Description
SARS-CoV-2 vaccine, mRNA (Pfizer) is under investigation as an active immunization against COVID-19 caused by the SARS-CoV-2 virus in patients 6 months of age and older. SARS-CoV-2 (COVID-19) vaccine is used to prevent coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
This vaccine is to be given only by or under the direct supervision of your doctor.
This product is available in the following dosage forms:
- Suspension
Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of SARS-CoV-2 (COVID-19) vaccine in children 6 months of age and older. Safety and efficacy have been established.
Appropriate studies have not been performed on the relationship of age to the effects of Comirnaty® vaccine in children younger than 12 years of age. Safety and efficacy have not been established.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of SARS-CoV-2 (COVID-19) vaccine in the elderly.
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Atidarsagene Autotemcel
- Elivaldogene Autotemcel
- Rituximab
- Teplizumab-mzwv
- Ublituximab-xiiy
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Heart disease (eg, myocarditis, pericarditis), history of—Use with caution. May make this condition worse.
- Immune system problems—This condition may decrease the useful effects of the vaccine.
Proper Use
A nurse or other trained health professional will give you this medicine in a medical facility. It is given as a shot into one of your muscles.
Comirnaty®:
- Patients 12 years of age and older who have not received any COVID-19 vaccine—Given as a single dose.
- Patients 12 years of age and older who have received any COVID-19 vaccine—Given as a single dose at least 2 months after receiving COVID-19 vaccine.
Patients 6 months of age and older who have not received any COVID-19 vaccine:
- Pfizer-BioNTech COVID-19 vaccine (supplied in a vial with a yellow cap and a label with a yellow border):
- 6 months to 4 years of age—Given in 3 doses (Dose 1 is given at week 0, Dose 2 is given at week 3, and Dose 3 is given at least 8 weeks after the second dose).
- Pfizer-BioNTech COVID-19 vaccine (supplied in a vial with a blue cap and a label with a blue border):
- 5 to 11 years of age—Given as a single dose.
Patients 6 months to 4 years of age who have received Pfizer-BioNTech COVID-19 vaccine:
- Pfizer-BioNTech COVID-19 vaccine (supplied in a vial with a yellow cap and a label with a yellow border):
- 6 months to 4 years of age who have received 1 previous dose—Given in 2 doses (Dose 1 is given at 3 weeks after receiving Pfizer-BioNTech COVID-19 vaccine and Dose 2 is given at least 8 weeks after the first dose).
- 6 months to 4 years of age who have received 2 to 4 previous doses—Given as a single dose at least 8 weeks after receiving the second dose of Pfizer-BioNTech COVID-19 vaccine.
Patients 5 years of age and older who have received 1 or more doses of any COVID-19 vaccine:
- Pfizer-BioNTech COVID-19 vaccine (supplied in a vial with a blue cap and a label with a blue border):
- 5 to 11 years of age—Given as a single dose at least 2 months after receiving a COVID-19 vaccine.
Patients who have a weak immune system:
- 6 months to 11 years of age who have not received any COVID-19 vaccine—Given in 3 doses.
- 6 months to 11 years of age who have received 1 or 2 previous doses of monovalent or bivalent COVID-19 vaccine—Given in 1 or 2 more doses.
- 6 months to 11 years of age who have received 3 or more previous doses of monovalent or bivalent COVID-19 vaccine—1 additional dose of Pfizer-BioNTech COVID-19 vaccine may be given at least 2 months after the most recent dose. Your doctor may give you an additional dose depending on your condition.
This vaccine comes with a Fact Sheet for Recipients and Caregivers. Read and follow the information in the Fact Sheet carefully. Ask your doctor if you have any questions.
Precautions
Be sure to notify your doctor of any side effects (eg, feeling faint, especially in teenagers) that occur after you receive this vaccine.
This vaccine may cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Tell your doctor right away if you have a rash, itching, a fast heartbeat, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth after receiving the vaccine.
This vaccine may increase your risk of serious heart problems (eg, myocarditis, pericarditis). Check with your doctor right away if you have anxiety, blue or pale skin, chest pain, possibly moving to the left arm, neck, or shoulder, fever, chills, a fast heartbeat, trouble breathing, or unusual tiredness or weakness.
Fainting may occur after you receive this vaccine. Your doctor may want you to be observed after you get the injection to prevent and manage fainting.
This vaccine may not protect everyone who receives it. This vaccine will not treat symptoms of COVID-19 infection if you already have the disease. It is very important that you take precautions to reduce the risk of COVID-19.
Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:
More common
- Chills
- diarrhea
- fever
- headache
- irritability
- joint or muscle pain
- swollen, painful, or tender lymph glands in the neck, armpit, or groin
- unusual tiredness or weakness
Less common
- Nausea
- vomiting
Rare
- Decreased appetite
- general feeling of discomfort or illness
- pain in the arms
- rash
Incidence not known
- Anxiety
- blue or pale skin
- chest discomfort or tightness
- chest pain, possible moving to the left arm, neck, or shoulder
- cough
- difficulty swallowing
- dizziness
- fainting
- fast heartbeat
- large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- trouble breathing
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
- Pain, redness, or swelling at the injection site
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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