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Pandemrix is an inactivated, split-virion influenza vaccine developed by GSK specifically for the 2009 H1N1 influenza pandemic. It contains the A/California/7/2009 (H1N1)v-like strain. A key feature of Pandemrix is the use of the AS03 adjuvant system, an oil-in-water emulsion containing squalene, DL-alpha-tocopherol, and polysorbate 80, which was designed to enhance the immune response and allow for dose-sparing. The vaccine was authorized by the European Medicines Agency (EMA) in September 2009. However, post-marketing surveillance revealed an increased risk of narcolepsy, particularly in children and adolescents in several European countries, leading to restricted use and eventual discontinuation of the product.
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