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    MenQuadfi

    Meningococcal Group A, C, W and Y conjugate vaccine containing Neisseria meningitidis group A, C, W and Y polysaccharides conjugated to tetanus toxoid

    MenQuadfi is a MenACWY conjugate vaccine used in the UK to help protect people aged 12 months and over against invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, W and Y. It is a fully liquid, ready-to-use vaccine with no reconstitution required, which can simplify handling in practice. MenQuadfi is given as a single 0.5 mL intramuscular dose and may also be used as a booster in people who have previously received a meningococcal vaccine covering the same serogroups. UK official sources place MenACWY vaccination within routine adolescent immunisation, catch-up vaccination, selected risk groups and certain outbreak or contact settings. Clinical studies assessed immune responses across toddlers, children, adolescents, adults and older adults, with strong bactericidal antibody responses measured 30 days after vaccination. MenQuadfi should be used in line with official recommendations and full prescribing information, and it does not protect against meningococcal serogroup B or infections caused by other bacteria or viruses.

    MenQuadfi - 0.5 mL dosage image

    MenQuadfi

    Select your preferred dosage

    Available Dosages

    Price

    £40

    per dose

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    DosagePrice
    0.5 mL£40

    Product Details

    Active Ingredient

    Meningococcal Group A, C, W and Y conjugate vaccine containing Neisseria meningitidis group A, C, W and Y polysaccharides conjugated to tetanus toxoid

    Brand

    Sanofi

    Drug Class

    Meningococcal conjugate vaccine, ATC code J07AH08

    Administration

    Intramuscular injection, preferably in the deltoid region or anterolateral thigh depending on age and muscle mass

    Prescription Status

    Prescription Only Medicine (POM)

    Dosage Form

    Solution for injection in a single-dose vial

    Strengths Available

    One single 0.5 mL dose containing 10 micrograms each of serogroups A, C, W and Y polysaccharides conjugated to 55 micrograms tetanus toxoid carrier protein

    How MenQuadfi Works

    Mechanism of Action

    Product Manual
    • MenQuadfi stimulates the immune system to produce bactericidal antibodies against the capsular polysaccharides of Neisseria meningitidis serogroups A, C, W and Y.
    • These anti-capsular antibodies help protect against invasive meningococcal disease through complement mediated bactericidal activity.
    • Because the polysaccharides are conjugated to tetanus toxoid, the vaccine is designed to generate a stronger and more durable immune response than plain polysaccharide vaccination.

    Key Actions

    • It helps the body recognise meningococcal serogroups A, C, W and Y before exposure, so immune defences can respond faster.
    • It supports protection against serious invasive disease, including meningitis and septicaemia caused by the covered serogroups.
    • Its ready-to-use liquid formulation avoids reconstitution and can make vaccine preparation more straightforward in clinical settings.

    Clinical Effectiveness

    Average Weight Loss

    MenQuadfi showed strong immunogenicity rather than weight-loss outcomes. In adults aged 18 to 55 years in study MET43, day-30 hSBA seroprotection rates were 93.5 percent for serogroup A, 93.5 percent for C, 94.5 percent for W and 98.6 percent for Y. In toddlers 12 to 23 months in study MEQ00065, hSBA seroprotection against serogroup C reached 99.5 percent and rSBA seroprotection reached 100 percent 30 days after vaccination.

    MenQuadfi is a vaccine, so clinical effectiveness is described by immunogenicity and seroprotection endpoints. Across pivotal studies, immune responses were assessed 30 days after a single dose, with antibody persistence data available from at least 3 years and up to 7 years after primary vaccination.

    Key Clinical Trials

    MEQ00065

    Duration & Size

    Day-30 immunogenicity study in meningococcal vaccine-naive toddlers aged 12 through 23 months; MenQuadfi analyses included about 214 subjects for hSBA and 213 for rSBA serogroup C endpoints

    Highest Avg Weight Loss

    Serogroup C hSBA seroprotection was 99.5 percent and rSBA seroprotection was 100 percent at day 30 after a single dose

    Common Side Effects

    Irritability, Injection site tenderness or pain, Drowsiness

    Key Takeaway

    MenQuadfi showed superiority versus MenACWY-TT for hSBA seroprotection and hSBA and rSBA GMTs for serogroup C, while maintaining non-inferiority for key seroprotection endpoints.

