Do You Need A Second Pneumonia Shot

Who Needs The Pneumococcal Vaccine

The Centers for Disease Control and Prevention recommends the PPSV23 vaccine for all adults 65 years or older as well as adults 19 years or older with certain medical conditions that could put them at greater risk of infection. The PCV13 vaccine, on the other hand, should be a shared decision between the patient and clinician due to additional medical considerations.

Tdap Vaccine And/or The Td Booster

Who needs it: The Tdap vaccine came out in 2005, and along with protecting against tetanus and diphtheria, like the vaccine it replaced, it also includes new, additional protection against whooping cough, also known as pertussis. If you cant remember ever getting this shot, you probably need it. And doing so, says Katz, can also count for one of the Td boosters youre supposed to get every 10 years.

How often: You get Tdap only once, and after that, you still need the Td booster every 10 years. Otherwise, your protection against tetanus and diphtheria will fade.

Why you need it: Due to a rise in whooping cough cases in the U.S., you really do need to be vaccinated against it, even if youre over 65. In the first year after getting vaccinated, Tdap prevents the illness in about 7 out of 10 people who received the vaccine.

Talk to your doctor if you: Have epilepsy or other nervous system problems, had severe swelling or pain after a previous dose of either vaccine, or have Guillain-Barré syndrome.

Parting shot: This vaccine is especially crucial for people who have close contact with infants younger than 12 months of age including parents, grandparents, and child care providers.

Who Should Get The Vaccine

People over age 65. As you age, your immune system doesnât work as well as it once did. Youâre more likely to have trouble fighting off a pneumonia infection. All adults over age 65 should get the vaccine.

Those with weakened immune systems. Many diseases can cause your immune system to weaken, so itâs less able to fight off bugs like pneumonia.

If you have heart disease, diabetes, emphysema, asthma, or COPD , youâre more likely to have a weakened immune system, which makes you more likely to get pneumonia.

The same goes for people who receive chemotherapy, people who have had organ transplants, and people with HIV or AIDS.

People who smoke. If youâve smoked for a long time, you could have damage to the small hairs that line the insides of your lungs and help filter out germs. When theyâre damaged, they arenât as good at stopping those bad germs.

Heavy drinkers. If you drink too much alcohol, you may have a weakened immune system. Your white blood cells donât work as well as they do for people with a healthy immune system.

People getting over surgery or a severe illness. If you were in the hospital ICU and needed help breathing with a ventilator, youâre at risk of getting pneumonia. The same is true if youâve just had major surgery or if youâre healing from a serious injury. When your immune system is weak because of illness or injury or because itâs helping you get better from surgery, you canât fight off germs as well as you normally can.

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Can I Administer Ppsv23 And Pcv13 At The Same Office Visit

No, never give PPSV23 and PCV13 together. The recommended order for the two vaccines, if possible, is to give PCV13 first followed by PPSV23 later. The interval between administrations depends on the age of the patient, the indication for giving it, and which vaccine you administer first. See Pneumococcal Vaccine Timing for Adults pdf icon for additional details.

People With Health Problems And The Pneumococcal Vaccine

The PPV vaccine is available on the NHS for children and adults aged from 2 to 64 years old who are at a higher risk of developing a pneumococcal infection than the general population.

This is generally the same people who are eligible for annual flu vaccination.

You’re considered to be at a higher risk of a pneumococcal infection if you have:

• a suppressed immune system caused by a health condition, such as HIV
• a suppressed immune system caused by medicines, such as chemotherapy or steroid tablets
• a cochlear implant Action on Hearing Loss has more information about cochlear implants
• had a leak of cerebrospinal fluid this could be the result of an accident or surgery

Adults and children who are severely immunocompromised usually have a single dose of PCV followed by PPV.

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Interchangeability Of 10vpcv And 13vpcv

There are no specific data on the interchangeability of 10vPCV and 13vPCV. It is preferable to complete a primary course of pneumococcal conjugate vaccine with the same formulation. However, if a child started their vaccination course with 10vPCV , it is acceptable to complete the course with 13vPCV

The only absolute contraindications to pneumococcal vaccines are:

• anaphylaxis after a previous dose of any pneumococcal vaccine
• anaphylaxis after any component of a pneumococcal vaccine

Types Of Pneumonia Vaccine

There are two vaccines which can provide protection against Streptococcus pneumoniae. They cannot prevent other types of bacterial pneumonia or any associated with a fungus or virus.

The two FDA-approved vaccines immunize a person against the specific serotypes that are most likely to cause illness and invasive disease. They are:

• PCV13, marketed under the name Prevnar 13,which prevents 13 of the most severe types of S. pneumoniae
• PPSV23, marketed under the name Pneumovax 23, which protects against an additional 23 S. pneumoniae serotypes

Neither vaccine is made from a live or whole bacteria but rather parts of the bacterial shell. While these components cannot cause disease, the immune system recognizes them as threats and triggers a defensive response in the same way it would to a real bacteria.

