2009-2010 Influenza Season Update #6
Pediatric H1N1 Influenza Vaccine for Children 6–35 Months of Age

October 30, 2009

To:   Vermont Healthcare Providers
From: Wendy Davis, MD, Commissioner of Health

– Please Distribute Widely –

Two pediatric H1N1 influenza vaccines, both manufactured by Sanofi Pasteur, Inc. are labeled for use in children 6 – 35 months of age. These products are 0.25mL pre-filled syringes and 5mL multi-dose vials. The 5mL multi-dose vials may be used for individuals 6 months of age and older. Use of any other H1N1 influenza vaccine formulation in children 6 – 35 months of age would be off-label, and therefore not recommended. 

You may receive other vaccines manufactured by Novartis, CSL Biotherapies, or MedImmune Vaccines, Inc. These vaccines may include different formulations and age indications, so be careful to review and follow the package inserts for each preparation.

During the week ending October 30, the Vermont Department of Health received its first allocation of the Sanofi 0.25mL pre-filled syringe vaccine formulation. This vaccine was distributed to health care providers and hospitals (for distribution to their affiliated health care providers). An additional allocation of this product is expected next week, and Vermont is projected to receive over 12,500 doses of this vaccine presentation by mid-December. This amount will meet the majority of Vermont’s need, as there are approximately 16,000 children in Vermont in the 6 to 35 month age group. 

The Sanofi 5mL multi-dose vial formulation has been shipped to Vermont in greater numbers; 27,500 doses of that formulation have already been distributed to health care providers, hospitals, home health agencies, school-based clinics, colleges, and the Vermont National Guard. The Department of Health is redistributing other vaccine formulations to school-based clinics in the coming weeks in order to make more of the Sanofi 5mL multi-dose vials available to health care providers who treat children in the 6 – 35 month age group.

NOTE: We are aware that foster parents of children in the custody of the Vermont Department for Children and Families (DCF) recently received a letter asking them to ensure that children in their care receive both seasonal and H1N1 influenza vaccines. The letter also requested some updated information regarding emergency planning. It is our understanding that DCF plans to send a follow-up communication to foster parents, and to the DCF resource coordinators, acknowledging the current limitation on influenza vaccine supply, and how that might affect foster parents’ ability to access vaccinations. You may wish to reassure foster parents that these recommendations are consistent with what all parents and caregivers are being asked to do.

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