What is the difference between Spikevax (Moderna COVID-19 vaccine) and MnexSpike COVID vaccines?

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Last updated: September 2, 2025View editorial policy

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Differences Between Spikevax and MnexSpike COVID-19 Vaccines

Spikevax (Moderna COVID-19 vaccine) is an FDA-approved mRNA vaccine, while MnexSpike is not a recognized COVID-19 vaccine in the United States or globally.

Spikevax (Moderna COVID-19 Vaccine)

Composition and Technology

  • Spikevax is a lipid nanoparticle-encapsulated, nucleoside-modified mRNA vaccine (mRNA-1273) that encodes the stabilized prefusion spike glycoprotein of SARS-CoV-2 1, 2
  • It is administered as a 2-dose primary series, with doses given 28 days apart 3, 2
  • Each dose contains 100 μg (0.5 mL) of mRNA 4

Regulatory Status

  • Received full FDA Biologics License Application (BLA) approval on January 31,2022, for use in individuals aged ≥18 years 2
  • Previously was under Emergency Use Authorization (EUA) since December 18,2020 4
  • Also available in bivalent formulation as a booster dose containing equal amounts of spike mRNA from both ancestral and Omicron BA.4/BA.5 strains 3, 5

Efficacy and Safety

  • Demonstrated 93.2% vaccine efficacy against symptomatic COVID-19 in clinical trials 6
  • Shows 98.2% efficacy against severe or critical COVID-19 disease 6
  • Safety profile is well-established with common side effects including injection site reactions (60.8%) and systemic reactions (54.8%) 5
  • Serious adverse events are rare, with no significant difference compared to placebo (RR: 0.92,95% CI 0.78 to 1.08) 6

MnexSpike

There is no COVID-19 vaccine called "MnexSpike" recognized by the FDA, CDC, or mentioned in any of the provided guidelines or research evidence. The Advisory Committee on Immunization Practices (ACIP) and CDC have only recognized the following COVID-19 vaccines for use in the United States 3:

  1. BNT162b2 (Pfizer-BioNTech, Comirnaty) - mRNA vaccine
  2. mRNA-1273 (Moderna, Spikevax) - mRNA vaccine
  3. Ad26.COV.S (Janssen [Johnson & Johnson]) - adenovirus vector-based vaccine
  4. NVX-CoV2373 (Novavax) - protein subunit-based vaccine

Key Differences in Available COVID-19 Vaccine Technologies

Since MnexSpike is not a recognized vaccine, here's a comparison of the different COVID-19 vaccine technologies available:

mRNA Vaccines (Pfizer-BioNTech and Moderna)

  • Contain nucleoside-modified mRNA encoding the SARS-CoV-2 spike protein
  • Formulated as lipid nanoparticles
  • Do not contain live virus components
  • Do not integrate into host cell DNA 1
  • Require special cold storage conditions

Adenovirus Vector Vaccines (Johnson & Johnson)

  • Use replication-incompetent adenovirus to deliver genetic material for the SARS-CoV-2 spike protein
  • Single-dose regimen (originally) 3

Protein Subunit Vaccines (Novavax)

  • Contain purified spike protein antigen with an adjuvant
  • Similar technology to some existing vaccines like hepatitis B and pertussis vaccines 3

Clinical Implications

When considering COVID-19 vaccination:

  • Both mRNA vaccines (Pfizer-BioNTech and Moderna/Spikevax) have similar safety profiles and high efficacy against symptomatic disease and severe outcomes 3, 6
  • For patients with autoimmune inflammatory rheumatic diseases, either mRNA vaccine is appropriate with no preference for one over the other 3
  • Bivalent booster doses containing both ancestral and Omicron variant components are recommended for eligible individuals to improve protection 3

Common Pitfalls and Caveats

  • Be wary of misinformation about non-existent COVID-19 vaccines like "MnexSpike"
  • Verify vaccine information through official sources like CDC, FDA, or WHO
  • When discussing COVID-19 vaccines with patients, refer to them by their official names to avoid confusion
  • Remember that vaccine recommendations continue to evolve as new evidence emerges and variants develop

For the most current information about COVID-19 vaccines, consult the CDC or FDA websites, which maintain up-to-date information on authorized and approved vaccines.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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