The PVC13 vaccine is delivered intramuscularly either into the deltoid muscle of the upper arm or the vastus lateralis muscle of the external thigh. The PPSV23 shot can either be given intramuscularly or subcutaneously .

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Questions To Ask Your Doctor

• When should I make an appointment to get each type of pneumococcal vaccine?
• Should I still get the vaccines if Ive recently had pneumonia?
• Should I wait to turn 65 before I get each dose of pneumococcal vaccines?
• If I have a negative reaction to one type of pneumococcal vaccine, am I likely to have that same reaction to the other?

Funding was provided for these pneumococcal resources through an unrestricted grant from Pfizer Independent Grant for Learning and Change .

Booster Doses Of Pneumococcal Vaccine

If you’re at increased risk of a pneumococcal infection, you’ll be given a single dose of the PPV vaccine.

But if your spleen does not work properly or you have a chronic kidney condition, you may need booster doses of PPV every 5 years.

This is because your levels of antibodies against the infection decrease over time.

Your GP surgery will advise you on whether you’ll need a booster dose.

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What Side Effects Should I Look Out For

Side effects vary from vaccine to vaccine, according to Privor-Dumm.

According to the U.S Department of Health and Human Services website Vaccine.org, common issues include:

• Soreness at the injection site
• A low-grade fever
• Muscle aches
• Fatigue

In very rare cases, you may be allergic to the ingredients in a vaccine or have another severe reaction. If you feel sick in any way after receiving a shot, call your doctor, Privor-Dumm says.

What Are The Pros And Cons Of Being Vaccinated

The benefits of vaccination generally far outweigh any risks, Privor-Dumm says. Although vaccines do have some side effects, most are mild and temporary.

The bigger con is getting disease, which may lead to further health complications, she adds. For instance, people who are hospitalized with influenza have a greater likelihood of heart attack or stroke following their illness, and the economic consequences of a serious illness can be catastrophic for some. Thats why its best to prevent disease in the first place.

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Everything You Need To Know About The Pneumonia Vaccine

During the winter months, many people think that they have a nasty cold or flu, but it turns out to be pneumonia an illness that can be life threatening in certain people. A vaccine can help lower your chance of contracting pneumonia. While the pneumonia vaccine does not prevent all cases of pneumonia, it reduces the severity of the disease.

That is especially important for older adults and if you have certain medical conditions that put you at greater risk for complications.

Now is the time to talk to your doctor about your risks and if you need a vaccine to protect you against pneumonia.

Niharika Juwarkar, MD, Internal Medicine with Firelands Physician Group, answers your most frequently asked questions about pneumonia and the risks.

What is pneumonia?

Pneumonia is a respiratory lung infection that is often mistaken for the flu. Your lungs become filled with fluid or pus that results in inflammation. Symptoms are very similar to the flu, but pneumonia can last for weeks and result in very serious complications.

While pneumonia can be caused by bacteria, viruses or fungi, most cases are due to a specific bacteria called streptococcus pneumoniae, more commonly known as pneumococcal pneumonia. This form can be treated with antibiotics. Your doctor can test to see what form of pneumonia you have. Treatment depends on the type of pneumonia you have and the severity of your symptoms. But, the best defense is vaccination.

Who is most at risk for pneumonia?

Registering Your Vaccination If You Got It Out Of The Province

If you received a COVID-19covid 19 vaccine outside of Ontario or Canada, you can register your vaccination by contacting your local public health unit .

You must provide proof, such as an immunization record or a proof of vaccination certificate to your PHU to be registered in the system.

If needed, you can book your second dose through:

• the provincial booking system or calling the Provincial Vaccine Contact Centre
• your primary care setting
• public health units that use their own booking system

If you received both doses of a Health Canada authorized vaccine, you only have to provide proof of vaccination to your PHU. No other action is needed. If you received one or two doses of a COVID-19covid 19 vaccine not authorized by Health Canada, please contact your public health unit to see if you need any additional doses.

For more information, read the Ministry of Health COVID-19 Guidance for Individuals Vaccinated Outside of Ontario/Canada.

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Common And Local Adverse Events

Pneumococcal conjugate vaccine

Studies of Pneu-C-13 vaccine indicated that irritability decreased appetite increased or decreased sleep and pain, swelling and redness at the injection site after the toddler dose and in older children, are common side effects. Low grade fever occurred in 20% to 30% or more of vaccine recipients. In adults over 50 years of age, the most commonly reported side effects included pain at the injection site, fatigue, headache and new onset of myalgia, with fever above 38°C occurring in approximately 3% of vaccine recipients.

