Booster Dose Authorized for Novavax COVID-19 Vaccine

2019 AIPO

Booster Dose Authorized for Novavax COVID-19 Vaccine

On October 19th, the FDA amended the emergency use authorization (EUA) for Novavax to allow its use as a booster dose in adults ages 18 years and older.  Novavax COVID-19 vaccine is the first COVID-19 protein subunit vaccine recommended for use in the United States.

novavax packaging

Primary Series Administration - Ages 12+

Two doses, 0.5 mL each dose administered intramuscularly (5 micrograms and 50 Micrograms of Matrix-M adjuvant) in the primary series, given 3–8* weeks apart to persons age 12+. 

People who are moderately or severely immunocompromised should also receive 2 doses, given 3 weeks apart.

*An 8-week interval between the first and second primary series doses of Novavax COVID-19 vaccines may be optimal for some people ages 18 to 64 years of age, especially for males ages 18–39 years, as it may reduce the small risk of myocarditis/pericarditis associated with COVID-19 vaccines. A shorter interval (3 weeks) between the first and second doses remains the recommended interval for people who are moderately or severely immunocompromised; adults ages 65 years and older; and in situations in which there is increased concern about COVID-19 community levels or an individual’s higher risk of severe disease.

Booster Dose Administration - Ages 18+

One dose, 0.5 mL administered intramuscularly (5 micrograms and 50 Micrograms of Matrix-M adjuvant) at least 6 months after completion of primary vaccination with an authorized or approved COVID-19 vaccine to individuals 18 years+ for whom an FDA-authorized mRNA bivalent COVID-19 booster vaccine is not accessible or clinically appropriate or to individuals 18+ who elect to receive the Novavax COVID-19 Vaccine, Adjuvanted because they would otherwise not receive a booster dose of a COVID-19 vaccine.


As a reminder, the Novavax COVID-19 vaccine is already available to order in ASIIS. Remember to be strategic when ordering as quantities are limited. If the minimum order quantity is too large for your practice, we recommend you use the ADHS Transfer Matchmaker tool to find a smaller quantity available near you or to post your excess doses.

Resources

COVID-19 Interim Clinical Considerations

Novavax Job Aid

COVID-19 Vaccine Presentations Available to Order in ASIIS