Menveo
1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

ANNEX I 
 

SUMMARY OF PRODUCT CHARACTERISTICS 
 
 



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1. NAME OF THE MEDICINAL PRODUCT 
 
Menveo powder and solution for solution for injection 
Meningococcal Group A, C, W-135 and Y conjugate vaccine 
 
 
2. QUALITATIVE AND QUANTITATIVE COMPOSITION 
 
One dose (0.5 ml of the reconstituted vaccine) contains: 
 
(Originally contained in the powder) 
• Meningococcal group A oligosaccharide 10 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 16.7 to 33.3 micrograms 
 
(Originally contained in the solution) 
• Meningococcal group C oligosaccharide 5 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 7.1 to 12.5 micrograms 
 
• Meningococcal group W-135 oligosaccharide 5 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 3.3 to 8.3 micrograms 
 
• Meningococcal group Y oligosaccharide 5 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 5.6 to 10.0 micrograms 
 
For the full list of excipients, see section 6.1. 
 
 
3. PHARMACEUTICAL FORM 
 
Powder and solution for solution for injection (powder and solution for injection). 
The powder is a white to off- white cake. 
The solution is a colourless clear solution. 
 
 
4. CLINICAL PARTICULARS 
 
4.1 Therapeutic indications 
 
Menveo is indicated for active immunization of children (from 2 years of age), adolescents and adults 
at risk of exposure to Neisseria meningitidis groups A, C, W-135 and Y, to prevent invasive disease. 
The use of this vaccine should be in accordance with official recommendations. 
 
4.2 Posology and method of administration 
 
Posology 
 
Children (from 2 years of age), adolescents and adults 
 
Menveo should be administered as a single dose (0.5 ml). 
To ensure optimal antibody levels against all vaccine serogroups, the primary vaccination schedule 
with Menveo should be completed one month prior to risk of exposure to Neisseria meningitidis 
groups A, C, W-135 and Y. Bactericidal antibodies (hSBA≥1:8) were observed in at least 64% of 
subjects at 1 week post vaccination (see section 5.1 for immunogenicity data per individual 
serogroups). 
 



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Older people 
 
There are limited data in individuals aged 56-65 and there are no data in individuals aged >65 years. 
 
Booster vaccination 
 
Long-term antibody persistence data following vaccination with Menveo are available up to 5 years 
after vaccination (see section 4.4 and 5.1). 
 
Menveo may be given as a booster dose in subjects who have previously received primary vaccination 
with Menveo, other conjugated meningococcal vaccine or meningococcal unconjugated 
polysaccharide vaccine. The need for and timing of a booster dose in subjects previously vaccinated 
with Menveo is to be defined based on national recommendations. 
 
Paediatric population (under 2 years of age) 
 
The safety and efficacy of Menveo in children under 2 years of age has not yet been established. 
Currently available data are described in section 5.1 but no recommendation on a posology can 
be made. 
 
Method of administration 
 
Menveo is given as an intramuscular injection, preferably into the deltoid muscle. 
It must not be administered intravascularly, subcutaneously or intradermally. 
 
Separate injection sites must be used if more than one vaccine is being administered at the same time. 
 
For instructions on preparation and reconstitution of the medicinal product before administration, 
see section 6.6. 
 
4.3 Contraindications 
 
Hypersensitivity to the active substance or to any of the excipients listed in section 6.1, or diphtheria 
toxoid (CRM197), or a life-threatening reaction after previous administration of a vaccine containing 
similar components (see section 4.4). 
 
As with other vaccines, Menveo should be postponed in individuals suffering from an acute severe 
febrile illness. The presence of a minor infection is not a contraindication. 
 
4.4 Special warnings and precautions for use 
 
 
Before the injection of any vaccine, the person responsible for administration must take all precautions 
known for the prevention of allergic or any other reactions including thorough medical history and 
current health status. As with all injectable vaccines, appropriate medical treatment and supervision 
must always be readily available in case of a rare anaphylactic event following administration of the 
vaccine. 
 
Anxiety‐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 
(see section 4.8 Undesirable effects). It is important that procedures are in place to avoid injury from 
fainting. 
 
Menveo should under no circumstances be administered intravascularly. 
 
Menveo will not protect against infections caused by any other serogroups of N. meningitidis not 
present in the vaccine. 



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As with any vaccine, a protective immune response may not be elicited in all vaccinees 
(see section 5.1). 
 
Studies with Menveo have shown a waning of serum bactericidal antibody titers against serogroup A 
when using human complement in the assay (hSBA) (see section 5.1). The clinical relevance of the 
waning of hSBA serogroup A antibody titers is unknown. If an individual is expected to be at 
particular risk of exposure to Men A and received a dose of Menveo more than approximately one 
year previously, consideration may be given to administering a booster dose. 
 
There are no data on the applicability of the vaccine for post-exposure prophylaxis. 
 
In immunocompromised individuals, vaccination may not result in an appropriate protective antibody 
response. While Human Immunodeficiency Virus (HIV) infection is not a contraindication, Menveo 
has not been specifically evaluated in immunocompromised people. Individuals with complement 
deficiencies and individuals with functional or anatomical asplenia may not mount an immune 
response to meningococcal group A, C, W-135 and Y conjugate vaccines. 
 
Individuals with familial complement deficiencies (for example, C3 or C5 deficiencies) and 
individuals receiving treatments that inhibit terminal complement activation (for example, 
eculizumab) are at increased risk for invasive disease caused by Neisseria meningitidis group A, C, 
W-135 and Y, even if they develop antibodies following vaccination with Menveo. 
 
Menveo has not been evaluated in persons with thrombocytopenia, bleeding disorders or that are 
receiving anticoagulant therapy, because of the risk of haematoma. The risk-benefit ratio for persons 
at risk of haematoma following intramuscular injection must be evaluated by health care professionals. 
 
Traceability 
In order to improve the traceability of biological medicinal products, the name and the batch number 
of the administered product should be clearly recorded. 
 
4.5 Interaction with other medicinal products and other forms of interaction 
 
Menveo can be given concomitantly with any of the following vaccines: monovalent and combined 
hepatitis A and B, yellow fever, typhoid fever (Vi polysaccharide), Japanese encephalitis, rabies and 
meningococcal group B (Bexsero). 
 
In adolescents (11 to 18 years of age), Menveo has been evaluated in two co-administration studies 
with either Tetanus, Reduced Diphtheria and Acellular Pertussis Vaccine, Adsorbed (Tdap) alone or 
Tdap and Human Papillomavirus Quadrivalent (Types 6, 11, 16 and 18) Vaccine, Recombinant 
(HPV), both of which support the co-administration of the vaccines. 
 
There was no evidence of an increased rate of reactogenicity or change in the safety profile of the 
vaccines in either study. Antibody responses to Menveo and the diphtheria, tetanus or HPV vaccine 
components were not negatively affected by co-administration. 
 
The administration of Menveo one month after Tdap resulted in statistically significantly lower 
serogroup W-135 seroresponses. Since there was no direct impact on the seroprotection rate, 
the clinical consequences are presently unknown. There was evidence of some suppression of antibody 
response to two of the three pertussis antigens. The clinical relevance of this observation is unknown. 
After vaccination, over 97% of subjects had detectable pertussis titers to all three pertussis antigens. 
 
For children 2 to 10 years of age, no data are available for evaluating safety and immunogenicity 
of other childhood vaccines when administered concomitantly with Menveo. 
 
Concomitant administration of Menveo and other vaccines than those listed above has not been 
studied. Concomitant vaccines should always be administered at separate injection sites and preferably 



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contralateral. It should be checked if the adverse reactions may be intensified by any 
co-administration. 
 
If a vaccine recipient is undergoing immunosuppressant treatment, the immunological response may 
be diminished. 
 
4.6 Fertility, pregnancy and lactation 
 
Insufficient clinical data on exposed pregnancies are available. 
 
In non-clinical studies, Menveo had no direct or indirect harmful effects with respect to pregnancy, 
embryonal/foetal development, parturition or postnatal development. Considering the severity of 
invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, W-135 and Y, 
pregnancy should not preclude vaccination when the risk of exposure is clearly defined. 
 
Although insufficient clinical data on the use of Menveo during breast-feeding are available, it is 
unlikely that secreted antibodies in milk would be harmful when ingested by a breastfed infant. 
Therefore, Menveo may be used during breast feeding. 
 
4.7 Effects on ability to drive and use machines 
 
No studies on the effects on the ability to drive and use machines have been performed. Dizziness has 
been very rarely reported following vaccination. This may temporarily affect the ability to drive or use 
machines. 
 
4.8 Undesirable effects 
 
Within each frequency grouping, adverse reactions are presented in the order of decreasing 
seriousness. 
Frequencies are defined as follows: 
Very common: (≥1/10) 
Common: (≥1/100 to <1/10) 
Uncommon: (≥1/1,000 to <1/100) 
Rare: (≥1/10,000 to <1/1,000) 
Very rare: (<1/10,000) 
 
Not known (cannot be estimated from the available data) 
 
Adverse reactions from clinical trials 
 
Children 2 to 10 years of age 
 
Overall 3464 subjects aged 2 to10 years were exposed to Menveo in completed clinical trials. The 
characterization of the safety profile of Menveo in children 2 to 10 years of age is based on data from 
four clinical trials in which 3181 subjects received Menveo. 
 
The most common adverse reactions during the clinical trials generally persisted for one to two days 
and were not severe. These adverse reactions were: 
 
Metabolism and nutrition disorders: 
 
Common: eating disorder 
 
Nervous system disorders: 
 
Very common: sleepiness, headache 
 



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Gastrointestinal disorders: 
 
Common: nausea, vomiting, diarrhea 
 
Skin and subcutaneous tissue disorders: 
 
Common: rash 
 
Musculoskeletal and connective tissue disorders: 
 
Common: myalgia, arthralgia 
 
General disorders and administration site conditions: 
 
Very common: irritability, malaise, injection site pain, injection site erythema (≤50 mm), injection site 
induration (≤50 mm) 
Common: injection site erythema (>50mm), injection site induration (>50mm), chills, fever ≥38oC 
Uncommon: injection site pruritus 
 
Individuals 11 to 65 years of age 
 
The characterization of the safety profile of Menveo in adolescents and adults is based on data from 
five randomised controlled clinical trials including 6401 participants (from 11-65 years of age) who 
received Menveo. Among Menveo recipients, 58.9%, 16.4%, 21.3% and 3.4% were in the 11-18 year, 
19-34 year, 35-55 year and 56-65 year age groups, respectively. The two primary safety studies were 
randomised, active-controlled trials that enrolled participants aged 11 to 55 years (N=2663) 
and 19 to 55 years (N=1606), respectively. 
 
The incidence and severity of any, local, systemic, and other reactions were generally similar in the 
Menveo groups across all studies and within the adolescent and adult age groups. The reactogenicity 
profile and rates of adverse events among subjects aged 56-65 years who received Menveo (N=216), 
were similar to that observed in Menveo recipient subjects aged 11-55. 
 
The most common local and systemic adverse reactions observed in clinical trials were pain at the 
injection site and headache. 
 
