsular polysaccharide-, diphtheria toxoid-, or CRM197-containing vaccine, or to any component of the vaccine.

Persons previously diagnosed with Guillain-Barré syndrome (GBS) may be at increased risk of GBS following receipt of Menactra. GBS has been reported in temporal relationship following administration of Menactra. The decision to give Menactra should be based on careful consideration of the potential benefits and risks.