The injection technique of Swine influenza vaccine

In Japan, Swine flu vaccine is made by

1)The Kitasato Institute Reseach Center for Biologicals  
    → http://www.kitasato.ac.jp/rcb/eng/index.html

2)The chemo-Sero-Therapeutic Research Institute 

        → http://www.biken.or.jp/english/index.html

and other companies.

For more infomation, Please ask the companies.

The injection technique of vaccine;
1) Inject into subcutaneously, not intra-muscularly in Japan.
     Other vaccines(DaPT, Measles & Rubella, Varicella, Mumps,
      Japanese encephalitis ) are also administered via the same route .
2) The site of vaccine injection is upper arm(skin just above 
    Triceps brachii muscle, avoid the radial nerve), not thigh or 
     buttock.

------------------------   from Wikipedia(http://en.wikipedia.org/wiki/Triceps_brachii_muscle)

3) Use the 27 gauge needle(for the tubelculin test) .
4) Before injection, vaccine liquid( 4 ℃) is warmed up to room temperature.
     Cold liquid will triger the pain reaction.
5) Inject slowly. Rapid injection also induces pain.

subcutaneous injection of Swine Flu vaccine(1)

subcutaneous injection of Swine Flu vaccine(2)

subcutaneous injection of Swine Flu vaccine(3)

In USA, swine(2009 N1H1) influenza vaccine is administered via intra-
muscular route, or by intra-nasal spray(may be the same in Europe).

　intramuscular Flu vaccination in the left shoulder muscle

    (from the website of Centers for Disease Control and Prevention

      ➞ http://www.cdc.gov/  )

Any questions: write to keijihagiwara@gmail.com
                                            Keiji Hagiwara, MD.
                                            Kami-Ube Pediatric Clinic,
                                             1-20-2 Tokiwadai,
                                             Ube 755-0097, Japan.