The list provided below presents adverse reactions reported in three pivotal and two supportive clinical 
trials per system organ class. The most common side effects reported during clinical trials usually 
lasted only one to two days and were not usually severe. 
 
Nervous system disorders: 
 
Very common: headache 
Uncommon: dizziness 
 
Gastrointestinal disorders: 
 
Very common: nausea 
 
Skin and subcutaneous tissue disorders: 
 
Common: rash 
 
Musculoskeletal and connective tissue disorders: 
 
Very common: myalgia 
Common: arthralgia 



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General disorders and administration site conditions: 
 
Very common: injection site pain, injection site erythema (≤50 mm), injection site induration 
(≤50 mm), malaise 
Common: injection site erythema (>50 mm), injection site induration (>50 mm), fever ≥38°C, chills 
Uncommon: injection site pruritus 
 
In the adolescent age group, the safety and tolerability of the vaccine was favourable relative to Tdap 
and did not substantially change with concomitant or sequential administration of other vaccines. 
 
Post-marketing experience (all age groups) 
 
Blood and lymphatic system disorders 
 
Rare: lymphadenopathy 
 
Immune system disorders 
 
Not known: hypersensitivity including anaphylaxis 
 
Nervous system disorders 
 
Not known: tonic convulsion, febrile convulsion, syncope 
 
Ear and labyrinth disorders 
 
Not known: vertigo 
 
General disorders and administration site conditions 
 
Not known: injection site cellulitis, injection site swelling, including extensive swelling of the injected 
limb 
 
Reporting of suspected adverse reactions 
Reporting suspected adverse reactions after authorisation of the medicinal product is important. 
It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare 
professionals are asked to report any suspected adverse reactions via the national reporting system 
listed in Appendix V. 
 
4.9 Overdose 
 
No case of overdose has been reported. 
 
 
5. PHARMACOLOGICAL PROPERTIES 
 
5.1 Pharmacodynamic properties 
 
Pharmacotherapeutic group: Meningococcal vaccines, ATC code: J07AH08. 
 
Immunogenicity 
 
The efficacy of Menveo has been inferred by measuring the production of serogroup-specific 
anti-capsular antibodies with bactericidal activity. Serum bactericidal activity (SBA) was measured 
using human serum as the source of exogenous complement (hSBA). The hSBA was the original 
correlate of protection against meningococcal disease. 

http://www.ema.europa.eu/docs/en_GB/document_library/Template_or_form/2013/03/WC500139752.doc
http://www.ema.europa.eu/docs/en_GB/document_library/Template_or_form/2013/03/WC500139752.doc


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Immunogenicity was evaluated in randomised, multicenter, active controlled clinical trials that 
enrolled children (2-10 years of age), adolescents (11-18 years of age), adults (19-55 years of age) 
and older adults (56-65 years of age). 
 
Immunogenicity in children 2 to 10 years of age 
 
In the pivotal study V59P20 immunogenicity of Menveo was compared to ACWY-D; 1170 children 
were vaccinated with Menveo and 1161 received the comparator vaccine in the per protocol 
populations. In two supportive studies V59P8 and V59P10 immunogenicity of Menveo was compared 
to ACWY-PS. 
 
In the pivotal, randomised, observer-blind study V59P20, in which participants were stratified by age 
(2 through 5 years and 6 through 10 years), the immunogenicity of a single dose of Menveo one month 
post vaccination was compared with the single dose of ACWY-D. Immunogenicity results one month 
after Menveo vaccination among subjects aged 2-5 years and 6-10 years are summarized below 
in Table 1 
 
Table 1: Serum bactericidal antibody responses following Menveo one month after 
vaccination among subjects aged 2-5 years and 6-10 years 
 

Serogroup 
2-5 years 6-10 years 

hSBA ≥1:8 
(95% CI) 

hSBA GMTs 
(95% CI) 

hSBA ≥1:8 
(95% CI) 

hSBA GMTs 
(95% CI) 

A N=606 N=606 N=551 N=551 

 72% (68, 75) 
26 

(22, 30) 
77% 

(74, 81) 
35 

(29, 42) 
C N=607 N=607 N=554 N=554 

 68% (64, 72) 
18 

(15, 20) 
77% 

(73, 80) 
36 

(29, 45) 
W-135 N=594 N=594 N=542 N=542 

 90% (87, 92) 
43 

(38, 50) 
91% 

(88, 93) 
61 

(52, 72) 
Y N=593 N=593 N=545 N=545 

 76% (72, 79) 
24 

(20, 28) 
79% 

(76, 83) 
34 

(28, 41) 
 
In another randomised, observer-blind study (V59P8) US children were immunized with a single dose 
of either Menveo (N=284) or ACWY-PS (N=285). In the children 2-10 years of age, as well as in each 
age strata (2-5 and 6-10 years), immune response as measured by percentage of subjects with 
seroresponse, hSBA≥1:8 and GMTs were not only non-inferior to comparator vaccine ACWY-PS, 
but all were statistically higher than the comparator for all serogroups and all immune measurements 
at 1 month post vaccination. At 1 year post vaccination, Menveo continued to be statistically higher 
than ACWY-PS for serogroups A, W-135 and Y, as measured by percentage of subjects with 
hSBA≥1:8 and GMTs. Menveo was non-inferior on these endpoints for serogroup C (Table 2). 
The clinical relevance of higher post-vaccination immune responses is not known. 
 



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Table 2: Immunogenicity of one dose of Menveo or ACWY-PS in subjects 2 through 10 years 
of age, measured at one month and twelve months post-vaccination 
 

Sero
grou

p 

1 month post-vaccination 12 months post-vaccination 
hSBA ≥1:8 
(95% CI) 

hSBA GMTs 
(95% CI) 

hSBA ≥1:8 
(95% CI) 

hSBA GMTs 
(95% CI) 

Menveo ACWY-PS Menveo 
ACWY-P

S Menveo 
ACWY-

PS Menveo ACWY-PS 

A N=280 N=281 N=280 N=281 N=253 N=238 N=253 N=238 

 79% (74, 84) 
37% 

(31, 43) 
36  

(30, 44) 

6.31  
(5.21, 7.6

4) 

23% 
(18, 29) 

13% 
(9, 18) 

3.88  
(3.39, 4.4

4) 

3 
(2.61, 3.44) 

C N=281 N=283 N=281 N=283 N=252 N=240 N=252 N=240 

 73% (68, 78) 
54% 

(48, 60) 
26 

(21, 34) 
15 

(12, 20) 
53% 

(47, 59) 
44% 

(38, 51) 
11 

(8.64, 13) 
9.02 

(7.23, 11) 
W-
135 N=279 N=282 N=279 N=282 N=249 N=237 N=249 N=237 

 92% (88, 95) 
66% 

(60, 71) 
60 

(50, 71) 
14 

(12, 17) 
90% 

(86, 94) 
45% 

(38, 51) 
42 

(35, 50) 
7.57 

(6.33, 9.07) 
Y N=280 N=282 N=280 N=282 N=250 N=239 N=250 N=239 

 88% (83, 91) 
53% 

(47, 59) 
54 

(44, 66) 
11 

(9.29, 14) 
77% 

(71, 82) 
32% 

(26, 38) 
27 

(22, 33) 
5.29 

(4.34, 6.45) 
 
In a randomised, observer-blind study (V59P10) conducted in Argentina, children were 
immunized with a single dose of either Menveo (N=949) or ACWY-PS (N=551). Immunogenicity 
was assessed in a subset of 150 subjects in each vaccine group. The immune response observed in 
the children 2-10 years of age was very similar to those observed in the V59P8 study shown above: 
immune response to Menveo at 1 month post vaccination, as measured by percentage of subjects 
with seroresponse, hSBA≥1:8 and GMTs, was non-inferior to ACWY-PS. 
 
A randomised, observer-blind study was conducted in children 12 to 59 months of age in Finland 
and Poland (V59P7). A total of 199 subjects 2-5 years of age were in the Menveo per protocol 
immunogenicity population and 81 subjects 3-5 years of age were in the ACWY-PS group. 
 
At 1 month post-first vaccination, the percentages of subjects with hSBA ≥ 1:8 were consistently 
higher in the Menveo group for all four serogroups (63% vs 39%, 46% vs 39%, 78% vs 59%, and 65% 
vs 57% for Menveo as compared to ACWY-PS for serogroups A, C, W-135, and Y, respectively). 
 
In a randomized, observer-blind study (V59_57) conducted in US, immunogenicity of a 2-dose series 
and a single dose of Menveo was compared in children 2 through 5 and 6 through 10 years of age 
(N=715). 
At baseline, the percentage of subjects with hSBA ≥1:8 across the two age strata was 1%-5% for 
serogroup A, 13%-28% for serogroup C, 42%-64% for serogroup W-135, and 6%-19% for serogroup 
Y. At 1 month post last vaccination, the percentages of subjects with hSBA ≥1:8 in the 2-dose group 
and in the single dose group across the two age strata were: 90%-95% vs 76%–80% for serogroup A, 
98%-99% vs 76%-87% for serogroup C, 99% vs 93%-96% for serogroup W-135, and 96% vs 65%-
69% for serogroup Y. GMTs were higher in the 2-dose group than the single dose group at 1 month 
after vaccination in both age strata; however, this difference was less pronounced in the older age 
stratum. 
At 1 year post last vaccination, the percentages of subjects with hSBA ≥1:8 after the 2-dose series and 
the single dose were both lower than at 1 month post-vaccination (30% after the 2-dose series, 11%-
20% after the single dose for serogroup A; 61%-81% and 41%-55% for serogroup C; 92%-94% and 
90%-91% for serogroup W-135; 67%-75% and 57%-65% for serogroup Y). The differences between 
hSBA GMTs in the 2-dose and the single dose groups at 1 year after vaccination were lower than 
those seen at 1 month post-vaccination. 
The clinical benefit of a 2-dose vaccination series in children 2 through 10 years of age is not known. 
 



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Persistence of immune response and booster response in children 2 to 10 years of age 
 
Antibody persistence at 5 years after primary vaccination was assessed in study V59P20E1, this was 
an extension of study V59P20. There was antibody persistence observed against serogroups C, W-135 
and Y, with the percentages of subjects with hSBA ≥ 1:8 being 32% and 56% against serogroup C in 
subjects 2-5 and 6-10 years of age, respectively, 74% and 80% against serogroup W-135, and 48% and 
53% against serogroup Y.  GMTs were respectively 6.5 and 12 for serogroup C, 19 and 26 for 
serogroup W-135, and 8.13 and 10 for serogroup Y. For serogroup A, 14% and 22% of subjects 2-5 
and 6-10 years of age, respectively, had hSBA ≥ 1:8 (GMTs 2.95 and 3.73).  
The children also received a booster dose of Menveo, 5 years after a single dose primary vaccination. 
All subjects in both age groups had hSBA ≥ 1:8 across all serogroups, with antibody titers several fold 
higher than seen after the primary vaccination (Table 3). 
 
