An overview of the Comirnaty 30 (XBB.1.5) vaccine and signposts to other useful resources.

Presentation

Comirnaty Omicron XBB.1.5 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine (nucleoside modified) raxtozinameran is presented in multi-dose vials. We refer to it as Comirnaty 30 (XBB.1.5) in our web articles and SOPs. The vials contain 6 doses of 0.3mL.

Comirnaty 30 (XBB.1.5) is thawed by the NHS’s Specialist Pharmaceutical Logistics (SPL) providers before onward supply to the NHS at 2 to 8°C. The SPLs attach a thaw label to the original carton of multidose vials.

The thaw label applied by SPLs bears the new shelf life at 2 to 8°C. The vials inside the cartons are not labelled with the post thaw expiry date so it is essential that the vials remain within their carton until the point of removal from the fridge for immediate use.

Further information may be found on our Ordering, receipt & storage of COVID-19 Vaccines page.

Carton / Vial Artwork

Carton artwork

Vial artwork

Consumables and Patient Information Leaflets

Patient Information Leaflets, and syringes and needles for administration are provided with the vaccines.

Shelf life and storage

  • Comirnaty 30 (XBB.1.5) may be stored for up to 10 weeks at 2 to 8°C following thawing.
  • Within the 10 weeks, it may be stored for up to 24 hours at room temperature (between 8°C and 30°C) following removal from the refrigerator.
  • Once punctured the vaccine is physicochemically stable for up to 12 hours at room temperature up to 30°C (within the allowed use period of 10 weeks at 2°C to 8°C and 24 hours pre-puncture at 8°C to 30°).
  • However, from a microbiological point of view, the method of puncture does not preclude the risk of microbial contamination, so the vaccine should be used as soon as practically possible e.g. within one work session which would not normally be more than 6 hours.
  • The manufacturer’s summary of product characteristics contains additional information on the handling of temperature excursions

Shelf life extensions

From time to time, variations to the marketing authorisation may mean that some batches may have shelf lives beyond the labelled manufacturer’s expiry date. If there are any applicable shelf life extensions, they will be listed on our vaccine expiry extension page.

Transport and movement

Unpunctured vaccine

Unpunctured vaccine vials stored at 2 to 8°C may be transported throughout their 10 week post-thaw shelf life.

Further information can be found on our Transport of COVID-19 vaccines article and our Mutual Aid guidance.

Punctured vaccine

The punctured vaccine may be transported for up to 6 hours at room temperature. However, the vaccines contain no preservative and the method of puncture cannot preclude the risk of microbial contamination, so SPS advises that transport of punctured vials should not be routine.

The decision to move punctured Comirnaty 30 (XBB.1.5) between locations within the same legal entity must include an assessment of the risk of microbial contamination and proliferation versus risk of wastage and loss of opportunities to administer vaccines at alternative locations.

Any decision to move punctured vials must be made locally under the direction of the Chief Pharmacist or site lead pharmacist, taking the specific circumstances into account, and using appropriate risk control measures such as temperature control, infection prevention and control, and a means to identify that the vial has been punctured.

Preparation

Comirnaty 30 (XBB.1.5) is presented as a ‘ready to use’ formulation

Detailed advice about preparation, including a model standard operational procedure can be found on our Comirnaty 30 (XBB.1.5) preparation page

Risk management

It is possible that Comirnaty 30 (XBB.1.5) will be handled in the same location as other vaccines. Following the guidance on Handling multiple COVID-19 Vaccines will reduce the risk of errors.

Licensed status

Comirnaty 30 (XBB.1.5) has a Marketing Authorisation (PLGB) in the UK.

Some of the vaccine vials being supplied to the UK have been labelled for the European market and so bear an EU marketing authorisation number rather than the PLGB number, and have one or more EU Patient Information Leaflets (PILs) in the carton. These vials are still considered licensed in the UK, but the EU PILs should not be given to patients. GB PILs are provided with the vaccines.

Allergy, excipients and dietary advice

Comirnaty 30 (XBB.1.5) is contraindicated in those with a hypersensitivity to the active substance or to any excipient (ingredient) in the vaccine, although revaccination may be possible on the advice of an expert (e.g. allergy specialist). See the Summary of Product Characteristics (SPC) for full details of the active substance and excipients included in the vaccine.

Allergy to any excipient is possible, but polyethylene glycol (PEG) is of particular importance.  See the Green Book Chapter 14a: COVID-19 for details on how to manage individuals with a history of allergy.

Comirnaty 30 (XBB.1.5) is free from gluten, nut, soy, latex and animal products such as egg. However, as with most pharmaceutical products the manufacturer cannot guarantee that minute amounts of substances (listed previously) are not contained in raw materials from their suppliers, or that the product has not come into contact with latex during the manufacturing process.

Useful resources

Refer to the following recommended resources for further information.

Summary of Product Characteristics

Comirnaty Omicron XBB.1.5 30 micrograms/dose dispersion for injection COVID-19 mRNA Vaccine (nucleoside modified) raxtozinameran

Manufacturer’s Supporting Information

www.comirnatyeducation.co.uk

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