    MET35

    Duration & Size

    Day-30 immunogenicity study in children aged 2 through 9 years, stratified by ages 2 through 5 and 6 through 9; MenQuadfi groups included roughly 227 to 229 children in each age stratum depending on serogroup endpoint

    Highest Avg Weight Loss

    In children aged 6 through 9 years, day-30 hSBA seroprotection reached 99.1 percent for serogroup Y and 98.7 percent for serogroup W

    Common Side Effects

    Injection site pain, Headache, Myalgia

    Key Takeaway

    MenQuadfi met immune non-inferiority criteria versus MenACWY-CRM for all four serogroups in children aged 2 through 9 years.

    MET43

    Duration & Size

    Day-30 immunogenicity study in adults aged 18 through 55 years; MenQuadfi analyses included about 1,406 to 1,410 adults depending on serogroup endpoint

    Highest Avg Weight Loss

    Day-30 hSBA seroprotection was 93.5 percent for serogroups A and C, 94.5 percent for W and 98.6 percent for Y

    Common Side Effects

    Injection site pain, Myalgia, Malaise

    Key Takeaway

    MenQuadfi demonstrated non-inferior immune responses versus MenACWY-DT and produced higher GMTs than the comparator across all four serogroups in this adult study.

    MET49

    Duration & Size

    Day-30 immunogenicity study in adults aged 56 years and older; MenQuadfi analyses included 433 adults for each serogroup endpoint

    Highest Avg Weight Loss

    Day-30 hSBA seroprotection was 89.4 percent for A, 90.1 percent for C, 77.4 percent for W and 91.7 percent for Y

    Common Side Effects

    Injection site pain, Myalgia, Headache

    Key Takeaway

    MenQuadfi achieved non-inferior immune responses versus quadrivalent meningococcal polysaccharide vaccine in older adults and showed higher GMTs across the four serogroups.

    Dosing Information

    MenQuadfi is given as a single intramuscular 0.5 mL dose for primary immunisation in people aged 12 months and over. It may also be used as a booster for people previously vaccinated against the same meningococcal serogroups.

    WeeksDoseFrequency
    Single visit0.5 mLOne intramuscular dose
    Booster when clinically indicated0.5 mLSingle booster dose

    Important: There are no data to indicate the routine need for, or timing of, a MenQuadfi booster dose. Long-term antibody persistence data are available up to 7 years after vaccination. MenQuadfi should not be administered subcutaneously, intravascularly or intradermally.

    Additional Information

    Onset of Action

    Protective immune responses were assessed 30 days after vaccination in the pivotal studies. In routine UK practice, first-time university entrants under 25 are advised to receive MenACWY ideally at least 2 weeks before starting university, which gives a practical guide to timing before risk of exposure.

    Manufacturer

    MenQuadfi is marketed in the UK by Aventis Pharma Limited trading as Sanofi, Reading, Berkshire. The UK prescribing information lists PLGB 04425/0878, with the SmPC revised on 15 January 2026. EU product information also identifies Sanofi Winthrop Industrie as the marketing authorisation holder.

    Eligibility & Access

    Private Prescription

    For travel-only indications, MenACWY vaccination is generally arranged through a private travel immunisation service. UKHSA routine PGD documents state that MenACWY vaccine is not available on the NHS solely for the purpose of travel.

    NHS Access

    On the NHS, MenACWY vaccination is offered routinely to teenagers, usually in school year 9 or 10, with catch-up for people up to their 25th birthday if vaccination history is incomplete or unknown. It is also used for some close contacts of confirmed cases, selected outbreak responses and people at increased risk because of certain medical conditions under specific PGDs.

    Rollout Information

    Current UK materials describe MenACWY access through routine adolescent vaccination, catch-up, risk-group and outbreak or contact pathways rather than a phased commercial rollout.

