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NUVAXOVID Has Well-Established Tolerability1,2


On this page, you will learn:

  • About the well-established safety profile of NUVAXOVID
  • The impact of adverse reactions on daily activities

In clinical trials, NUVAXOVID had low reactogenicity with minimal disruption to daily activities1,2

In clinical trials the majority of side effects were mild to moderate and would not prevent daily activities, according to FDA grading.1,3,4

Booster Dose: NUVAXOVID has a well-established tolerability profile in patients aged 18+1,2

  • With NUVAXOVID, ~81% of patients aged 18-64 did not experience fatigue that would prevent daily activities, according to FDA grading3,4
  • With NUVAXOVID, ~92% of patients aged 65+ did not experience fatigue that would prevent daily activities, according to FDA grading3,4
  • Patients can receive NUVAXOVID as their yearly updated COVID-19 shot, regardless of the previous COVID-19 vaccine brand they received1

Most frequent solicited adverse reactions after booster dose in adults aged 18-64 who received a NUVAXOVID primary series3

See adverse reaction grade definitions

Adverse reactions by grade after Nuvaxovid booster dose in adults aged 18–64

Most frequent solicited adverse reactions after booster dose in adults aged 65+ who received a NUVAXOVID primary series3

Adverse reactions by grade after Nuvaxovid booster dose in adults aged 65+

The analysis included 9,817 participants 18 through 64 years and 1,630 participants ≥ 65 years who received the booster dose and completed at least one day of the vaccination reactogenicity diary, reported an unsolicited adverse event that was mapped to a reactogenicity term within 7 days of the dose, reported a symptom in the Daily Illness Symptoms Diary that was mapped to a reactogenicity term within 7 days of the dose, or reported a temperature in the Daily Illness Symptoms Diary within 7 days of the dose. Seven days included day of vaccination and the subsequent 6 days. Solicited reactogenicity events and use of antipyretic or pain medication were collected by the participant in the electronic diary (eDiary).1

2-Dose Primary Series: NUVAXOVID has a well-established tolerability profile in patients aged 18-641,2

  • With NUVAXOVID, ~84% of patients did not experience fatigue that would prevent daily activities, according to FDA grading3,4
  • For each of the other adverse reactions, ~94% of patients reported no higher than Grade 2 severity3
  • Less than 0.1% of patients experienced higher severity (Grade 4) reactions for each of the most frequent solicited adverse reactions3

Most frequent solicited adverse reactions after 2-dose primary series in adults aged 18‑643

Adverse reactions by grade after Nuvaxovid 2-dose primary series in adults aged 65+

The analysis included 16,041 (Dose 1) and 16,106 (Dose 2) participants in the Novavax COVID-19 Vaccine, Adjuvanted (Original monovalent) group and 7,968 (Dose 1) and 7,859 (Dose 2) participants in the placebo group who received at least one dose and completed at least one day of the vaccination reactogenicity diary, reported an unsolicited adverse event that was mapped to a reactogenicity term within 7 days of the dose, reported a symptom in the Daily Illness Symptoms Diary that was mapped to a reactogenicity term within 7 days of the dose, or reported a temperature in the Daily Illness Symptoms Diary within 7 days of the dose. Seven days included day of vaccination and the subsequent 6 days. Solicited reactogenicity events and use of antipyretic or pain medication were collected by the participant in the electronic diary (eDiary).1

2-Dose Primary Series: NUVAXOVID has a well-established tolerability profile in patients aged 65+1,2

  • With NUVAXOVID, ~81% of patients did not experience fatigue that would prevent daily activities, according to FDA grading3,4
  • For each of the other adverse reactions, ~90% of patients reported no higher than Grade 2 severity3
  • Less than 0.1% of patients experienced higher severity (Grade 4) reactions for each of the most frequent solicited adverse reactions3

Most frequent solicited adverse reactions after 2-dose primary series in adults aged 65+3

The analysis included 2,293 (Dose 1) and 2,217 (Dose 2) participants in the Novavax COVID-19 Vaccine, Adjuvanted (Original monovalent) group and 1,138 (Dose 1) and 1,057 (Dose 2) participants in the placebo group who received at least one dose and completed at least one day of the vaccination reactogenicity diary, reported an unsolicited adverse event that was mapped to a reactogenicity term within 7 days of the dose, reported a symptom in the Daily Illness Symptoms Diary that was mapped to a reactogenicity term within 7 days of the dose, or reported a temperature in the Daily Illness Symptoms Diary within 7 days of the dose. Seven days included day of vaccination and the subsequent 6 days. Solicited reactogenicity events and use of antipyretic or pain medication were collected by the participant in the electronic diary (eDiary).1

Unsolicited and serious adverse event rates were similar between NUVAXOVID and placebo groups1