Table 3: Persistence of immune responses 5 years after primary vaccination with Menveo, and 
immune responses 1 month after a booster dose among subjects aged 2 - 5 years and 6 -10 years 
at the time of primary vaccination 
 

Serogr
oup 2-5 years 6-10 years 

 5 year persistence 1 month after booster 5 year persistence 
1 month after 

booster 

 

hSBA 
≥1:8 
(95% 
CI) 

 

hSBA 
GMTs 
(95% 
CI) 

hSBA 
≥1:8 
(95% 
CI) 

 

hSBA 
GMTs 
(95% 
CI) 

hSBA 
≥1:8 
(95% 
CI) 

 

hSBA 
GMTs 
(95% 
CI) 

hSBA  
≥1:8 
(95% 
CI) 

 

hSBA 
GMTs 
(95% 
CI) 

A N=96 N=96 N=95 N=95 N=64 N=64 N=60 N=60 

 14% (7, 22) 

2.95 
(2.42, 
3.61) 

100% 
(96, 
100) 

361 
(299, 
436) 

22% 
(13, 34) 

3.73 
(2.74, 
5.06) 

100% 
(94, 
100) 

350 
(265, 
463) 

C N=96 N=96 N=94 N=94 N=64 N=64 N=60 N=60 

 32% (23, 43) 

6.5 
(4.75, 
8.9) 

100% 
(96, 
100) 

498 
(406, 
610) 

56% 
(43, 69) 

12 
(7.72, 

19) 

100% 
(94, 
100) 

712 
(490, 
1036) 

W-135 N=96 N=96 N=95 N=95  N=64 N=64 N=60 N=60 

 74% (64, 82) 
19 

(14, 25) 

100% 
(96, 
100) 

1534 
(1255, 
1873) 

80% 
(68, 89) 

26 
(18, 38) 

100% 
(94, 
100) 

1556 
(1083, 
2237) 

Y N=96 N=96 N=94 N=94  N=64 N=64 N=59 N=59 

 48% (38, 58) 

8.13 
(6.11, 

11) 

100% 
(96, 
100) 

1693 
(1360, 
2107) 

53% 
(40, 66) 

10 
(6.51, 

16) 

100% 
(94, 
100) 

1442 
(1050, 
1979) 

 
Immunogenicity in individuals 11 years of age and above 
 
In the pivotal study (V59P13), adolescents or adults received either a dose of Menveo (N = 2649) 
comparator vaccine ACWY-D (N = 875). Sera were obtained both before vaccination and 1 month 
after vaccination. 
 
In another study (V59P6) conducted in 524 adolescents, the immunogenicity of Menveo was 
compared to that of ACWY-PS. 
 
Immunogenicity in adolescents 
 
In the 11-18 year old population of the pivotal study, V59P13, the immunogenicity of a single dose of 
Menveo one month post vaccination is compared with the ACWY-D. Immunogenicity results at one 
month after Menveo are summarized below in Table 4. 



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Table 4: Serum bactericidal antibody responses following Menveo one month after 
vaccination among subjects aged 11-18 years 
 

Serogroup N GMT (95% CI) 
hSBA ≥ 1:8 
(95% CI) 

A 1075 29 (24, 35) 75% (73, 78) 
C 1396 50 (39, 65) 85% (83, 87) 

W-135 1024 87 (74, 102) 96% (95, 97) 
Y 1036 51 (42, 61) 88% (85, 90) 

 
In the subset of subjects aged 11-18 years who were seronegative at baseline (hSBA < 1:4), 
the proportion of subjects who achieved a hSBA ≥ 1:8 after a dose of Menveo were as follows: 
serogroup A 75% (780/1039); serogroup C 80% (735/923); serogroup W-135 94% (570/609); 
serogroup Y 81% (510/630). 
 
In the non-inferiority study, V59P6, immunogenicity was assessed among adolescents 
aged 11-17 years who had been randomised to receive either Menveo or ACWY-PS. Menveo was 
shown to be non-inferior to ACWY-PS vaccine for all four serogroups (A, C, W-135 and Y) based on 
seroresponse, proportions achieving hSBA ≥1:8, and GMTs. 
 
Table 5: Immunogenicity of one dose of Menveo or ACWY-PS in adolescents, measured at 
one month post vaccination 
 

Serogroup 
hSBA ≥1:8 
(95% CI) 

hSBA GMTs 
(95% CI) 

Menveo ACWY-PS Menveo ACWY-PS 
A N=140 N=149 N=140 N=149 

 81% (74, 87) 
41% 

(33, 49) 
33  

(25, 44) 
7.31 

(5.64, 9.47) 
C N=140 N=147 N=140 N=147 

 84% (77, 90) 
61% 

(53, 69) 
59 

(39, 89) 
28 

(19, 41) 
W-135 N=138 N=141 N=138 N=141 

 91% (84, 95) 
84% 

(77, 89) 
48 

(37, 62) 
28 

(22, 36) 
Y N=139 N=147 N=139 N=147 

 95% (90, 98) 
82% 

(75, 88) 
92 

(68, 124) 
35 

(27, 47) 
 
At one year post vaccination in these same subjects, compared with ACWY-PS, a higher proportion of 
subjects vaccinated with Menveo had hSBA ≥1:8 for serogroups C, W-135, and Y, with comparable 
levels for serogroup A. Similar findings were observed in the comparison of hSBA GMTs. 
 
Persistence of immune response and booster response in adolescents 
 
In study V59P13E1, the persistence of immune responses against serogroups A, C, W-135 and Y was 
assessed at 21 months, 3 years and 5 years post primary vaccination among subjects aged 11-18 years 
at the time of vaccination. The percentages of subjects with hSBA ≥ 1:8 remained constant against 
serogroups C, W-135, and Y from 21 months to 5 years postvaccination in the Menveo group and 
decreased slightly over time against serogroup A (Table 6). At 5 years after primary vaccination, there 



12 

were significantly higher percentages of subjects with hSBA ≥ 1:8 in the Menveo group than in the 
vaccine-naive control subjects against all the four serogroups. 
 
Table 6: Persistence of immune responses approximately 21 months, 3 years and 5 years 
after vaccination with Menveo (subjects were aged 11-18 years at the time of vaccination) 
 

Serogroup Timepoint 
Percentages of subjects with 

hSBA≥1:8 hSBA GMTs 

Menveo Menveo 

A 

 N=100 N=100 

21 months 45 (35, 55) 
6.57 (4.77-9.05) 

3 years 38 (28, 48) 
5.63 (3.97-7.99) 

5 years 35 (26, 45) 
4.43 (3.13-6.26) 

C 

 N=100 N=100 

21 months 61 (51, 71) 
11 (8.12-15) 

3 years 68 (58, 77) 
16 (11-25) 

5 years 64 (54, 73) 
14 (8.83-24) 

W-135 

 N=99 N=99 

21 months 86 (77, 92) 
18 (14-25) 

3 years 85 (76, 91) 
31 (21-46) 

5 years 85 (76, 91) 
32 (21-47) 

Y 

 N=100 N=100 

21 months 71 (61, 80) 
14 (10-19) 

3 years 69 (59, 78) 
14 (9.68-20) 

5 years 67 (57, 76) 
13 (8.8-20) 

 
A booster dose of Menveo was administered 3 years after primary vaccination with Menveo or 
ACWY-D. Both groups showed a robust response to the booster dose of Menveo at one month after 
vaccination (100% of subjects had hSBA ≥ 1:8 across serogroups) and this response largely persisted 
through 2 years after the booster dose for serogroups C, W-135 and Y (with 87% to 100% of subjects 
with hSBA ≥ 1:8 across serogroups). A small decline was observed in percentages of subjects with 
hSBA ≥ 1:8 against serogroup A, although percentages were still high (77% to 79%). GMTs declined 
over time as expected but remained between 2- and 8-fold higher than prebooster values (Table 8). 
 
In study V59P6E1, at one year post vaccination, the percentage of Menveo recipients with hSBA 
≥ 1:8 remained significantly higher compared with ACWY-PS recipients for serogroups C, W-135 and 
Y, and similar between the two study groups for serogroup A. hSBA GMTs for serogroups W-135 and 
Y were higher among Menveo recipients. In 5 years post vaccination, the percentage of Menveo 
recipients with hSBA ≥ 1:8 remained significantly higher compared with ACWY-PS recipients for 
serogroups C and Y. Higher hSBA GMTs were observed for serogroups W-135 and Y (Table 7). 
 



13 

Table 7: Persistence of immune responses approximately 12 months and 5 years after 
vaccination with Menveo and ACWY-PS (subjects were aged 11-18 years at the time of 
vaccination) 
 

Serogrou
p 

Timepo
int 

Percentages of subjects with 
hSBA≥1:8 hSBA GMTs 

Menveo ACWY-PS 

P Value 
Menveo 

vs 
ACWY-

PS 

Menveo ACWY-PS 

P Value 
Menveo 

vs 
ACWY-

PS 

A 

 N=50 N=50  N=50 N=50  
12 mont

hs 
41% 

(27, 56) 
43% 

(28, 59) 0.73 
5.19 

(3.34, 8.09) 
6.19 

(3.96, 9.66) 0.54 

5 years 30% (18, 45) 
44% 

(30, 59) 0.15 
5.38 

(3.29, 8.78) 
7.75 

(4.83, 12) 0.24 

C 

 N=50 N=50  N=50 N=50  
12 mont

hs 
82% 

(68, 91) 
52% 

(37, 68) <0.001 
29 

(15, 57) 
17 

(8.55, 33) 0.22 

5 years 76% (62, 87) 
62% 

(47, 75) 0.042 
21 

(12, 37) 
20 

(12, 35) 0.92 

W-135 

 N=50 N=50  N=50 N=50  
12 mont

hs 
92% 

(80, 98) 
52% 

(37, 68) <0.001 
41 

(26, 64) 
10 

(6.41, 16) <0.001 

5 years 72% (58, 84) 
56% 

(41, 70) 0.093 
30 

(18, 52) 
13 

(7.65, 22) 0.012 

Y 

 N=50 N=50  N=50 N=50  
12 mont

hs 
78% 

(63, 88) 
50% 

(35, 65) 0.001 
34 

(20, 57) 
9.28 

(5.5, 16) <0.001 

5 years 76% (62, 87) 
50% 

(36, 64) 0.002 
30 

(18, 49) 
8.25 

(5.03, 14) <0.001 

 
A booster dose of Menveo was administered 5 years after primary vaccination with Menveo or 
ACWY-PS. At 7 days after the booster dose, 98%-100% of subjects who previously received Menveo 
and 73%-84% of subjects who previously received ACWY-PS achieved hSBA ≥1:8 against 
serogroups A, C, W-135 and Y. At one month post vaccination, the percentages of subjects with 
hSBA≥1:8 were 98%-100% and 84%-96%, respectively. 
 
A significant increase in the hSBA GMTs against all four serogroups was also observed 
at 7 and 28 days after the booster dose (Table 8). 
 



