Gardasil 9 Caution For Usage

Incompatibilities: In the absence of compatibility studies, this medicinal product must not be mixed with other medicinal products.
Special precautions for disposal and other handling: Gardasil 9 may appear as a clear liquid with a white precipitate prior to agitation.
Shake well before use, the pre-filled syringe, to make a suspension. After thorough agitation, it is a white, cloudy liquid.
Inspect the suspension visually for particulate matter and discolouration prior to administration. Discard the vaccine if particulates are present and/or if it appears discoloured.
Choose an appropriate needle to ensure an intramuscular (IM) administration depending on the patient's size and weight.
In packs with needles, two needles of different lengths are provided per syringe.
Attach the needle by twisting in a clockwise direction until the needle fits securely on the syringe. Administer the entire dose as per standard protocol.
Inject immediately using the intramuscular (IM) route, preferably in the deltoid area of the upper arm or in the higher anterolateral area of the thigh.
The vaccine should be used as supplied. The full recommended dose of the vaccine should be used.
Any unused vaccine or waste material should be disposed of in accordance with local requirements.