  • The overall frequency of unsolicited adverse events in the pre-crossover period was similar in the NUVAXOVID group (11.8%) and the placebo group (11.0%)
  • Serious adverse events were reported by 1.2% of participants in the NUVAXOVID group and 1.2% of participants in the placebo group
     

Grading scale definitions for adverse reactions1:

  • Tenderness: Grade 1 = mild discomfort to touch; Grade 2 = discomfort with movement; Grade 3 = significant discomfort at rest; Grade 4 = emergency room (ER) visit or hospitalization
  • Pain: Grade 1 = does not interfere with activity; Grade 2 = repeated use of non-narcotic pain reliever >24 hours or interferes with activity; Grade 3 = any use of narcotic pain reliever or prevents daily activity; Grade 4 = ER visit or hospitalization
  • Redness (erythema): Grade 1 = 2.5–5 cm; Grade 2 = 5.1–10 cm; Grade 3 = >10 cm; Grade 4 = necrosis or exfoliative dermatitis
  • Swelling: Grade 1 = 2.5–5 cm and does not interfere with activity; Grade 2 = 5.1–10 cm or interferes with activity; Grade 3 = >10 cm or prevents daily activity; Grade 4 = necrosis
  • Fatigue, malaise, muscle pain, or joint pain (arthralgia): Grade 1 = no interference with activity; Grade 2 = some interference with activity; Grade 3 = significant; prevents daily activity; Grade 4 = ER visit or hospitalization
  • Headache: Grade 1 = no interference with activity; Grade 2 = repeated use of non-narcotic pain reliever >24 hours or some interference with activity; Grade 3 = significant; any use of narcotic pain reliever or prevents daily activity; Grade 4 = ER visit or hospitalization
  • Nausea/vomiting: Grade 1 = no interference with activity or 1–2 episodes/24 hours; Grade 2 = some interference with activity or >2 episodes/24 hours; Grade 3 = Prevents daily activity, requires outpatient IV hydration; Grade 4 = ER visit or hospitalization for hypotensive shock
  • Fever: Grade 1 = 38.0–38.4°C (100.4–101.1°F); Grade 2 = 38.5–38.9°C (101.2–102.0°F); Grade 3 = 39.0–40°C (102.1–104°F); Grade 4 = >40°C (>104°F)


 

 

Recommend NUVAXOVID and offer your eligible patients a protein-based, non-mRNA COVID-19 vaccine with a manageable side-effect profile.1

  

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You can easily order NUVAXOVID for your practice today!

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Access simple dosing and storage instructions for NUVAXOVID.

INDICATION

NUVAXOVID is a vaccine indicated for active immunization to prevent coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). NUVAXOVID is approved for use in individuals who are:

  • 65 years of age and older, or
  • 12 years through 64 years of age with at least one underlying condition that puts them at high risk for severe outcomes from COVID-19.

IMPORTANT SAFETY INFORMATION

CONTRAINDICATION
Do not administer NUVAXOVID to individuals with a known history of severe allergic reaction (e.g., anaphylaxis) to any component of NUVAXOVID or to individuals who had a severe allergic reaction (e.g., anaphylaxis) following a previous dose of NUVAXOVID

MANAGEMENT OF ACUTE ALLERGIC REACTIONS
Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of NUVAXOVID

MYOCARDITIS AND PERICARDITIS
Clinical trials data provide evidence for increased risks of myocarditis and pericarditis following administration of NUVAXOVID. There have been post-marketing reports of myocarditis and pericarditis following administration of NUVAXOVID

SYNCOPE
Syncope (fainting) may occur in association with administration of injectable vaccines, including NUVAXOVID. Procedures should be in place to avoid injury from fainting

ALTERED IMMUNOCOMPETENCE
Immunocompromised persons, including individuals receiving immunosuppressive therapy, may have a diminished immune response to NUVAXOVID

NUVAXOVID may not protect all vaccine recipients

COMMON ADVERSE REACTIONS
The most commonly reported (>10%) solicited adverse reactions included: injection site pain/tenderness, fatigue/malaise, muscle pain, headache, nausea/vomiting, fever, and joint pain

INDICATION

IMPORTANT SAFETY INFORMATION

References

1. NUVAXOVID. Prescribing Information. [Novavax, Inc; 2025]. 2. Dunkle LM, Kotloff KL, Gay CL, et al; 2019nCoV-301 Study Group. Efficacy and safety of NVX-CoV2373 in adults in the United States and Mexico. N Engl J Med. 2022;386(6):531-543. doi:10.1056/NEJMoa2116185 3. Sanofi. Data on file. 4. Food and Drug Administration. Toxicity grading scale for healthy adult and adolescent volunteers enrolled in preventative vaccine clinical trials. September 2007.

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