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Members questionnaire

Company information

Name *

Website *

Headquarters Address *

Manufacturing Facility Address *

Year founded *

Primary Contact information

Contact Name *

Contact email *

Contact Telephone *

Secondary Contact information

Contact Name

Contact email

Contact Telephone

Quality and Regulatory Information

Valid Certifications 1

Provide any ISO certifications or other industry certifications

Valid Certifications 2

Valid Certifications 3

Valid Certifications 4

Valid Certifications 5

Regulatory Inspection/GMP certification 1

Provide Inspecting Agency and Year

Regulatory Inspection/GMP certification 2

Regulatory Inspection/GMP certification 3

Regulatory Inspection/GMP certification 4

Regulatory Inspection/GMP certification 5

Vaccine Products

Live or attenuated viral vaccines Live vaccines use a weakened (or attenuated) form of the germ that causes a disease. (examples: Measles, Mumps, Rubella, Rotavirus, Smallpox, Yellow Fever)

Inactivated viral vaccines Inactivated vaccines use the killed version of the germ that causes a disease (examples: Hepatits A, influenza, Polio, Rabies)

Subunit, recombinant, polysaccharide, and conjugate vaccines Subunit, recombinant, polysaccharide, and conjugate vaccines use specific pieces of the germ — like its protein, sugar, or capsid (a casing around the germ) (examples Hepatitis B, HPV, HiB, Pneumococcal, Meningoccal)

Toxoid (inactivated toxin) vaccines A toxin (harmful product) made by the germ that causes a disease (example, Diphtheria, Tetanus)

Other

Licensed Products

You may select up to 20 references

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Commercial/Brand Name

Indication

Products Under Clinical Development

You may select up to 6 references

Vaccine candidate #1

Vaccine candidate #2

Vaccine candidate #3

Vaccine candidate #4

Vaccine candidate #5

Vaccine candidate #6

Facility Information

Filling Facility(ies)

Single filling facility

Location (City + Country)

Multiple filling facilities

Location

Location

Location

Filling lines

Single filling line

Location

Type of container (seringue, vial, ampoule, etc)

Multiple filling lines

Location

Type of container (seringue, vial, ampoule, etc) (copie)

Location

Type of container (seringue, vial, ampoule, etc) (copie)

Location

Type of container (seringue, vial, ampoule, etc) (copie)

Location

Type of container (seringue, vial, ampoule, etc) (copie)

Location

Type of container (seringue, vial, ampoule, etc) (copie)

Capability to Fill Various Container(s)

Single-dose glass syringe

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Single-dose glass vial

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Single-dose plastic vials

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Single-dose glass ampoules

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Multi-dose glass vials

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Multi-dose plastic dropper

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Single dose plastic syringes

Yes

No

Minimum Lot size (in vial units)

Maximum Lot size (in vial units)

Interest in Providing Services to External Companies

Active Ingredient Production

Yes

No

Product Type

Final Product Production

Yes

No

Product Type

Secondary Packaging

Yes

No

Product Type

Analytical Testing

Yes

No

Product Type

Partners:

DCVMN

DCVMN is a voluntary public health driven alliance of vaccine manufacturers from developing countries that aims to make a consistent supply of high quality vaccines that are accessible to protect people against known and emerging infectious diseases globally.

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