How
one-dose

VAXCHORA can
help protect
against cholera

Get to know VAXCHORA

Three people snorkeling in the sea. A glass of fizzy water
Three people snorkeling in the sea. A glass of fizzy water

VAXCHORA is a one-dose oral vaccine that helps protect people (aged 2–64) from cholera. It should be taken at least 10 days before travelling to an area where there is a risk of diarrhea caused by cholera.

Immunization may not be suitable for everyone and can be associated with adverse events. 100% protection cannot be guaranteed. VAXCHORA is not a treatment for cholera or its complications. The vaccine should not replace standard preventive measures such as handwashing and avoiding potentially contaminated food and water.

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How VAXCHORA works

VAXCHORA is an oral vaccine that you prepare and take at home or in a clinic. It works by helping your body make antibodies (proteins that your immune system uses to fight infection) against the cholera bacterium (serogroup O1) and its toxin, which causes diarrhea.

VAXCHORA is a cholera vaccine that helps protect adults and children. VAXCHORA is the only cholera vaccine taken as a single dose.

Planning a trip? Find out if your destination may put you at risk of exposure to cholera.

How to take VAXCHORA

The recommended dose of VAXCHORA is the contents of both sachets in the carton. It is important to follow the directions precisely, or the vaccine may not work. Please refer to the Patient Information Leaflet (also included in the VAXCHORA package) for the complete step-by-step instructions.

Note that Step 8 is relevant only when preparing VAXCHORA for children aged 2–5.
1
Hand holding a list icon.

Gather materials.

  • Clean cup
  • Utensil to stir
  • Bottled water (purified, spring, or sparking [carbonated]); cold or at room temperature (25 °C or less)
  • Item to measure 100 mL of bottled water (e.g. measuring cup)
  • Scissors
2
Icon of the vacinne being removed from the refrigerator.

Remove the vaccine from the refrigerator.

3
Icon of hands holding two sachets labeled 1 and 2.

Locate the two sachets (the sachets are
labelled 1 and 2).

Sachet 1 contains “BUFFER COMPONENT OF VAXCHORA” and is black and white.

Sachet 2 contains “ACTIVE COMPONENT OF VAXCHORA” and is blue and white.

If a sachet is not intact, do not use either sachet and contact your healthcare professional about acquiring a replacement dose; using a sachet that is not intact can reduce the effectiveness of the vaccine.
4
Icon of hands pouring 100 ml of water into a measuring cup.

Prepare the water.

Measure 100 mL of cold or room temperature bottled water (purified, spring, or sparkling [carbonated]) and pour into a clean cup.

Do not use tap/faucet water, or any non-purified bottled water, other beverages, or other liquids.
5
Icon of hands using scissors to open the sachet labeled 1.

Use scissors to cut off the top of sachet 1.

Do not put your fingers into the sachet.
6
Icon of a hand pouring the sachet labeled 1 into a full glass of water.

Empty the contents of sachet 1 into the water in the cup.

It will fizz.
7
Icon of a hand stirring the content of a glass

Stir until the powder completely dissolves.

8
Icon of a hand stirring the content of a glass with a warning icon.

For children aged
2-5 years only.

Pour out and discard half of the buffer solution (50 mL of liquid should remain in the cup).
9
Icon of hands using scissors to open the sachet labeled 2.

Use scissors to cut off the top of sachet 2.

Do not put your fingers into the sachet. Wash your hands if you touch the sachet contents, in order to reduce the chance of contamination.
10
Icon of a hand pouring the sachet labeled 2 into a full glass of water.

Empty the contents of sachet 2 into the cup.

11
Icon of a hand stirring the content of a glass

Stir for at least
30 seconds.

The powder from sachet 2 may not dissolve completely. It will form a slightly cloudy mixture with some white particles. If desired, no more than 4 grams (1 teaspoon) of table sugar or no more than 1 gram of Stevia sweetener (1/4 teaspoon) may be added, and then stirred into the suspension.
12
Icon of a person drinking the content of a glass

Take the vaccine as directed. If you have spilled any material,
DO NOT take the remaining dose.

Contact your healthcare professional about acquiring a replacement dose.

Drink the full contents of the cup within 15 minutes of preparing it.
Some residue may remain in the cup and must be discarded.

After taking the vaccine, clean your hands and all items used with soap and hot water. If any liquid was spilled or any residue remains, clean the surface with soap and hot water. Discard the sachets and any disposable items.

Note: You must not eat or drink for one hour before or after taking VAXCHORA as this may reduce the vaccine’s effectiveness. Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements, or alternative medicines. Antibiotics, chloroquine, and oral typhoid vaccine Ty21a may interact with VAXCHORA.

What are the most common side effects of VAXCHORA?

VAXCHORA can cause side effects, although not everyone gets them. The most common side effects of VAXCHORA are tiredness, headache, nausea/vomiting, abdominal pain, and lack of appetite.

Allergic reactions can also occur. Contact a doctor immediately if you experience the following serious side effects: swelling of the face or throat, hives, itchy rash, breathlessness and/or a drop in blood pressure and fainting.

Talk to your healthcare professional about whether VAXCHORA is right for you.

For more information about VAXCHORA, read the
full Patient Information document.

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