Can I Get More Than One Vaccine During The Same Visit
If you need more than one vaccine, talk to your doctor or pharmacist about whether you should get them all in one visit, or space them out.
Its very common to bundle immunizations for children, and there are many cases where adults may get two vaccines at the same time.
Shingrix, which is recommended to prevent shingles in adults 50 and older, can be given during the same appointment as a flu shot, according to the CDC.
The agency has also given the green light for people to receive a COVID-19 vaccine, including a booster shot , and the flu shot during the same visit.
In fact, the CDC says that the COVID-19 vaccine can be given without regard to the timing of any other vaccine.
Medicare Coverage For The Pneumonia Vaccine
Most preventive vaccines are covered under Part D, the prescription drug part of Medicare. Medicare Part B covers a few specific vaccines, like the two pneumonia vaccines. Medicare Advantage plans, sometimes called Part C, also cover the pneumonia vaccines, along with other vaccines you may need.
If you are enrolled in original Medicare , or a Part C plan, you are automatically eligible for the pneumonia vaccines. Since there are two types of vaccines for pneumonia, you and your doctor will decide if you need one or both vaccines. Well get into the details of the two different types a little later.
How Often Do You Need To Get The Pneumonia Vaccines
Sometimes, vaccines require a booster shot. This means that an additional shot is given after the initial one to make sure that you dont lose immunity over time.
PCV13 never requires a booster shot in children or adults after all recommended doses are received.
Sometimes, PPSV23 requires a booster shot, depending on when and why it was given:
Children who get PPSV23 due to certain health conditions, like cancer and conditions that weaken the immune system, need a booster 5 years after the first dose.
Adults who get PPSV23 before age 65 should get one booster at least 5 years after the first dose, once theyve turned 65. No booster is needed if the first dose is given after age 65.
Adults with a weakened immune system and other specific conditions should have another dose 5 years after their first dose, and then one more dose at least 5 years after their most recent dose, once theyve turned 65.
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Who Should Not Get Vaccinated Or Should Wait
- Anyone who has had a lifeâthreatening allergic reaction to any component of the vaccine Prevnar 7 or any vaccine containing diphtheria toxoid: CDC.gov/Vaccines/VPD/Pneumo/Public/Index.html
- Anyone who is moderately or severely ill when the shot is scheduled should wait until feeling better
- For information regarding additional warnings and precautions, please visit: CDC.gov/Vaccines/VPD/Pneumo/HCP/Recommendations.html#Contraindications-Precautions
How Do The Pneumonia Vaccines Work
Like all vaccines, pneumococcal vaccines work by showing the immune system a version of the microbe, or a part of it, that is responsible for the infection. The pneumococcal vaccine contains part of the pneumococcus bacterias outer shell, made of molecules called polysaccharides. The immune system learns to recognize it, attack it, and defend the body against it, should it ever come into contact with the real bacteria.
The body does this by making antibodies against the shell of the pneumococcus bacteria. These antibodies stay in your bloodstream as part of your immune system. If you are exposed to pneumococci in the future, the antibodies recognize the bacterias shell and launch a targeted defense.
There are strains of pneumococcus, so the vaccines are made up of molecules from many of those strains.
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Age Recommendations And Dosing
Prevnar 13 is approved for use in children 6 weeks and older, and the CDC recommends it for children younger than 2 years old and people 2 years or older with certain medical conditions. Its given into the muscle, and its a 4-dose series for children between 2 and 15 months of age. For children who dont receive the vaccine at this time, a catch-up schedule is available.
Prevnar 20 is currently approved for use in adults at least 18 years old, but official CDC recommendations havent been established yet. Its given as a single-dose injection into the muscle.
Pneumovax 23 is approved for use in children 2 years and older at higher risk of infection and adults at least 50 years old. However, the CDC recommends it for all adults 65 years or older, people 2 through 64 years with certain medical conditions, and adults 19 through 64 years who smoke cigarettes. Its a single-dose injection given into the muscle or skin, but additional doses may be recommended for some people.
Measles Mumps & Rubella
Measles, mumps, and rubella are infections that can lead to significant illness. More than 95% of children receiving the MMR vaccine will be protected from the three diseases throughout their lives.
- All children should get the first dose of MMR vaccine at age 12 to 15 months and second dose at age 4 to 6 years.
- All adults with no evidence of immunity should get 1 dose the MMR vaccine and 2 doses if in the high-risk group.
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Do I Have To Make An Appointment
The COVID-19 vaccine requires making an appointment ahead of time at CVS.com. Most other vaccines are available on a walk-in basis. Same-day appointments are often available online. You can also answer the vaccine-specific questionnaire online instead of filling it out in person.
You may want to call ahead to your local CVS Pharmacy and make sure your desired vaccine is in stock. You can also check to see if theres a wait at the store or clinic.
What About The Pneumonia Vaccine
Prevnar 13 is a pneumococcal conjugate vaccine that protects against 13 types of pneumococcal bacteria.
