 Gardasil is available in a pre-filled syringe, with needle guard (safety device) ready to use for intramuscular injection (IM), preferably in the deltoid area of the upper arm.  If 2 needles of different lengths are provided in the pack, choose the appropriate needle to ensure an IM administration depending on your patient’s size and weight.  Parenteral drug products should be inspected visually for particulate matter and discolouration 60 prior to administration.