Wednesday, March 29, 2023

Pneumonia Vaccine Schedule Adults 2020

Who Needs One Or Two Pneumonia Vaccines

ACP 2020 Adult Immunization Update

There are two pneumococcal vaccines, each working in a different way to maximize protection. PPSV23 protects against 23 strains of pneumococcal bacteria. Those 23 strains are about 90- to 95-plus percent of the strains that cause pneumonia in humans, Poland explains. PCV13, on the other hand, is a conjugate vaccine that protects against 13 strains of pneumococcal bacteria. PCV13 induces immunologic memory, he says. Your body will remember that it has encountered an antigen 20 years from now and develop antibodies to fight it off.

In order to get the best protection against all strains of bacteria that cause pneumonia, the CDC has long recommended that everyone 65 or older receive both vaccines: PCV13 , followed by the pneumococcal polysaccharide vaccine at a later visit. But the agency is now saying that PCV13 may not be necessary for healthy people 65 and older, suggesting that the decision be left up to patients and their physicians as to whether that extra skin prick is appropriate.

“Anyone who reaches the age of 65 and is in any way immunocompromised or has any of the listed indications for pneumococcal vaccine because they’re in a high-risk group for example, if they have diabetes, heart disease or lung disease, or are a smoker should continue to get both vaccines, says Schaffner.

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Are Vaccinations Required For Students To Go Back To School

Many school systems now require 5th and 6th graders to receive a Tdap immunization. Meningitis vaccinations are also required by some colleges before incoming freshmen are allowed to move into dorms or attend classes. To find out what vaccines are required for your individual situation, please contact your local school district or specific college.

Pneumococcal Vaccines For 2022

Pneumococcal vaccines prevent pneumococcal disease caused by Streptococcus pneumoniae, a bacterium with more than 90 serotypes. The U.S. CDC’s pneumococcal vaccine schedules were updated on February 17, 2022, and the clinical practice guidelines on pneumococcal vaccination were published on January 28, 2022.

On February 25, 2022, Katherine A. Poehling, MD, MPH, Pneumococcal Vaccines Work Group Chair Advisory Committee on Immunization Practices , led the following presentations: Current Epidemiology of Pneumococcal Disease and Pneumococcal Vaccine Coverage among Children, U.S. Merck’s : Pediatric Clinical Development Program Evidence to Recommendation Framework: Use of 15-valent Pneumococcal Conjugate Vaccine in Children.

Previously, Miwako Kobayashi, MD, MPH CDC Lead, Pneumococcal Vaccines Work Group, ACIP, presented on Jan. 12, 2022, ‘Updates from the Pneumococcal Vaccines Work Group.’ And on Sept. 29, 2021, the ACIP reviewed pneumococcal vaccine presentation by Katherine A. Poehling, M.D. Summary of three economic models assessing pneumococcal vaccines in U.S. adults, presented by Andrew J. Leidner and Evidence to Recommendation Framework: Risk-based Use of 15-valent and 20-valent Pneumococcal Conjugate Vaccines in Adults presented by Miwako Kobayashi, M.D., MPH.

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What Are The Possible Side Effects Of Pneumococcal Immunisation

All medicines and vaccines can have side effects. Sometimes they are serious, most of the time theyre not.

For most people, the chance of having a serious side effect from a vaccine is much lower than the chance of serious harm if you caught the disease.

Talk to your doctor about possible side effects of pneumococcal vaccines, or if you or your child have symptoms after having a pneumococcal vaccine that worry you.

Common side effects of pneumococcal vaccines include:

  • pain, redness and swelling where the needle went in
  • fever
  • reduced appetite
  • body aches.

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Streptococcus pneumoniae, or pneumococcus, causes pneumonia and infections of the brain and blood that is responsible for mortality in children under five years. Pneumococcal diseases are a major public health problem worldwide.S. pneumoniae is a Gram-positive encapsulated cocci. Based on differences in the composition of the polysaccharide capsule, about 90 serotypes have been identified. The capsule is an essential virulence factor. The majority of cases of pneumococcal diseases in infants is associated with a small number of these serotypes, which vary by region. Pneumococci are transmitted by direct contact with respiratory secretions from patients and healthy carriers. Although transient nasopharyngeal colonization rather than disease is the normal outcome of exposure to pneumococci, bacterial spread to the sinuses or the middle ear, or bacteremia following penetration of the mucosal layer, may occur in persons susceptible to the involved serotype. Pneumococcal resistance to essential antimicrobials such as penicillins, cephalosporins and macrolides is a serious and rapidly increasing problem worldwide. Facilities for laboratory diagnosis of S. pneumoniae, based on growth in traditional culture media, are available in laboratories for routine clinical microbiology, whereas serotyping is performed only in reference laboratories.

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*for covid-19 and more: Availability varies by state based on regulations. This is not an allâinclusive list of who should be vaccinated. Age restrictions apply. Talk to your CVS Pharmacy® immunizing pharmacist to see if any of these vaccines are right for you.

*for vaccination records: Availability varies by state based on regulations. This is not an all-inclusive list of who should be vaccinated. Age restrictions apply. Talk to your CVS Pharmacy® immunizing pharmacist to see if this vaccine is right for you.