Pneumovax 23 is a pneumococcal polysaccharide vaccine that protects against 23 types of pneumococcal bacteria.
Once vaccinated, most healthy adults develop protection to most or all of these types within two to three weeks.
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How Does It Work
Prevnar 20 is a conjugate vaccine. This means that it contains pieces of sugar-like substances called polysaccharides that typically coat the bacteria but also hide it from our immune system. The vaccine uses only a certain portion of the bacteria not the bacteria itself so its unable to cause an infection.
This conjugate vaccine uses 20 slightly different polysaccharides that are specific to the 20 serotypes and attaches them to proteins that our immune systems can recognize. If the bacteria enters the body after the vaccination is administered, the immune system can recognize the polysaccharide molecule and release antibodies to fight the bacteria before it causes an infection.
Does Medicare Cover Vaccines
Medicare covers the flu and pneumococcal vaccines at 100% under Part B, along with the hepatitis B vaccine for those at higher risk. That means no out-of-pocket cost to the patient. A tetanus shot after experiencing a deep wound or burn also should be covered.
Medicare Part D plans should cover the shingles vaccine, but check with your plan. You may have to pay at least a portion out of pocket if you havent yet reached your deductible for the year . There may be a copay, depending on your plan.
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What You Need To Know About Pneumonia And Flu Shots
This article was first published in The Montreal Gazette.
Recently, Oprah got pneumonia. Then she went on Ellen to recommend that everyone get their flu and pneumonia shots. Given that only 42 per cent of Canadians over the age of 65 got the pneumonia vaccine in 2016, maybe Oprah can get us over the 80 per cent target.
Sadly, Oprah has not always been a strong advocate for science. She gave a platform to Jenny McCarthy when she started claiming that vaccines caused her sons autism, and she also introduced the world to Dr. Oz.
But as Oprah explained to Ellen, pneumonia is no joke. Around 1.5 million people are hospitalized with pneumonia every year. Around 100,000 die in hospital and a third of people hospitalized with pneumonia die within the year.
Older patients are at greater risk and so are those with pre-existing lung disease. Smoking is also a risk factor for pneumonia, so if you need an extra incentive to stop smoking, this is it. But the main way to prevent pneumonia is with vaccines.
The problem with the pneumonia vaccine is not one of efficacy. A Cochrane meta-analysis of 18 randomized trials found that the pneumonia vaccine led to a substantial reduction in infections. The problem is which pneumonia vaccine to give people.
And if you wont listen to me, at least listen to Oprah.
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Is It Safe To Get Vaccinated At A Drug Store
Drug stores are an excellent place to be vaccinated, Schaffner says.
Today, pharmacists are well-trained in vaccines and their indications, as well as safety protocols and inoculation technique, he explains.
In the era of COVID-19, pharmacies are also taking extra safety precautions: People coming in to be vaccinated are required to answer COVID-19 screening questions, wear masks, and maintain physical distancing at immunization sites, while pharmacists, pharmacy technicians, and nurse practitioners administering vaccines must wear masks and gloves.
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What Kind Of Insurance Does Cvs Accept For Vaccines
CVS accepts more than 5,000 health insurance plans for vaccinations. Many routine vaccinations are considered preventive care under the Affordable Care Act and must be covered with no charge to you for visits to an in-network provider.
As a result, people with private insurance often find they have zero copays for routine vaccinations at retail pharmacies. But youll want to check with your plan or ask the pharmacist to run your insurance card before you receive the vaccine to be sure.
What Is Pneumococcal Disease
Pneumococcal disease is an infection caused by the bacteria Streptococcus pneumoniae. This bacteria commonly shortened to pneumococcus is a common cause of pneumonia and other invasive diseases. An invasive disease is when a germ is in a part of the body thats usually germ-free.
Pneumonia is a lung infection that can affect people of all ages. Although pneumonia can be caused by bacteria, viruses, or fungi, pneumococcus is the most common bacterial cause of pneumonia.
Meningitis a serious infection that surrounds the brain and spinal cord can be caused by a variety of germs, including pneumococcus. Pneumococcus can also cause blood infections , sinus infections, and ear infections.
Pneumococcal vaccines are available to help protect against pneumococcal disease. More on this below.
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When To Get The Vaccine
Thereâs no such thing as pneumonia season, like flu season. If you and your doctor decide that you need to have a pneumonia vaccine, you can get it done at any time of the year. If itâs flu season, you can even get a pneumonia vaccine at the same time that you get a flu vaccine, as long as you receive each shot in a different arm.
When Will Prevnar 20 Be Available
We dont know yet when Prevnar 20 will be available since a specific timeline hasnt been announced yet.
Healthcare providers reference the CDCs updated immunizations schedules complex diagrams that show when and how vaccines should be administered to help make sure appropriate vaccines are administered. Prevnar 20 is not yet incorporated into these schedules, so its difficult for healthcare providers to know who specifically should receive the vaccine at this time.
However, its likely that ACIP will recommend the vaccines use and add it to the immunization schedule after they meet in October 2021.