Pneumococcal polysaccharide vaccine

Reactions to Pneu-P-23 vaccine are usually mild. Soreness, redness and swelling at the injection site occur in 30% to 60% of vaccine recipients and more commonly follow SC administration than IM administration. Occasionally, low grade fever may occur. Re-immunization of healthy adults less than 2 years after the initial dose is associated with increased injection site and systemic reactions. Studies have suggested that re-vaccination after an interval of at least 4 years is not associated with an increased incidence of adverse side effects. However, severe injection site reactions, including reports of injection site cellulitis and peripheral edema in the injected extremity, have been documented rarely with Pneu-P-23 vaccine in post-marketing surveillance, even with the first dose. Multiple re-vaccinations are not recommended refer to Booster doses and re-immunization.

How Does The Pneumonia Vaccine Work

There are currently two vaccines administered in the United States:

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Signs Of Pneumonia Vaccine Side Effects

As with any vaccination, there are potential side effects of the pneumonia vaccination. Common side effects include:

Injection site soreness

As with most shots and vaccinations, you may experience pain, swelling, or redness at the injection site .

Less than 1% of people who receive a pneumonia vaccine develop a fever. If your temperature is above 100.4 F , you have a fever.

Irritability

Irritability is a feeling of agitation. When you’re feeling irritable, you’re more likely to become frustrated or upset. In children, this may present as fussiness.

How To Learn More About Medicare Coverage For Pneumonia Vaccines And Other Preventative Services

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Who Needs Vaccination

Pneumonia vaccination is not recommended for everyone. The vaccines are primarily used in persons who are at increased risk of serious illness. These include:

• Infants and children as part of their routine vaccination schedule
• Persons over the age of 65
• Persons with compromised or weakened immune systems, including those with chronic illness such as HIV, heart disease, liver disease, kidney failure, and diabetes
• Organ transplant recipients and person undergoing chemotherapy, both of whom have weakened immune systems and exposure to immune suppressive drugs
• Persons with chronic respiratory illnesses such as asthma, emphysema, chronic obstructive pulmonary disease 
• Persons who smoke or are heavy drinkers
• Persons recovering from surgery or a serious illness

Vaccination is currently not recommended for persons between 18 and 64 who are healthy. The same applies to anyone who has had a prior allergic reaction to the vaccine or has a known allergy to any of the components of the vaccine.

Persons New To Canada

Health care providers who see persons newly arrived in Canada should review the immunization status and update immunization for these individuals, as necessary. Review of pneumococcal vaccination status is particularly important for persons from areas of the world where sickle cell disease is present, as persons with sickle cell disease are at risk of serious pneumococcal infections. In many countries outside of Canada, pneumococcal conjugate vaccine is in limited use. Refer to Immunization of Persons New to Canada in Part 3 for additional information about vaccination of people who are new to Canada.

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Who Should Not Get The Vaccine

People should not get the vaccine if they have had a life threatening allergic reaction to a previous dose.

Additionally, a person should not undergo vaccination if they have had an allergic reaction to medication containing diphtheria toxoid or an earlier form of the pneumonia vaccination .

Lastly, people who are sick or have allergic reactions to any of the ingredients of the vaccine should talk to a doctor before getting the shot.

A pneumonia shot will not reduce pneumonia. However, it helps prevent invasive pneumococcal diseases, such as meningitis, endocarditis, empyema, and bacteremia, which is when bacteria enter the bloodstream.

Noninvasive pneumococcal disease includes sinusitis.

There are two types of pneumonia shots available. Which type a person gets depends on their age, whether or not they smoke, and the presence of any underlying medical conditions.

The two types are:

• Pneumococcal conjugate vaccine : Healthcare providers recommend this vaccine for young children, people with certain underlying conditions, and some people over the age of 65 years.
• Pneumococcal polysaccharide vaccine : Healthcare providers recommend this vaccine for anyone over 65 years of age, people with certain underlying conditions, and people who smoke.

According to the

• roughly 8 in 10 babies from invasive pneumococcal disease
• 45 in 100 adults 65 years or older against pneumococcal pneumonia
• 75 in 100 adults 65 years or older against invasive pneumococcal disease

If I Inadvertently Administer Ppsv23 Less Than 8 Weeks After Pcv13 Do I Need To Repeat The Dose Of Either Vaccine

No, you do not need to repeat any doses. PPSV23 that follows PCV13 at less than 8 weeks may increase risk for localized reaction at the injection site, but remains a valid vaccination and you should not repeat it. The PCV13 dose also remains valid and you should not repeat it either. Never administer PPSV23 and PCV13 during the same visit.

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