14 

Table 8: Response to Booster: bactericidal antibody responses to Menveo booster 
administered at 3 or 5 years after the primary vaccination with Menveo or ACWY-PS in 
subjects aged 11-17 years 
 



15 

Serog
roup 

Time 
point 

Percentages of subjects with 
hSBA≥1:8 hSBA GMTs 

V59P13E
1 

(3 years 
post 

vaccinati
on) 

V59P6E1 
(5 years post 
vaccination) 

V59P13E1 
(3 years post 
vaccination) 

V59P6E1 
(5 years post  
vaccination) 

Menveo Menveo ACWY-PS Menveo Menveo 
ACWY-

PS 

A 

 N=42 N=49 N=49 N=42 N=49 N=49 
Pre-boo

ster 
21% 

(10, 37) 
29% 

(17, 43) 
43% 

(29, 58) 
2.69 

(1.68, 4.31) 
5.16 

(3.46, 7.7) 
7.31 

(4.94, 11) 

7 days - 100% (93, 100) 
73% 

(59, 85) - 
1059 

(585, 191
7) 

45 
(25, 80) 

28 days 100% (92, 100) 
98% 

(89, 100) 
94% 

(83, 99) 
326 

(215, 494) 

819 
(514, 130

5) 

147 
(94, 232) 

2 years 79% (63, 90) - - 
22 

(12, 41) - - 

C 

 N=42 N=49 N=49 N=42 N=49 N=49 
Pre-boo

ster 
55% 

(39, 70) 
78% 

(63, 88) 
61% 

(46, 75) 
16 

(8.66, 31) 
20 

(13, 33) 
19 

(12, 31) 

7 days - 100% (93, 100) 
78% 

(63, 88) - 
1603 

(893, 287
7) 

36 
(20, 64) 

28 days 100% (92, 100) 
100% 

(93, 100) 
84% 

(70, 93) 
597 

(352, 1014) 

1217 
(717, 206

6) 

51 
(30, 86) 

2 years 95% (84-99) - - 
124 

(62-250) - - 

W-135 

 N=41 N=49 N=49 N=41 N=49 N=49 
Pre-boo

ster 
88% 

(74, 96) 
73% 

(59, 85) 
55% 

(40, 69) 
37 

(21, 65) 
29 

(17, 49) 
12 

(7.02, 19) 

7 days - 100% (93, 100) 
84% 

(70, 93) - 
1685 

(1042, 27
25) 

34 
(21, 54) 

28 days 100% (91, 100) 
100% 

(93, 100) 
92% 

(80, 98) 
673 

(398, 1137) 

1644 
(1090, 24

81) 

47 
(32, 71) 

2 years 100% (91, 100) - - 
93 

(58, 148) -  

Y 

 N=42 N=49 N=49 N=42 N=49 N=49 
Pre-boo

ster 
74% 

(58, 86) 
78% 

(63, 88) 
51% 

(36, 66) 
14 

(8.15, 26) 
28 

(18, 45) 
7.8 

(4.91, 12) 

7 days - 98% (89, 100) 
76% 

(61, 87) - 
2561 

(1526, 42
98) 

21 
(13, 35) 

28 days 100% (92, 100) 
100% 

(93, 100) 
96% 

(86, 100) 
532 

(300, 942) 

2092 
(1340, 32

68) 

63 
(41, 98) 

2 years 95% (84, 99) - - 
55 

(30, 101) - - 

 
 



16 

Immunogenicity in adults 
 
In the pivotal immunogenicity trial, V59P13, immune responses to Menveo were assessed among 
adults aged 19 to 55 years. Results are presented in Table 9. In the subset of subjects aged 19-55 years 
who were seronegative at baseline, the proportion of subjects who achieved a hSBA ≥ 1:8 after a dose 
of Menveo were as follows: serogroup A 67% (582/875); serogroup C 71% (401/563); serogroup W-
135 82% (131/160); serogroup Y 66% (173/263). 
 
Table 9: Serum bactericidal antibody responses following Menveo one month after 
vaccination among subjects aged 19-55 years 
 

Serogroup N GMT (95% CI) 
hSBA ≥ 1:8 
(95% CI) 

A 963 31 (27, 36) 69% (66, 72) 
C 902 50 (43, 59) 80% (77, 83) 

W-135 484 111 (93, 132) 94% (91, 96) 
Y 503 44 (37, 52) 79% (76, 83) 

 
The onset of immune response after the primary vaccination with Menveo in healthy 
subjects 18 through 22 years of age was evaluated in study V59P6E1. At 7 days post vaccination, 64% 
of subjects achieved hSBA ≥1:8 against serogroup A and 88% through 90% of subjects had 
bactericidal antibodies against serogroups C, W-135 and Y. At one month post vaccination, 92% 
through 98% of subjects had hSBA ≥1:8 against serogroups A, C, W-135 and Y. A robust immune 
response as measured by hSBA GMTs against all serogroups was also observed at 7 days 
(GMTs 34 through 70) and 28 days (GMTs 79 through 127) after a single dose vaccination. 
 
Immunogenicity in older adults 
 
The comparative immunogenicity of Menveo vs. ACWY-PS was evaluated in subjects 
aged 56-65 years, in study V59P17. The proportion of subjects with hSBA ≥ 1:8 was non-inferior to 
ACWY-PS for all four serogroups and statistically superior for serogroups A and Y (Table 10). 
 
Table 10: Immunogenicity of one dose of Menveo or ACWY-PS in adults aged 56-65 years, 
measured at one month post vaccination. 
 

Serogroup 
Menveo 

hSBA ≥ 1:8 
(95% CI) 

ACWY-PS 
hSBA ≥ 1:8 
(95% CI) 

A 
N=83 N=41 
87% 

(78, 93) 
63% 

(47, 78) 

C 
N=84 N=41 
90% 

(82, 96) 
83% 

(68, 93) 

W-135 
N=82 N=39 
94% 

(86, 98) 
95% 

(83, 99) 

Y 
N=84 N=41 
88% 

(79, 94) 
68% 

(52, 82) 
 
Available data in children 2 to 23 months of age 
 
The immunogenicity of Menveo in children 2 to 23 months of age was evaluated in several studies. 
Although a high percentage of subjects achieved hSBA titres above 1:8 following 4-dose series of 
Menveo, with lower percentages in studies of 2-dose series and of a single dose, Menveo was 



17 

compared to another meningococcal vaccine in only one pivotal study, where it failed to show a 
response at least equivalent to a monovalent conjugated serotype C vaccine (after a single dose at the 
age of 12 months). Currently available data are not sufficient to establish the efficacy of Menveo in 
children under 2 years of age. See section 4.2 for information on paediatric use. 
 
5.2 Pharmacokinetic properties 
 
Not applicable. 
 
5.3 Preclinical safety data 
 
Non-clinical data reveal no special hazard for humans based on conventional repeated-dose and 
reproductive and developmental toxicity studies. 
 
In laboratory animals, no adverse reactions were seen in vaccinated maternal rabbits or in their 
offspring through postnatal day 29. 
No effects on fertility were observed in female rabbits receiving Menveo pre-mating and during 
pregnancy. 
 
 
6. PHARMACEUTICAL PARTICULARS 
 
6.1 List of excipients 
 
Powder 
 
Sucrose 
Potassium dihydrogen phosphate 
 
Solution 
 
Sodium dihydrogen phosphate monohydrate 
Disodium phosphate dihydrate 
Sodium chloride 
Water for injections 
 
6.2 Incompatibilities 
 
This medicinal product must not be mixed with other medicinal products except those mentioned 
in section 6.6. 
 
6.3 Shelf life 
 
3 years. 
 
After reconstitution, the medicinal product should be used immediately. However, chemical and 
physical stability after reconstitution was demonstrated for 8 hours below 25°C. 
 
6.4 Special precautions for storage 
 
Store in a refrigerator (2°C - 8°C). Do not freeze. 
Keep the vials in the outer carton in order to protect from light. 
For storage conditions after reconstitution of the medicinal product, see section 6.3. 
 



18 

6.5 Nature and contents of container 
 
Powder in vial (type I glass) with a stopper (butyl rubber with fluoropolymer coated surface) and 
solution in vial (type I glass) with a stopper (butyl rubber). 
 
Pack size of one dose (2 vials) or five doses (10 vials). 
 
Not all pack sizes may be marketed. 
 
6.6 Special precautions for disposal and other handling 
 
Menveo must be prepared for administration by reconstituting powder (in vial) with solution (in vial). 
 
The contents in the two different vials (MenA powder and MenCWY solution) are to be mixed prior to 
vaccination providing 1 dose of 0.5 ml. 
 
The components of the vaccine should be visually inspected before and after reconstitution. 
 
Using a syringe and suitable needle (21G, 40 mm length or 21G, 1 ½ inch length), withdraw the entire 
contents of the vial of solution and inject into the vial of powder to reconstitute the MenA conjugate 
component. 
 
Invert and shake the vial vigorously and then withdraw 0.5 ml of reconstituted product. Please note 
that it is normal for a small amount of liquid to remain in the vial following withdrawal of the dose. 
 
Following reconstitution, the vaccine is a clear, colourless to light yellow solution, free from visible 
foreign particles. In the event of any foreign particulate matter and/or variation of physical aspect 
being observed, discard the vaccine. 
 
Prior to injection, change the needle for one suitable for the administration. Ensure that no air bubbles 
are present in the syringe before injecting the vaccine. 
 
Any unused medicinal product or waste material should be disposed of in accordance with local 
requirements. 
 
 
7. MARKETING AUTHORISATION HOLDER 
 
GSK Vaccines S.r.l. 
Via Fiorentina 1 
53100 Siena, Italy 
 
 
8. MARKETING AUTHORISATION NUMBERS 
 
EU/1/10/614/002 
EU/1/10/614/003 
 
 



19 

9. DATE OF FIRST AUTHORISATION/RENEWAL OF THE AUTHORISATION 
 
Date of first authorisation: 15 March 2010 
Date of latest renewal: 04 December 2014 
 
 
10. DATE OF REVISION OF THE TEXT 
 
Detailed information on this medicinal product is available on the website of the European Medicines 
Agency http://www.ema.europa.eu/ 
 

  

http://www.ema.europa.eu/
http://www.ema.europa.eu/


20 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

ANNEX II 
 

A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCE AND 
MANUFACTURER RESPONSIBLE FOR BATCH RELEASE 

 
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE 

 
C. OTHER CONDITIONS AND REQUIREMENTS OF THE MARKETING 
AUTHORISATION 

 
D. CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND 
EFFECTIVE USE OF THE MEDICINAL PRODUCT 

 
 



21 

A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCE 
AND MANUFACTURER RESPONSIBLE FOR BATCH RELEASE 
 
Name and address of the manufacturer of the biological active substance 
 
GSK Vaccines S.r.l. 
Bellaria-Rosia 
53018 Sovicille (SI) 
Italy 
 
Name and address of the manufacturer responsible for batch release 
 
GSK Vaccines S.r.l. 
Bellaria-Rosia 
53018 Sovicille (SI) 
Italy 
 
The printed package leaflet of the medicinal product must state the name and address 
of the manufacturer responsible for the release of the concerned batch. 
 
 
B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE 
 
Medicinal product subject to medical prescription. 
 
• Official batch release 
 
In accordance with Article 114 of Directive 2001/83/EC, the official batch release will be 
undertaken by a state laboratory or a laboratory designated for that purpose. 
 