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Saving On Pharmacy Vaccinations
Just like at your doctors office, pharmacies that offer vaccinations will file with your insurance.
Many vaccinations wont cost you anything if you have a private insurance plan through your employer or that you purchased on a state marketplace. Under the Affordable Care Act, private plans are required to fully cover the cost of recommended vaccinations for adults and children as preventive medical care.
Unfortunately, Medicare doesnt do as good of a job of covering recommended immunizations. Only flu, pneumonia, and hepatitis B vaccines are fully covered under Medicare Part B. Other vaccinations are treated like prescription drugs and are covered under Medicare Part D or Advantage plans. That means youll be responsible for paying any co-pays and deductibles required by your prescription drug plan.
If youre paying out of pocket, shop around to find the lowest price. When we checked, we found the lowest prices without insurance at Costco. For example, Pneumovax pneumonia vaccine cost $110 at CVS and Target, but just $97 at Costco pharmacies. And the dual Hepatitis A and B vaccine costs $145 at CVS, $150 at Walgreens , and $93 at Costco.
Another option if you are uninsured or paying out of pocket is to check with statewide free health clinics and community health centers, which offer free or low-cost preventive care and low-cost vaccinations. Find a clinic near you.
What Are The Side Effects
Prior to its approval, Prevnar 20 was studied in six clinical trials. Across these studies, reported side effects were similar for all ages. Most of them were mild to moderate in severity. Like many other vaccines, pain at the injection site is reported as the most common side effect.
Additional common side effects of Prevnar 20 can include:
Injection site swelling
Although most of these side effects happened within 7 to 10 days of the shot, less than 2% of people experienced one or more serious adverse events within 6 months. However, it hasnt been confirmed that these events were due to the vaccine.
The safety of Prevnar 20 was studied in people who have no history of pneumococcal vaccination, in individuals who have previously received Prevnar 13, and in individuals who have previously received Pneumovax 23. No notable safety differences were seen between the vaccines.
Next, well discuss who should receive Prevnar 20.
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Can Kids Get Vaccinated At A Pharmacy
Yes, kids can now get many of their shots at pharmacies and drug stores in all 50 states.
Thanks to a 2020 ruling by the U.S. Department of Health and Human Services , all pharmacists, pharmacy interns, and pharmacy technicians in the United States can administer the flu, as well as many other vaccines, to anyone age 3 and up.
Minimum ages for vaccines, however, are regulated by state law, so the cutoff for certain vaccines may be higher than age 3 at pharmacies in your area.
Pharmacies can also give the COVID-19 shot to children, but currently only those age 12 and up are eligible.
How Do I Add My Minor Child To My Account And View Theirvaccination Records
- Sign in to CVS.comÂ® or create anaccount if you do not have one.
- Go to Pharmacy > Pharmacy Settings > Manage Family Members > Add a person.
- To add your minor, we first need to locate their pharmacyrecords by using their patient information or a prescription number.
Quick tip: The prescription number can be found on any prescription bottle, as well as on the vaccinationconfirmation email referenced in the previous question with the subject line âFor yourrecords.â
- Once the pharmacy records are found, you will be asked toconfirm that you are the parent or legal guardian.
- Once you confirm: Success! Your minor childâs Rx recordsare now available for viewing at CVS.comÂ®
*for $5target coupon: Terms and conditions are applied to coupon. See coupon for details. Couponvalid for Target merchandise only. Offer available only at CVS PharmacyÂ®, LongsDrugsÂ® and MinuteClinicÂ® locations inTarget stores September 5, 2021 through December 31, 2021, while supplies last. Limit one percustomer per vaccine visit.For vaccines which require 2 doses, coupon will be given with vaccine series completion. Couponcannot be issued atpharmacy locations in AR, NJ and NY or at MinuteClinic locations in MA, NJ, NY, PA and RI.
*for shingles and more: Availability varies by state based onregulations. This is not an allâinclusive list of who should be vaccinated. Age restrictionsapply.Talk to your CVS PharmacyÂ® immunizing pharmacist to see if any ofthese vaccines are right for you.
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S For Getting Coverage For The Shingles Vaccine
If you currently only have Original Medicare, how can you get coverage for the shingles vaccine? First, you will need to sign up for a Medicare Advantage Plan or a Medicare Part D prescription drug plan to get coverage for the shingles vaccine. You should thoroughly research the plans available in your area. Eligibility for Advantage plans is based partly on where you live, so not all plans are available in all areas. An independent insurance agent can also help you choose the best Medicare Advantage plan for your needs.
Once you find a plan that meets your needs, you should check the coverage details to make sure that the shingles vaccine is covered. More than likely, you will need to meet a deductible before the plan pays for treatment. If you have already met your deductible and paid for the vaccine out-of-pocket, then you might be eligible for reimbursement for some of the charges. If you have questions about Medicare coverage for the shingles vaccine, there are many resources available at Medicare.gov. You can also give them a call at 1-800-633-4227 or TTY at 1-877-486-2048.