    Injection Sites

    abdomen

    The abdomen is not a recommended site for MenQuadfi. The vaccine should be given intramuscularly, preferably in the deltoid region or anterolateral thigh.

    upperArm

    Preferred site for many older children, adolescents and adults, using the deltoid muscle.

    thigh

    Anterolateral thigh is an appropriate intramuscular site depending on the recipient's age and muscle mass, especially in younger children.

    Side Effects & Safety

    Common Side Effects

    In clinical trials, the most frequently reported reactions within 7 days after MenQuadfi alone in toddlers aged 12 through 23 months were irritability at 36.7 percent and injection site tenderness at 30.6 percent. In people aged 2 years and above, the most frequent reactions were injection site pain at 38.7 percent and myalgia at 30.5 percent. In toddlers, very common reactions also included appetite lost, drowsiness, abnormal crying, injection site erythema and swelling. In older children and adults, headache, malaise and injection site redness or swelling were also reported. Most reported reactions were mild or moderate.

    • •Injection site pain or tenderness
    • •Myalgia
    • •Headache
    • •Malaise
    • •Fever
    • •Irritability in toddlers

    Serious Side Effects

    Serious side effects are extremely rare, but it is important to know the signs so you can get help if you need it.

    ⓘAnaphylaxis

    Very rare but potentially life-threatening allergic reactions can occur after vaccination. Urgent medical help is needed if symptoms such as difficulty breathing, swelling of the face or throat, or collapse occur.

    ⓘHypersensitivity

    Post-marketing reports include hypersensitivity reactions. MenQuadfi is contraindicated in people with hypersensitivity to the active substances, excipients, or a previous dose of this vaccine or a vaccine containing the same components.

    ⓘSeizures or febrile convulsions

    These are listed as not known in post-marketing data. Any suspected seizure, significant collapse episode or fever-related convulsion after vaccination should be assessed promptly.

    Injection Site Reactions

    Injection site pain is very common in people aged 2 years and above. In toddlers, tenderness or pain, erythema and swelling are very common. Uncommon reactions can include pruritus, induration, bruising, warmth or rash at the injection site depending on age group.

    How to Manage Side Effects

    • ✓Advise patients or carers that local pain, redness, swelling and mild systemic symptoms can occur in the first week after vaccination and are usually self-limiting.
    • ✓Seek urgent medical attention if there are signs of a severe allergic reaction such as breathing difficulty or facial or throat swelling.
    • ✓Vaccination should be postponed in acute severe febrile illness, and appropriate facilities for management of anaphylaxis should always be available where the vaccine is given.

    How Long Do Side Effects Last?

    Solicited adverse reactions were reported within 7 days after vaccination and were mostly mild or moderate in intensity.

    Long-Term Safety

    Available studies show antibody persistence data from at least 3 years up to 7 years after primary vaccination. Booster-dose safety in adolescents and adults was comparable to the primary-dose safety profile seen in those age groups.

    What Happens If I Lose Weight Too Quickly?

    Not applicable. MenQuadfi is a vaccine and is not used for weight loss.

    Storage & Travel

    Storage Instructions

    Store in a refrigerator at 2 degrees Celsius to 8 degrees Celsius. Do not freeze. Stability data show the vaccine components are stable at temperatures up to 25 degrees Celsius for 72 hours, after which the vaccine should be used or discarded. This temporary excursion guidance is intended for healthcare professionals.

    Travel Guidelines

    For travel-related vaccination, MenACWY is usually accessed through a private travel service rather than the NHS. The product should remain within cold-chain requirements, although temporary temperature excursion data up to 25 degrees Celsius for 72 hours may support professional handling decisions during storage or transport incidents.

    Diet & Lifestyle

    Lifestyle Considerations

    • No special diet is required with MenQuadfi.
    • Vaccination does not replace standard infection prevention advice for people at increased risk or travelling to high-risk settings.
    • For settings such as university entry or planned travel, vaccination should be arranged early enough to allow time before exposure.

    Muscle Mass Consideration

    Risk: Because MenQuadfi must be given intramuscularly, the chosen injection site should match the recipient's age and muscle mass. Incorrect site selection can make administration less appropriate or less comfortable.

    Advice: Use the deltoid in many older children and adults, and the anterolateral thigh when muscle bulk or age makes that preferable. MenQuadfi should not be given subcutaneously, intravascularly or intradermally.