 
C. OTHER CONDITIONS AND REQUIREMENTS OF THE MARKETING 
AUTHORISATION 
 
• Periodic safety update reports (PSURs) 
 
The marketing authorisation holder shall submit PSURs for this product in accordance with the 
requirements set out in the list of Union reference dates (EURD list) provided for under 
Article 107c(7) of Directive 2001/83/EC and published on the European medicines web-portal. 
 
 
D. CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND 
EFFECTIVE USE OF THE MEDICINAL PRODUCT 
 
• Risk Management Plan (RMP) 
 
The marketing authorisation holder (MAH) shall perform the required pharmacovigilance activities 
and interventions detailed in the agreed RMP presented in Module 1.8.2 of the Marketing 
Authorisation and any agreed subsequent updates of the RMP. 
 



22 

An updated RMP should be submitted: 
• At the request of the European Medicines Agency; 
• Whenever the risk management system is modified, especially as the result of new information 
being received that may lead to a significant change to the benefit/risk profile or as the result of an 
important (pharmacovigilance or risk minimisation) milestone being reached. 
 
If the submission of a PSUR and the update of a RMP coincide, they can be submitted at the same 
time. 
 
 

  



23 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

ANNEX III 
 

LABELLING AND PACKAGE LEAFLET 
  



24 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

A. LABELLING 



25 

PARTICULARS TO APPEAR ON THE OUTER PACKAGING 
 
CARTON – POWDER IN VIAL AND SOLUTION IN VIAL 
 
 
1. NAME OF THE MEDICINAL PRODUCT 
 
Menveo powder and solution for solution for injection 
Meningococcal Group A, C, W-135 and Y conjugate vaccine 
 
 
2. STATEMENT OF ACTIVE SUBSTANCE(S) 
 
After reconstitution 0.5 ml dose contains: 
Meningococcal group A oligosaccharides 10 micrograms conjugated to Corynebacterium diphtheriae 
CRM197 protein 16.7-33.3 micrograms 
 
Meningococcal group C oligosaccharides 5 micrograms conjugated to Corynebacterium diphtheriae 
CRM197 protein 7.1-12.5 micrograms 
 
Meningococcal group W-135 oligosaccharides 5 micrograms conjugated to 
Corynebacterium diphtheriae CRM197 protein 3.3-8.3 micrograms 
 
Meningococcal group Y oligosaccharides 5 micrograms conjugated to Corynebacterium diphtheriae 
CRM197 protein 5.6-10.0 micrograms. 
 
 
3. LIST OF EXCIPIENTS 
 
Excipients: Potassium dihydrogen phosphate, sucrose, sodium chloride, sodium dihydrogen phosphate 
monohydrate, disodium phosphate dihydrate, water for injection. 
 
 
4. PHARMACEUTICAL FORM AND CONTENTS 
 
One dose (2 vials) per package. 
Five doses (10 vials) per package. 
One dose consists of 1 vial of MenA Lyophilised Conjugate Component to be reconstituted with 1 vial 
of MenCWY Liquid Conjugate Component. 
 
 
5. METHOD AND ROUTE(S) OF ADMINISTRATION 
 
Intramuscular injection. 
Not for intravascular, subcutaneous or intradermal injection. 
Shake well before use. 
Read the package leaflet before use. 
 
 
6. SPECIAL WARNING THAT THE MEDICINAL PRODUCT MUST BE STORED OUT 
OF THE SIGHT AND REACH OF CHILDREN 
 
Keep out of the sight and reach of children. 
 
 



26 

7. OTHER SPECIAL WARNING(S), IF NECESSARY 
 
 
8. EXPIRY DATE 
 
EXP 
After reconstitution, the product should be used immediately. However, chemical and physical 
stability after reconstitution was demonstrated for 8 hours below 25°C. 
 
 
9. SPECIAL STORAGE CONDITIONS 
 
Store in a refrigerator (2°C - 8°C). 
Do not freeze. 
Keep the vials in the outer carton to protect from light. 
 
 
10. SPECIAL PRECAUTIONS FOR DISPOSAL OF UNUSED MEDICINAL PRODUCTS 
OR WASTE MATERIALS DERIVED FROM SUCH MEDICINAL PRODUCTS, 
IF APPROPRIATE 
 
Any unused product or waste material should be disposed of in accordance with local requirement 
 
 
11. NAME AND ADDRESS OF THE MARKETING AUTHORISATION HOLDER 
 
GSK Vaccines S.r.l., Via Fiorentina 1, 53100 Siena, Italy 
 
 
12. MARKETING AUTHORISATION NUMBER(S) 
 
EU/1/10/614/003 - 1 dose pack 
EU/1/10/614/002 - 5 doses pack 
 
 
13. BATCH NUMBER 
 
Lot 
 
 
14. GENERAL CLASSIFICATION FOR SUPPLY 
 
Medicinal product subject to medical prescription 
 
 
15. INSTRUCTIONS ON USE 
 
 
16. INFORMATION IN BRAILLE 
 
Justification for not including Braille accepted 
 
 
17. UNIQUE IDENTIFIER – 2D BARCODE 
 



27 

2D barcode carrying the unique identifier included. 
 
 
18. UNIQUE IDENTIFIER - HUMAN READABLE DATA 
 
PC  
SN  
NN  
 



28 

 
MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS 
 
VIAL LABEL MENA LYOPHILISED CONJUGATE COMPONENT 
 
 
1. NAME OF THE MEDICINAL PRODUCT AND ROUTE(S) OF ADMINISTRATION 
 
Menveo powder for injection 
MenA Conjugate 
Intramuscular use 
 
 
2. METHOD OF ADMINISTRATION 
 
 
3. EXPIRY DATE 
 
EXP 
 
 
4. BATCH NUMBER 
 
Lot 
 
 
5. CONTENTS BY WEIGHT, BY VOLUME OR BY UNIT 
 
1 dose (0.5 ml) 
 
 
6. OTHER 
 



29 

MINIMUM PARTICULARS TO APPEAR ON SMALL IMMEDIATE PACKAGING UNITS 
 
VIAL LABEL MENCWY LIQUID CONJUGATE COMPONENT 
 
 
1. NAME OF THE MEDICINAL PRODUCT AND ROUTE(S) OF ADMINISTRATION 
 
Menveo solution for injection 
MenCWY Conjugate 
Intramuscular use 
 
 
2. METHOD OF ADMINISTRATION 
 
 
3. EXPIRY DATE 
 
EXP 
 
 
4. BATCH NUMBER 
 
Lot 
 
 
5. CONTENTS BY WEIGHT, BY VOLUME OR BY UNIT 
 
0.6 ml 
 
 
6. OTHER 
 

  



30 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

B. PACKAGE LEAFLET 



31 

Package leaflet: Information for the user 
 

Menveo powder and solution for solution for injection 
Meningococcal Group A, C, W-135 and Y conjugate vaccine 

 
Read all of this leaflet carefully before you or your child are given this medicine because 
it contains important information for you. 
 
- Keep this leaflet. You may need to read it again. 
- If you have any further questions, ask your doctor, pharmacist or nurse. 
- This vaccine has been prescribed for you or your child only. 
- If you get any side effects talk to your doctor, pharmacist or nurse. This includes any possible 
side effects not listed in this leaflet. See section 4. 
 
What is in this leaflet: 
 
1. What Menveo is and what it is used for 
2. What you need to know before you or your child are given Menveo 
3. How to use Menveo 
4. Possible side effects 
5. How to store Menveo 
6. Contents of the pack and other information 
 
 
1. What Menveo is and what it is used for 
 
Menveo is a vaccine that is used for active immunization of children (from 2 years of age), 
adolescents and adults at risk of exposure to a bacterium named Neisseria meningitidis serogroups A, 
C, W-135 and Y, to prevent invasive disease. The vaccine works by causing your body to make its 
own protection (antibodies) against these bacteria. 
 
Neisseria meningitidis serogroup A, C, W-135 and Y bacteria can cause serious and sometimes 
life-threatening infections such as meningitis and sepsis (blood poisoning). 
 
Menveo cannot cause bacterial meningitis. This vaccine contains a protein (called CRM197) from 
the bacteria that cause diphtheria. Menveo does not protect against diphtheria. This means that 
you (or your child) should receive other vaccines to protect against diphtheria when these are due 
or when advised by your doctor. 
 
 
2. What you need to know before you or your child are given Menveo 
 
Do not use Menveo if you or your child has: 
 
- ever had an allergic reaction to the active substances or any of the other ingredients of this 
vaccine (listed in section 6) 
- ever had an allergic reaction to diphtheria toxoid (a substance used in a number of other 
vaccines) 
- an illness with high fever. However, a mild fever or upper respiratory infection (for example 
cold) itself is not a reason to delay vaccination. 
 



32 

Warnings and precautions: 
 
Talk to your doctor or nurse before you or your child are given Menveo if you or your child: 
- have a weakened immune system. Little is known about the effectiveness of Menveo when 
administered to individuals with weakened immunity due to the use of immunosuppressive 
medications, or HIV infection, and other possible causes. It is possible that the effectiveness 
of Menveo could be reduced in such individuals. 
- have haemophilia or any other problem that may stop your blood from clotting properly, such as 
persons receiving blood thinners (anticoagulants). 
- receive treatment that blocks the part of the immune system known as complement activation, 
such as eculizumab. Even if you have been vaccinated with Menveo you remain at increased risk of 
disease caused by the Neisseria meningitidis groups A, C, W-135 and Y bacteria. 
 
Fainting, feeling faint or other stress-related reactions can occur as a response to any needle injection. 
Tell your doctor or nurse if you have experienced this kind of reaction previously. 
 
This vaccine can only protect against meningococcal group A, C, W-135, and Y bacteria. It cannot 
protect against other types of meningococcal bacteria other than groups A, C, W-135 and Y, or against 
other causes of meningitis and sepsis (blood poisoning). 
 
As with any vaccine, Menveo may not fully protect 100% of those who get the vaccine. 
 
If you or your child received a dose of Menveo more than one year ago and remains at particular 
risk of exposure to meningococcal group A bacteria, consideration may be given to administering 
a booster dose to maintain protection. Your doctor will advise you if and when you should receive 
a booster dose. 
 
Other medicines and Menveo 
 
Tell your doctor or nurse if you are taking, have recently taken or might take any other medicines. 
 
Menveo may be given at the same time as other vaccinations but any other injected vaccines should 
preferably be given into a different arm from the site of the Menveo injection. 
 
These include the following vaccines: tetanus, reduced diphtheria and acellular pertussis (Tdap), 
human papillomavirus (HPV), yellow fever, typhoid fever (Vi polysaccharide), Japanese encephalitis, 
rabies, hepatitis A and B and meningococcal group B (Bexsero). 
 
Menveo’s effect could be diminished when administered to individuals who are taking medicines that 
suppress the immune system. 
 
Separate injection sites must be used if more than one vaccine is being administered at the same time. 
 
Pregnancy, breast-feeding and fertility 
 
If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask 
your doctor for advice before this medicine is given. Your doctor or nurse may still recommend that 
you receive Menveo if you are at high risk of infection with meningococcal group A, C, W-135 and Y 
bacteria. 
 
