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Fluzone High-Dose® (Influenza Vaccine)

Safety Profile

Safety profile compared to standard-dose flu vaccines

Fluzone High-Dose is a vaccine indicated for active immunization for the prevention of disease caused by influenza A subtype viruses and type B virus contained in the vaccine. Fluzone High-Dose is approved for use in persons 65 years of age and older.

On this page, you will learn:

  • That Fluzone High-Dose was evaluated for immunogenicity and safety in a study of 3876 adults aged 65+1*

  • Information on the safety profile of Fluzone High-Dose

Phase 3 immunogenicity and safety study

Safety profile compared to standard-dose flu vaccines

Study Design1

  • A Phase 3 controlled study in which 3876 adults aged 65+ were randomized 2:1 to receive Fluzone High-Dose or Fluzone (standard dose) during the influenza season of 2006-2007* 

Adverse Reactions (Within 7 Days)1

  • Study population values for each solicited adverse reaction are provided for the Fluzone High-Dose cohort, then the standard-dose Fluzone cohort
Bar chart comparing solicited systemic and injection-site reactions for Fluzone High-Dose vs standard-dose Fluzone

*Fluzone High-Dose (trivalent formulation) was evaluated against Fluzone (standard-dose trivalent formulation).1

Frequently asked questions

The single-dose prefilled syringe for Fluzone High-Dose contains no natural rubber latex.2

Fluzone High-Dose is stored refrigerated at 2° to 8°C (35° to 46°F).2

Fluzone High-Dose is supplied in a single-dose prefilled syringe, without a needle.2

For resources to help support your patients, including the Fluzone High-Dose patient brochure, please visit our Resources section.

The most common side effects following administration of Fluzone High-Dose are pain at the injection site, myalgia, malaise, and headache.2

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Order Fluzone High-Dose

To order Fluzone High-Dose, call 1-800-VACCINE (1-800-822-2463) or click below to order on VaccineShop

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About Fluzone

An influenza vaccine for people 6 months+3

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Resources

Find leave behinds and patient brochures for the Sanofi flu vaccines here

Important Safety Information

Do not administer Fluzone, Flublok, or Fluzone High-Dose to anyone with a history of a severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine (including egg protein for Fluzone and Fluzone High-Dose). Fluzone and Fluzone High-Dose should not be administered to anyone who has had a severe allergic reaction after previous dose of any influenza vaccine.

Appropriate medical treatment must be immediately available to manage potential anaphylactic reactions following administration of the vaccine.

If Guillain-Barré syndrome has occurred within 6 weeks following previous influenza vaccination, the decision to give Fluzone, Flublok, or Fluzone High-Dose should be based on careful consideration of the potential benefits and risks.

Syncope (fainting) has been reported following vaccination with Fluzone, Flublok and Fluzone High-Dose. Procedures should be in place to avoid injury from fainting.

In two separate postmarketing observational studies, an increased risk of febrile seizures was observed during the first day following vaccination with standard dose trivalent (2024-2025) and quadrivalent (2023-2024) influenza vaccines in children 6 months through 4 years of age.

If Fluzone, Flublok, or Fluzone High-Dose are administered to immunocompromised persons, including those receiving immunosuppressive therapy, the expected immune response may not be attained.

Vaccination with Fluzone, Flublok, or Fluzone High-Dose may not protect all recipients.

For Fluzone, in children 6 months through 8 years of age, the most common injection-site adverse reactions were pain or tenderness and redness; the most common solicited systemic adverse reactions were irritability, drowsiness (6 months through 35 months), and myalgia (3 years through 8 years). In adults 18 through 64 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache and myalgia. In adults over 65 years of age, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, myalgia, and malaise.

For Flublok, in children 9 through 17 years of age who received Flublok Quadrivalent, the most common solicited injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were myalgia, headache, and malaise. In adults 18 through 64 years of age who received Flublok, the most common injection site adverse reaction was pain; the most common solicited systemic adverse reactions were headache, fatigue, and myalgia. In adults 65 years of age and older who received Flublok, the most common injection-site adverse reaction was pain; the most common solicited systemic adverse reactions were fatigue and headache.

For Fluzone High-Dose, in adults 65 years of age and older, the most common injection-site reaction was pain; the most common solicited systemic adverse reactions were myalgia, malaise, and headache.

For Fluzone, Flublok, and Fluzone High-Dose, other adverse reactions may occur.

Indications

Fluzone, Flublok, and Fluzone High-Dose are vaccines indicated for active immunization for the prevention of disease caused by influenza A virus subtypes and type B virus contained in (or in the case of Flublok, represented by antigens contained in) the vaccine. Fluzone is approved for use in persons 6 months of age and older. Flublok is approved for use in individuals 9 years of age and older. Fluzone High-Dose is approved for use in persons 65 years of age and older.

Important Safety Information
Indications

References: 1. Falsey AR, et al. J Infect Dis. 2009;200(2):172-180. doi:10.1086/599790 2. Fluzone High-Dose. Prescribing Information. Sanofi Pasteur Inc. 3. Fluzone. Prescribing Information. Sanofi Pasteur Inc.

MAT-US-2607251-v1.0-08/2026 Last updated: August 2026