    Benefits of Weight Loss

    • Helps provide active protection against invasive meningococcal disease caused by serogroups A, C, W and Y
    • Supports prevention of serious outcomes such as meningitis and septicaemia caused by covered serogroups
    • Offers broad quadrivalent coverage in one vaccine
    • Can be used in routine adolescent programmes, catch-up pathways and selected risk-based indications
    • Ready-to-use liquid formulation avoids reconstitution before administration

    Comparison with Alternatives

    ProductActive IngredientMechanismDoseWeight Loss Potential
    MenveoMeningococcal Group A, C, W-135 and Y conjugate vaccineQuadrivalent meningococcal conjugate vaccine that stimulates antibodies against serogroups A, C, W-135 and YSingle intramuscular injection; EMA overview describes Menveo as licensed from 2 years of age and supplied as powder and solution that are mixed before injectionNot applicable to vaccines. EMA states Menveo was as effective as its comparator in stimulating immune response against all four covered serogroups in adults and children from 2 years of age
    NimenrixMeningococcal groups A, C, W-135 and Y conjugate vaccineQuadrivalent meningococcal conjugate vaccine using polysaccharides conjugated to tetanus toxoidGiven intramuscularly; EMA overview describes Nimenrix as licensed from 6 weeks of age and supplied as powder plus solvent for reconstitutionNot applicable to vaccines. EMA states a single injection in people aged 1 year and older was as effective as comparator vaccines in stimulating immune response against all four serogroups

    Note: All three products are MenACWY conjugate vaccines used according to official recommendations. MenQuadfi stands out for its ready-to-use liquid formulation, Nimenrix covers younger infants, and Menveo is another established quadrivalent option. Product choice should take age, indication, local protocol and supply into account.

    Frequently Asked Questions

    Common questions about the product. If you have more questions, please contact our support team or book a consultation with one of our clinicians.

    Important Disclaimer

    MenQuadfi is a prescription vaccine that should be supplied and administered by qualified healthcare professionals in line with the UK SmPC and official recommendations. This information is not a substitute for clinical judgement, immunisation guidance or the full prescribing information. Suitability depends on age, indication, vaccination history, allergy status, current illness and risk factors. MenQuadfi does not protect against meningococcal serogroup B or all causes of meningitis or septicaemia.

    References

    Sanofi Campus UK MenQuadfi product page

    UK product summary and support information for healthcare professionals

    https://pro.campus.sanofi/uk/products/menquadfi
    MenQuadfi UK Prescribing Information PDF

    UK prescribing information including legal category, dosage, contraindications and adverse reactions

    https://pro.campus.sanofi/dam/jcr%3A8e9c1745-d4cd-4c78-a226-f934d2da127e/MenQuadfi-PI-UK.pdf
    MenQuadfi SmPC

    Current UK summary of product characteristics

    https://www.medicines.org.uk/emc/product/12818/smpc
    MenQuadfi patient leaflet PDF

    Patient leaflet with administration, safety and practical information

    https://www.medicines.org.uk/emc/files/pil.12818.pdf
    MenQuadfi EPAR

    European Medicines Agency overview and product information

    https://www.ema.europa.eu/en/medicines/human/EPAR/menquadfi
    NHS MenACWY vaccine information

    NHS guidance on eligibility, access and administration of MenACWY vaccination in the UK

    https://www.nhs.uk/vaccinations/menacwy-vaccine/
    UKHSA MenACWY routine PGD template

    Routine programme PGD including eligibility, exclusions and NHS availability boundaries

    https://www.england.nhs.uk/north-east-yorkshire/wp-content/uploads/sites/49/2025/06/Menveo-Nimenrix-MenQuadfi.pdf
    UKHSA MenACWY risk groups PGD template

    Risk-group PGD for people at increased risk of invasive meningococcal disease

    https://www.england.nhs.uk/north-east-yorkshire/wp-content/uploads/sites/49/2025/06/Menveo-Nimenrix-MenQuadfi-for-risk-groups.pdf

    The information on this page is based on the sources listed above. Always consult with a qualified healthcare professional for medical advice.

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