Driving and using machines 
 
No studies on the effects on the ability to drive and use machines have been performed. 
Dizziness has been very rarely reported following vaccination. This may temporarily affect the ability 
to drive or use machines. 
 



33 

Menveo contains 
 
This medicinal product contains less than 1 mmol sodium (23 mg) per dose, i.e. essentially 
‘sodium-free’. 
This medicinal products contains less than 1 mmol potassium (39 mg) per dose, i.e. essentially 
‘potassium-free’. 
 
 
3. How to use Menveo 
 
Menveo will be given to you or your child by a doctor or nurse. 
 
The vaccine is usually given into the upper arm muscle (deltoid) for children (from 2 years of age), 
adolescents and adults. Your doctor or nurse will take care to ensure the vaccine is not given into 
a blood vessel and will make sure that it is injected into muscle and not into the skin. 
 
For children (from 2 years of age), adolescents and adults: a single (0.5 ml) injection will be given. 
 
The safety and efficacy of Menveo in children under 2 years of age has not yet been established. There 
are limited data in individuals aged 56-65 and there are no data in subjects aged older than 65 years. 
 
Please tell your doctor if you have received a previous injection with Menveo or another 
meningococcal vaccine. Your doctor will tell you if you need an additional injection of Menveo. 
 
For information on the reconstitution of the vaccine see the section for medical or healthcare 
professionals at the end of this leaflet. 
 
If you have any further questions on the use of this medicine, ask your doctor or nurse. 
 
 
4. Possible side effects 
 
Like all medicines, this medicine can cause side effects, although not everybody gets them. 
 
The most common side effects reported during clinical trials usually lasted only one to two days 
and were not usually severe. 
 
In children (from 2 to 10 years of age), the side effects that were reported during clinical trials are 
listed below. 
 
Very common (may affect more than 1 in 10 people): sleepiness, headache, irritability, generally 
feeling unwell, injection site pain, injection site redness (≤ 50 mm), injection site firmness (≤ 50 mm) 
 
Common (may affect up to 1 in 10 people): change in eating habits, nausea, vomiting, diarrhea, rash, 
muscle ache, joint ache, chills, fever ≥38oC, injection site redness (>50mm) and injection site 
firmness (>50mm) 
 
Uncommon (may affect up to 1 in 100 people): injection site itching 
 
In adolescents (from 11 years of age) and adults, the most common side effects that were reported 
during clinical trials are listed below. 
 
Very common: headache, nausea, injection site pain, injection site redness (≤ 50 mm), injection site 
firmness (≤ 50 mm), muscle ache, generally feeling unwell 
 
Common: rash, injection site redness (> 50 mm), injection site firmness (> 50 mm), joint ache, 
fever ≥ 38°C, chills 



34 

 
Uncommon: dizziness, injection site itching 
 
Side effects that have been reported during marketed use include: 
Rare: enlarged lymph nodes. 
Not known: allergic reactions that may include severe swelling of the lips, mouth, throat (which may 
cause difficulty in swallowing), difficulty breathing with wheezing or coughing, rash and swelling of 
the hands, feet and ankles, loss of consciousness, very low blood pressure; fits (convulsions) including 
fits associated with fever; balance disorder; faint; infection of the skin at the injection site; injection 
site swelling, including extensive swelling of the injected limb. 
 
If a severe allergic reaction occurs tell your doctor straight away or go immediately/ take your child to 
the nearest Accident and Emergency department because urgent medical help may be needed. 
 
Reporting of side effects 
If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side 
effects not listed in this leaflet. You can also report side effects directly via the national reporting 
system listed in Appendix V. By reporting side effects you can help provide more information on the 
safety of this medicine. 
 
 
5. How to store Menveo 
 
Keep this medicine out of the sight and reach of children. 
 
Do not use this medicine after the expiry date which is stated on the outer carton after EXP. 
The expiry date refers to the last day of that month. 
 
Store in a refrigerator (2°C – 8°C). Do not freeze. Keep the vials in the outer carton in order to protect 
from light. 
 
After reconstitution, the product should be used immediately. However, chemical and physical 
stability after reconstitution was demonstrated for 8 hours below 25°C. 
 
Do not throw away any medicines via wastewater or household waste. Your doctor or nurse will 
dispose of this medicine. These measures will help protect the environment. 
 
 
6. Contents of the pack and other information 
 
What Menveo contains 
 
One dose (0.5 ml of the reconstituted vaccine) contains: 
The active substances are: 
 
(Originally contained in the powder) 
• Meningococcal group A oligosaccharide 10 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 16.7 to 33.3 micrograms 
 
(Originally contained in the solution) 
• Meningococcal group C oligosaccharide 5 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 7.1 to 12.5 micrograms 
 
• Meningococcal group W-135 oligosaccharide 5 micrograms 
Conjugated to Corynebacterium diphtheriae CRM197 protein 3.3 to 8.3 micrograms 
 
• Meningococcal group Y oligosaccharide 5 micrograms 

http://www.ema.europa.eu/docs/en_GB/document_library/Template_or_form/2013/03/WC500139752.doc
http://www.ema.europa.eu/docs/en_GB/document_library/Template_or_form/2013/03/WC500139752.doc


35 

Conjugated to Corynebacterium diphtheriae CRM197 protein 5.6 to 10.0 micrograms 
 
The other ingredients (excipients) are: 
 
In the powder: potassium dihydrogen phosphate and sucrose. 
 
In the solution: sodium chloride, sodium dihydrogen phosphate monohydrate, sodium hydrogen 
phosphate dihydrate and water for injection (See also end of Section 2). 
 
What Menveo looks like and contents of the pack 
 
Menveo is a powder and a solution for injection. 
Each dose of Menveo is supplied as a: 
- 1 Vial containing the MenA Lyophilised Conjugate Component as a white to off-white powder 
- 1 Vial containing the MenCWY Liquid Conjugate Component as clear solution 
- Pack size of one dose (2 vials) or five doses (10 vials). Not all pack sizes may be marketed. 
 
The contents of the two components (vial and vial) are to be mixed prior to vaccination 
providing 1 dose of 0.5 ml. 
 
Marketing Authorisation Holder and Manufacturer 
 
Marketing Authorisation Holder: 
GSK Vaccines S.r.l., 
Via Fiorentina 1, 53100 Siena, 
Italy 
 
Manufacturer: 
GSK Vaccines S.r.l., 
Bellaria-Rosia, 53018 Sovicille (Siena), 
Italy 
 
For any information about this medicine, please contact the local representative of the Marketing 
Authorisation Holder: 
 
België/Belgique/Belgien 
GlaxoSmithKline Pharmaceuticals s.a./n.v. 
Tél/Tel: + 32 10 85 52 00  

Lietuva 
GlaxoSmithKline Lietuva UAB 
Tel: +370 5 264 90 00 
info.lt@gsk.com  
 

България 
ГлаксоСмитКлайн ЕООД 
Тел. + 359 2 953 10 34  

Luxembourg/Luxemburg 
GlaxoSmithKline Pharmaceuticals s.a./n.v. 
Tél/Tel: + 32 10 85 52 00 
 

Česká republika 
GlaxoSmithKline s.r.o. 
Tel: + 420 2 22 00 11 11 
cz.info@gsk.com 
 

Magyarország 
GlaxoSmithKline Kft. 
Tel.: + 36-1-2255300  

Danmark 
GlaxoSmithKline Pharma A/S 
Tlf: + 45 36 35 91 00 
dk-info@gsk.com 
 

Malta 
GlaxoSmithKline (Malta) Ltd 
Tel: + 356 21 238131  

Deutschland 
GlaxoSmithKline GmbH & Co. KG 
Tel: +49 (0)89 36044 8701 

Nederland 
GlaxoSmithKline BV 
Tel: + 31 (0)30 69 38 100 



36 

de.impfservice@gsk.com  
 

 

 
 
Eesti 
GlaxoSmithKline Eesti OÜ  
Tel: +372 667 6900 
estonia@gsk.com  
 

 
 
Norge 
GlaxoSmithKline AS 
Tlf: + 47 22 70 20 00 
 

Ελλάδα 
GlaxoSmithKline Μονοπρόσωπη A.E.B.E 
Tηλ: + 30 210 68 82 100  

Österreich 
GlaxoSmithKline Pharma GmbH. 
Tel: + 43 (0)1 97075 0 
at.info@gsk.com  
 

España 
GlaxoSmithKline, S.A. 
Tel: + 34 900 202 700 
es-ci@gsk.com  
 

Polska 
GSK Services Sp. z o.o. 
Tel.: + 48 (22) 576 9000  

France 
Laboratoire GlaxoSmithKline 
Tél: + 33 (0) 1 39 17 84 44 
diam@gsk.com  
 

Portugal 
GlaxoSmithKline - Produtos Farmacêuticos, 
Lda. 
Tel: + 351 21 412 95 00 
FI.PT@gsk.com  

Hrvatska 
GlaxoSmithKline d.o.o. 
Tel.: + 385 (0)1 6051999  
 

România 
GlaxoSmithKline (GSK) SRL 
Tel: +40 (0)21 3028 208  

Ireland 
GlaxoSmithKline (Ireland) Ltd 
Tel: + 353 (0)1 495 5000  
 
 

Slovenija 
GlaxoSmithKline d.o.o. 
Tel: + 386 (0) 1 280 25 00 
medical.x.si@gsk.com  

Ísland 
Vistor hf.  
Sími: +354 535 7000  
 
 

Slovenská republika 
GlaxoSmithKline Slovakia s.r.o. 
Tel.: + 421 (0)2 48 26 11 11 
recepcia.sk@gsk.com  

Italia 
GlaxoSmithKline S.p.A. 
Tel: +39 (0)45 9218 111 
 

Suomi/Finland 
GlaxoSmithKline Oy 
Puh/Tel: + 358 10 30 30 30 
 

Κύπρος 
GlaxoSmithKline (Cyprus) Ltd 
Τηλ: + 357 22 39 70 00 
gskcyprus@gsk.com  
 

Sverige 
GlaxoSmithKline AB 
Tel: + 46 (0)8 638 93 00 
info.produkt@gsk.com  

Latvija 
GlaxoSmithKline Latvia SIA 
Tel: + 371 67312687 
lv-epasts@gsk.com  

United Kingdom 
GlaxoSmithKline UK 
Tel: +44 (0)800 221 441 
customercontactuk@gsk.com  

 



37 

This leaflet was last revised in 
 
Other sources of information 
 
Detailed information on this medicine is available on the European Medicines Agency web site: 
http://www.ema.europa.eu/ 
 
This leaflet is available in all EU/EEA languages on the European Medicines Agency website. 
 
------------------------------------------------------------------------------------------------------------------ 
 
The following information is intended for healthcare professionals only: 
 
Reconstitution of the vaccine 
 
Menveo must be prepared for administration by reconstituting the powder with the solution. 
 
The contents in the two different vials (MenA powder and MenCWY solution) are to be mixed prior to 
vaccination providing 1 dose of 0.5 ml. 
 
