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Pneumococcal Vaccine Recommendations

One of the Recommended Vaccines by Disease

Below are summaries of recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP). For the full text of the recommendations, see Pneumococcal ACIP Vaccine Recommendations.

Routine Vaccination of Infants, Children, and Adults 65 Years or Older

CDC recommends routine administration of pneumococcal conjugate vaccine (PCV13 or Prevnar13®) for all children younger than 2 years of age:

  • Give PCV13 to infants as a series of 4 doses, one dose at each of these ages: 2 months, 4 months, 6 months, and 12 through 15 months.
  • Children who miss their shots or start the series later should still get the vaccine. The number of doses recommended and the intervals between doses will depend on the child’s age when vaccination begins.

CDC recommends pneumococcal vaccination (PCV13 or Prevnar13®, and PPSV23 or Pneumovax23®) for all adults 65 years or older:

  • Give a dose of PCV13 to adults 65 years or older who have not previously received a dose. Then administer a dose of PPSV23 at least 1 year later.
  • If the patient already received one or more doses of PPSV23, give the dose of PCV13 at least 1 year after they received the most recent dose of PPSV23.

 

Vaccination of Older Children and Adults with Certain Indications

In certain situations, children 2 years or older and other adults should also receive pneumococcal vaccines. See Pneumococcal Vaccination: Summary of Who and When to Vaccinate for all pneumococcal vaccine recommendations by vaccine and age.

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Catch-up Guidance for Children 4 Months through 18 Years

The following “job-aid” provides catch-up guidance for pneumococcal conjugate vaccination for children 4 months through 18 years of age. It includes detailed scenarios by age group and previous number of doses received. This should assist healthcare professionals in interpreting Figure 2 of the Childhood/Adolescent Immunization Catch-up Schedule.

 

Contraindications and Precautions

You should not administer PCV13 to:

  • A person who has ever had a severe allergic reaction (e.g., anaphylaxis) after a previous dose of PCV7 or PCV13 or to any vaccine containing diphtheria toxoid
  • A person with a severe allergy to any component of this vaccine

You should not administer PPSV23 to:

  • A person who has ever had a severe allergic reaction (e.g., anaphylaxis) after a previous dose
  • A person with a severe allergy to any component of this vaccine

You may administer pneumococcal vaccines, if the provider and parent or patient deems the benefits of vaccination to outweigh the risks, to:

  • A person who has a moderate or severe acute illness with or without fever

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