Using a syringe and suitable needle (21G, 40 mm length or 21 G, 1 ½ inch length), withdraw the entire 
contents of the vial of solution and inject into the vial of powder to reconstitute the MenA conjugate 
component. 
 
Invert and shake the vial vigorously and then withdraw 0.5 ml of reconstituted product. Please note 
that it is normal for a small amount of liquid to remain in the vial following withdrawal of the dose. 
Prior to injection, change the needle with one suitable for the administration. Ensure that no air 
bubbles are present in the syringe before injecting the vaccine. 
 
Following reconstitution, the vaccine is a clear, colourless to light yellow solution, free from visible 
foreign particles. In the event of any foreign particulate matter and/or variation of physical aspect 
being observed, discard the vaccine. 
 
Menveo is given as an intramuscular injection, preferably into the deltoid muscle. 
 
Any unused product or waste material should be disposed of in accordance with local requirements. 
 

http://www.ema.europa.eu/

	SUMMARY OF PRODUCT CHARACTERISTICS
	A. MANUFACTURER OF THE BIOLOGICAL ACTIVE SUBSTANCE AND MANUFACTURER RESPONSIBLE FOR BATCH RELEASE
	B. CONDITIONS OR RESTRICTIONS REGARDING SUPPLY AND USE
	C. OTHER CONDITIONS AND REQUIREMENTS OF THE MARKETING AUTHORISATION
	D. CONDITIONS OR RESTRICTIONS WITH REGARD TO THE SAFE AND EFFECTIVE USE OF THE MEDICINAL PRODUCT
	A. LABELLING
	B. PACKAGE LEAFLET
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{'Title': '2. what you need to know before you or your child are given menveo', 'Section_Content': "do not use menveo if you or your child has: - ever had an allergic reaction to the active substances or any of the other ingredients of this vaccine (listed in section 6) - ever had an allergic reaction to diphtheria toxoid (a substance used in a number of other vaccines) - an illness with high fever. however, a mild fever or upper respiratory infection (for example cold) itself is not a reason to delay vaccination. warnings and precautions: talk to your doctor or nurse before you or your child are given menveo if you or your child: - have a weakened immune system. little is known about the effectiveness of menveo when administered to individuals with weakened immunity due to the use of immunosuppressive medications, or hiv infection, and other possible causes. it is possible that the effectiveness of menveo could be reduced in such individuals. - have haemophilia or any other problem that may stop your blood from clotting properly, such as persons receiving blood thinners (anticoagulants). - receive treatment that blocks the part of the immune system known as complement activation, such as eculizumab. even if you have been vaccinated with menveo you remain at increased risk of disease caused by the neisseria meningitidis groups a, c, w-135 and y bacteria. fainting, feeling faint or other stress-related reactions can occur as a response to any needle injection. tell your doctor or nurse if you have experienced this kind of reaction previously. this vaccine can only protect against meningococcal group a, c, w-135, and y bacteria. it cannot protect against other types of meningococcal bacteria other than groups a, c, w-135 and y, or against other causes of meningitis and sepsis (blood poisoning). as with any vaccine, menveo may not fully protect 100% of those who get the vaccine. if you or your child received a dose of menveo more than one year ago and remains at particular risk of exposure to meningococcal group a bacteria, consideration may be given to administering a booster dose to maintain protection. your doctor will advise you if and when you should receive a booster dose. other medicines and menveo tell your doctor or nurse if you are taking, have recently taken or might take any other medicines. menveo may be given at the same time as other vaccinations but any other injected vaccines should preferably be given into a different arm from the site of the menveo injection. these include the following vaccines: tetanus, reduced diphtheria and acellular pertussis (tdap), human papillomavirus (hpv), yellow fever, typhoid fever (vi polysaccharide), japanese encephalitis, rabies, hepatitis a and b and meningococcal group b (bexsero). menveo's effect could be diminished when administered to individuals who are taking medicines that suppress the immune system. separate injection sites must be used if more than one vaccine is being administered at the same time. pregnancy, breast-feeding and fertility if you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before this medicine is given. your doctor or nurse may still recommend that you receive menveo if you are at high risk of infection with meningococcal group a, c, w-135 and y bacteria. driving and using machines no studies on the effects on the ability to drive and use machines have been performed. dizziness has been very rarely reported following vaccination. this may temporarily affect the ability to drive or use machines. menveo contains this medicinal product contains less than 1 mmol sodium (23 mg) per dose, i.e. essentially 'sodium-free'. this medicinal products contains less than 1 mmol potassium (39 mg) per dose, i.e. essentially 'potassium-free'.", 'Entity_Recognition': [{'Text': 'menveo', 'Type': 'PRODUCT_NAME', 'BeginOffset': 0, 'EndOffset': 0}, {'Id': 3, 'BeginOffset': 11, 'EndOffset': 17, 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{'Title': '3. how to use menveo', 'Section_Content': 'menveo will be given to you or your child by a doctor or nurse. the vaccine is usually given into the upper arm muscle (deltoid) for children (from 2 years of age), adolescents and adults. your doctor or nurse will take care to ensure the vaccine is not given into a blood vessel and will make sure that it is injected into muscle and not into the skin. for children (from 2 years of age), adolescents and adults: a single (0.5 ml) injection will be given. the safety and efficacy of menveo in children under 2 years of age has not yet been established. there are limited data in individuals aged 56-65 and there are no data in subjects aged older than 65 years. please tell your doctor if you have received a previous injection with menveo or another meningococcal vaccine. your doctor will tell you if you need an additional injection of menveo. for information on the reconstitution of the vaccine see the section for medical or healthcare professionals at the end of this leaflet. if you have any further questions on the use of this medicine, ask your doctor or nurse.', 'Entity_Recognition': [{'Text': 'menveo', 'Type': 'PRODUCT_NAME', 'BeginOffset': 0, 'EndOffset': 0}, {'Id': 5, 'BeginOffset': 0, 'EndOffset': 6, 'Score': 0.8214917778968811, 'Text': 'menveo', 'Category': 'MEDICATION', 'Type': 'GENERIC_NAME', 'Traits': []}, {'Text': 'the vaccine', 'Type': 'TREATMENT', 'BeginOffset': 64, 'EndOffset': 75}, {'Id': 1, 'BeginOffset': 108, 'EndOffset': 111, 'Score': 0.5117875933647156, 'Text': 'arm', 'Category': 'ANATOMY', 'Type': 'SYSTEM_ORGAN_SITE', 'Traits': []}, {'Id': 2, 'BeginOffset': 112, 'EndOffset': 118, 'Score': 0.4314033091068268, 'Text': 'muscle', 'Category': 'ANATOMY', 'Type': 'SYSTEM_ORGAN_SITE', 'Traits': []}, {'Text': '2', 'Type': 'NUMBER', 'BeginOffset': 148, 'EndOffset': 149}, {'Text': 'the vaccine', 'Type': 'TREATMENT', 'BeginOffset': 235, 'EndOffset': 246}, {'Text': 'a blood vessel', 'Type': 'TREATMENT', 'BeginOffset': 265, 'EndOffset': 279}, {'Id': 3, 'BeginOffset': 324, 'EndOffset': 330, 'Score': 0.5649335384368896, 'Text': 'muscle', 'Category': 'ANATOMY', 'Type': 'SYSTEM_ORGAN_SITE', 'Traits': []}, {'Id': 4, 'BeginOffset': 348, 'EndOffset': 352, 'Score': 0.9551481008529663, 'Text': 'skin', 'Category': 'ANATOMY', 'Type': 'SYSTEM_ORGAN_SITE', 'Traits': []}, {'Text': '2', 'Type': 'NUMBER', 'BeginOffset': 373, 'EndOffset': 374}, {'Text': 'a single (0.5 ml) injection', 'Type': 'TREATMENT', 'BeginOffset': 414, 'EndOffset': 441}, {'Id': 6, 'BeginOffset': 484, 'EndOffset': 490, 'Score': 0.3646422028541565, 'Text': 'menveo', 'Category': 'MEDICATION', 'Type': 'GENERIC_NAME', 'Traits': []}, {'Text': '2', 'Type': 'NUMBER', 'BeginOffset': 509, 'EndOffset': 510}, {'Id': 11, 'BeginOffset': 597, 'EndOffset': 602, 'Score': 0.17098098993301392, 'Text': '56-65', 'Category': 'PROTECTED_HEALTH_INFORMATION', 'Type': 'AGE', 'Traits': []}, {'Id': 12, 'BeginOffset': 653, 'EndOffset': 655, 'Score': 0.84830242395401, 'Text': '65', 'Category': 'PROTECTED_HEALTH_INFORMATION', 'Type': 'AGE', 'Traits': []}, {'Text': 'a previous injection', 'Type': 'TREATMENT', 'BeginOffset': 708, 'EndOffset': 728}, {'Id': 7, 'BeginOffset': 734, 'EndOffset': 740, 'Score': 0.6274681687355042, 'Text': 'menveo', 'Category': 'MEDICATION', 'Type': 'GENERIC_NAME', 'Traits': []}, {'Text': 'another meningococcal vaccine', 'Type': 'TREATMENT', 'BeginOffset': 744, 'EndOffset': 773}, {'Text': 'an additional injection of menveo', 'Type': 'TREATMENT', 'BeginOffset': 813, 'EndOffset': 846}, {'Text': 'the vaccine', 'Type': 'TREATMENT', 'BeginOffset': 889, 'EndOffset': 900}, {'Text': 'this medicine', 'Type': 'TREATMENT', 'BeginOffset': 1033, 'EndOffset': 1046}]}
{'Title': '4. possible side effects', 'Section_Content': 'like all medicines, this medicine can cause side effects, although not everybody gets them. the most common side effects reported during clinical trials usually lasted only one to two days and were not usually severe. in children (from 2 to 10 years of age), the side effects that were reported during clinical trials are listed below. very common (may affect more than 1 in 10 people): sleepiness, headache, irritability, generally feeling unwell, injection site pain, injection site redness (≤ 50 mm), injection site firmness (≤ 50 mm) common (may affect up to 1 in 10 people): change in eating habits, nausea, vomiting, diarrhea, rash, muscle ache, joint ache, chills, fever ≥38oc, injection site redness (>50mm) and injection site firmness (>50mm) uncommon (may affect up to 1 in 100 people): injection site itching in adolescents (from 11 years of age) and adults, the most common side effects that were reported during clinical trials are listed below. very common: headache, nausea, injection site pain, injection site redness (≤ 50 mm), injection site firmness (≤ 50 mm), muscle ache, generally feeling unwell common: rash, injection site redness (> 50 mm), injection site firmness (> 50 mm), joint ache, fever ≥ 38, chills 34 uncommon: dizziness, injection site itching side effects that have been reported during marketed use include: rare: enlarged lymph nodes. not known: allergic reactions that may include severe swelling of the lips, mouth, throat (which may cause difficulty in swallowing), difficulty breathing with wheezing or coughing, rash and swelling of the hands, feet and ankles, loss of consciousness, very low blood pressure; fits (convulsions) including fits associated with fever; balance disorder; faint; infection of the skin at the injection site; injection site swelling, including extensive swelling of the injected limb. if a severe allergic reaction occurs tell your doctor straight away or go immediately/ take your child to the nearest accident and emergency department because urgent medical help may be needed. reporting of side effects if you get any side effects, talk to your doctor, pharmacist or nurse. this includes any possible side effects not listed in this leaflet. you can also report side effects directly via the national reporting system listed in appendix v. by reporting side effects you can help provide more information on the safety of this medicine.', 'Entity_Recognition': [{'Text': 'menveo', 'Type': 'PRODUCT_NAME', 'BeginOffset': 0, 'EndOffset': 0}, {'Text': 'all medicines', 'Type': 'TREATMENT', 'BeginOffset': 5, 'EndOffset': 18}, {'Text': 'this medicine', 'Type': 'TREATMENT', 'BeginOffset': 20, 'EndOffset': 33}, {'Id': 26, 'BeginOffset': 44, 'EndOffset': 56, 'Score': 0.964337170124054, 'Text': 'side effects', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.6303167939186096}]}, {'Id': 27, 'BeginOffset': 108, 'EndOffset': 120, 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'EndOffset': 1454, 'Text': 'mouth', 'Category': 'ANATOMY', 'Traits': []}, {'Type': 'SYSTEM_ORGAN_SITE', 'Score': 0.9982484579086304, 'RelationshipScore': 0.7790014147758484, 'RelationshipType': 'SYSTEM_ORGAN_SITE', 'Id': 18, 'BeginOffset': 1456, 'EndOffset': 1462, 'Text': 'throat', 'Category': 'ANATOMY', 'Traits': []}]}, {'Id': 70, 'BeginOffset': 1507, 'EndOffset': 1527, 'Score': 0.9816805124282837, 'Text': 'difficulty breathing', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.9600343108177185}]}, {'Id': 71, 'BeginOffset': 1533, 'EndOffset': 1541, 'Score': 0.996293842792511, 'Text': 'wheezing', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.957933247089386}]}, {'Id': 72, 'BeginOffset': 1545, 'EndOffset': 1553, 'Score': 0.9987565279006958, 'Text': 'coughing', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.9721742868423462}]}, {'Id': 73, 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ankles', 'Type': 'PROBLEM', 'BeginOffset': 1564, 'EndOffset': 1602}, {'Id': 75, 'BeginOffset': 1604, 'EndOffset': 1625, 'Score': 0.9492542147636414, 'Text': 'loss of consciousness', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.9521297812461853}], 'Attributes': [{'Type': 'SYSTEM_ORGAN_SITE', 'Score': 0.9990189075469971, 'RelationshipScore': 0.8325976133346558, 'RelationshipType': 'SYSTEM_ORGAN_SITE', 'Id': 19, 'BeginOffset': 1580, 'EndOffset': 1585, 'Text': 'hands', 'Category': 'ANATOMY', 'Traits': []}, {'Type': 'SYSTEM_ORGAN_SITE', 'Score': 0.9980257749557495, 'RelationshipScore': 0.9938153028488159, 'RelationshipType': 'SYSTEM_ORGAN_SITE', 'Id': 20, 'BeginOffset': 1587, 'EndOffset': 1591, 'Text': 'feet', 'Category': 'ANATOMY', 'Traits': []}, {'Type': 'SYSTEM_ORGAN_SITE', 'Score': 0.9949519634246826, 'RelationshipScore': 0.6496521234512329, 'RelationshipType': 'SYSTEM_ORGAN_SITE', 'Id': 21, 'BeginOffset': 1596, 'EndOffset': 1602, 'Text': 'ankles', 'Category': 'ANATOMY', 'Traits': []}]}, {'Text': 'very low blood pressure', 'Type': 'PROBLEM', 'BeginOffset': 1627, 'EndOffset': 1650}, {'Text': 'fits (convulsions)', 'Type': 'PROBLEM', 'BeginOffset': 1652, 'EndOffset': 1670}, {'Id': 78, 'BeginOffset': 1702, 'EndOffset': 1707, 'Score': 0.989136815071106, 'Text': 'fever', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.9042508602142334}]}, {'Id': 79, 'BeginOffset': 1709, 'EndOffset': 1725, 'Score': 0.9657991528511047, 'Text': 'balance disorder', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.4913294017314911}]}, {'Text': 'faint; infection of the skin', 'Type': 'PROBLEM', 'BeginOffset': 1727, 'EndOffset': 1755}, {'Id': 23, 'BeginOffset': 1763, 'EndOffset': 1777, 'Score': 0.9960695505142212, 'Text': 'injection site', 'Category': 'ANATOMY', 'Type': 'SYSTEM_ORGAN_SITE', 'Traits': []}, {'Text': 'injection site swelling', 'Type': 'PROBLEM', 'BeginOffset': 1779, 'EndOffset': 1802}, {'Text': 'extensive swelling of the injected limb', 'Type': 'PROBLEM', 'BeginOffset': 1814, 'EndOffset': 1853}, {'Text': 'a severe allergic reaction', 'Type': 'PROBLEM', 'BeginOffset': 1858, 'EndOffset': 1884}, {'Id': 92, 'BeginOffset': 1986, 'EndOffset': 2006, 'Score': 0.8488091826438904, 'Text': 'emergency department', 'Category': 'PROTECTED_HEALTH_INFORMATION', 'Type': 'ADDRESS', 'Traits': []}, {'Id': 86, 'BeginOffset': 2063, 'EndOffset': 2075, 'Score': 0.9528561234474182, 'Text': 'side effects', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.7557247281074524}]}, {'Id': 87, 'BeginOffset': 2091, 'EndOffset': 2103, 'Score': 0.925076961517334, 'Text': 'side effects', 'Category': 'MEDICAL_CONDITION', 'Type': 'DX_NAME', 'Traits': [{'Name': 'SYMPTOM', 'Score': 0.7638882398605347}]}, {'Id': 88, 'BeginOffset': 2174, 'EndOffset': 2186, 'Score': 0.9542626738548279, 'Text': 'side effects', 'Category': 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{'Title': '5. how to store menveo', 'Section_Content': 'keep this medicine out of the sight and reach of children. do not use this medicine after the expiry date which is stated on the outer carton after exp. the expiry date refers to the last day of that month. store in a refrigerator (2 8). do not freeze. keep the vials in the outer carton in order to protect from light. after reconstitution, the product should be used immediately. however, chemical and physical stability after reconstitution was demonstrated for 8 hours below 25. do not throw away any medicines via wastewater or household waste. your doctor or nurse will dispose of this medicine. these measures will help protect the environment.', 'Entity_Recognition': [{'Text': 'menveo', 'Type': 'PRODUCT_NAME', 'BeginOffset': 0, 'EndOffset': 0}, {'Text': 'this medicine', 'Type': 'TREATMENT', 'BeginOffset': 70, 'EndOffset': 83}, {'Text': '8', 'Type': 'NUMBER', 'BeginOffset': 234, 'EndOffset': 235}, {'Text': 'the vials', 'Type': 'TREATMENT', 'BeginOffset': 258, 'EndOffset': 267}, {'Text': 'the outer carton', 'Type': 'TREATMENT', 'BeginOffset': 271, 'EndOffset': 287}, {'Text': 'reconstitution', 'Type': 'TREATMENT', 'BeginOffset': 326, 'EndOffset': 340}, {'Text': '8', 'Type': 'NUMBER', 'BeginOffset': 465, 'EndOffset': 466}, {'Text': '25.', 'Type': 'NUMBER', 'BeginOffset': 479, 'EndOffset': 482}, {'Text': 'this medicine', 'Type': 'TREATMENT', 'BeginOffset': 587, 'EndOffset': 600}]}
{'Title': '6. contents of the pack and other information', 'Section_Content': 'what menveo contains one dose (0.5 ml of the reconstituted vaccine) contains: the active substances are: (originally contained in the powder) meningococcal group a oligosaccharide 10 micrograms conjugated to corynebacterium diphtheriae crm197 protein 16.7 to 33.3 micrograms (originally contained in the solution) meningococcal group c oligosaccharide 5 micrograms conjugated to corynebacterium diphtheriae crm197 protein 7.1 to 12.5 micrograms meningococcal group w-135 oligosaccharide 5 micrograms conjugated to corynebacterium diphtheriae crm197 protein 3.3 to 8.3 micrograms meningococcal group y oligosaccharide 5 micrograms 35 conjugated to corynebacterium diphtheriae crm197 protein 5.6 to 10.0 micrograms the other ingredients (excipients) are: in the powder: potassium dihydrogen phosphate and sucrose. in the solution: sodium chloride, sodium dihydrogen phosphate monohydrate, sodium hydrogen phosphate dihydrate and water for injection (see also end of section 2). what menveo looks like and contents of the pack menveo is a powder and a solution for injection. each dose of menveo is supplied as a: - 1 vial containing the mena lyophilised conjugate component as a white to off-white powder - 1 vial containing the mencwy liquid conjugate component as clear solution - pack size of one dose (2 vials) or five doses (10 vials). not all pack sizes may be marketed. the contents of the two components (vial and vial) are to be mixed prior to vaccination providing 1 dose of 0.5 ml.', 'Entity_Recognition': [{'Text': 'menveo', 'Type': 'PRODUCT_NAME', 'BeginOffset': 0, 'EndOffset': 0}, {'Id': 0, 'BeginOffset': 5, 'EndOffset': 11, 'Score': 0.46252527832984924, 'Text': 'menveo', 'Category': 'MEDICATION', 'Type': 'GENERIC_NAME', 'Traits': [], 'Attributes': [{'Type': 'DOSAGE', 'Score': 0.7959290146827698, 'RelationshipScore': 0.9998600482940674, 'RelationshipType': 'DOSAGE', 'Id': 1, 'BeginOffset': 21, 'EndOffset': 29, 'Text': 'one dose', 'Category': 'MEDICATION', 'Traits': []}, {'Type': 'DOSAGE', 'Score': 0.9804949760437012, 'RelationshipScore': 0.9850128889083862, 'RelationshipType': 'DOSAGE', 'Id': 2, 'BeginOffset': 31, 'EndOffset': 37, 'Text': '0.5 ml', 'Category': 'MEDICATION', 'Traits': []}]}, {'Text': '0.5', 'Type': 'NUMBER', 'BeginOffset': 31, 'EndOffset': 34}, {'Text': 'the reconstituted vaccine', 'Type': 'TREATMENT', 'BeginOffset': 41, 'EndOffset': 66}, {'Text': 'meningococcal group a oligosaccharide', 'Type': 'TREATMENT', 'BeginOffset': 142, 'EndOffset': 179}, {'Text': '10', 'Type': 'NUMBER', 'BeginOffset': 180, 'EndOffset': 182}, {'Text': 'corynebacterium diphtheriae crm', 'Type': 'TEST', 'BeginOffset': 208, 'EndOffset': 239}, {'Text': 'protein', 'Type': 'TEST', 'BeginOffset': 243, 'EndOffset': 250}, {'Text': '16.7', 'Type': 'NUMBER', 'BeginOffset': 251, 'EndOffset': 255}, {'Text': '33.3', 'Type': 'NUMBER', 'BeginOffset': 259, 'EndOffset': 263}, {'Text': 'meningococcal 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