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Who Should Get The Pneumococcal Vaccine And When Should It Be Given

The PCV7 vaccine that covered seven strains of pneumococcal bacteria, has now been updated to the PCV13 vaccine, which covers 13 strains. A PCV series begun with PCV7 should be completed with PCV13. A single additional dose of PCV13 is recommended for all children 14â59 months who have received an age-appropriate series of PCV7 and for all children 60â71 months with underlying specific medical conditions who have received an age-appropriate series of PCV7.

The PCV vaccine is recommended for the following children:

  • All infants younger than 24 months should receive four doses of the vaccine, the first one at 2 months. The next two shots should be given at 4 months and 6 months, with a final booster that should be given at 12 to 15 months. Children who do not get their shot at these times should still get the vaccine. The number of doses and time between doses will depend on the child’s age.
  • Healthy children ages 2 through 4 years who did not complete the four doses should receive one dose of the vaccine.

The PPSV vaccine is recommended for any adult ages 19 through 64 who smokes or has asthma and anyone ages 2 through 64 who is taking a drug or treatment that affects the body’s immune system. Examples would be long-term use of steroids, chemotherapy, or radiation therapy.

In addition, anyone ages 2 through 64 who has one of the following health conditions that affect the immune system should be vaccinated with PPSV:

  • leaks of cerebrospinal fluid
  • cochlear implant

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Pneumococcal Vaccines Approved For 2022

Pneumovax 23 is a vaccine that protects against infection by 23 types of pneumococcal bacteria, common and often cause serious illnesses. Pneumovax23 is used in adults 19 and older. It is also used in children two and older with certain underlying medical conditions.

Prevnar 20 is a newly approved vaccine indicated for active immunization for the prevention of pneumonia and invasive disease caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F in adults 18 years of age and older.

Prevnar 13 is a vaccine that protects against invasive disease caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F. Prevnar 13 is used in children six weeks to 18 years of age.

VAXNEUVANCE is a 15-valent pneumococcal conjugate vaccine. The U.S. FDA approved VAXNEUVANCE for active immunization for the prevention of invasive disease caused by Streptococcus pneumoniae serotypes 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F and 33F in adults 18 years of age and older on July 16, 2021. The E.C. issued its authorization on December 15, 2021.

Synflorix PCV10 is a decavalent vaccine containing ten serotypes of pneumococcus conjugated to a carrier protein produced by GlaxoSmithKline. Synflorix received a positive opinion from the European Medicines Agency for use in the European Union in January 2009.

National Immunisation Program Pneumococcal Vaccination Schedule From 1 July 2020 Clinical Advice For Vaccination Providers

Adult Vaccines and Immunization Update, 2019-2020
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This fact sheet provides clinical advice for vaccination providers on pneumococcal vaccination from 1 July 2020.

It includes information on key changes to the pneumococcal vaccination schedule on the NIP to reflect the current best clinical evidence in preventing pneumococcal disease in adults and in people with conditions that increase their risk of disease.

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What Is The Nip Schedule

The National Immunisation Program Schedule is a series of immunisations given at specific times throughout your life. The immunisations range from birth through to adulthood.

All vaccines listed in the NIP Schedule are free. Eligibility for free vaccines under the NIP is linked to eligibility for Medicare benefits.

To get the best possible protection, make sure you have your immunisations on time, every time. The NIP Schedule below shows which vaccines you should get and when.

This schedule card provides recommended vaccines and schedule points under the National Immunisation Program from 1 July 2020 .

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.

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Infants And Children Who Have Not Previously Received Pcv7 Or Pcv13

Indian Academy of Pediatrics recommends 3 doses at 6, 10 and 14weeks with a booster at15 mo. Infants receiving their first dose at age < 11 mo should receive 3 doses of PCV13 at intervals of approximately 4 weeks with a booster at 15 mo. Children Aged 1223 Months should receive 2 doses with an interval of at least 8 weeks between doses. Unvaccinated healthy children aged 2459 mo should receive a single dose of PCV13.

Children At High Risk Of Ipd

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Infants at high risk of IPD due to an underlying medical condition should receive Pneu-C-13 vaccine in a 4 dose schedule at 2 months, 4 months and 6 months followed by a dose at 12 to 15 months of age. Table 3 summarizes the recommended schedules for Pneu-C-13 vaccine for infants and children at high risk of IPD due to an underlying medical condition by pneumococcal conjugate vaccination history.

In addition to Pneu-C-13 vaccine, children at high risk of IPD due to an underlying medical condition should receive 1 dose of Pneu-P-23 vaccine at 24 months of age, at least 8 weeks after Pneu-C-13 vaccine. If an older child or adolescent at high risk of IPD due to an underlying medical condition has not previously received Pneu-P-23 vaccine, 1 dose of Pneu-P-23 vaccine should be administered, at least 8 weeks after Pneu-C-13 vaccine. Children and adolescents at highest risk of IPD should receive 1 booster dose of Pneu-P-23 vaccine refer to Booster doses and re-immunization. Refer to Immunocompromised persons for information about immunization of HSCT recipients.

Table 3: Recommended Schedules for Pneu-C-13 Vaccine for Children 2 months to less than 18 years of age, by Pneumococcal Conjugate Vaccination History

Age at presentation for immunization Number of doses of Pneu-C-7, Pneu-C-10 or Pneu-C-13 previously received

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Prevention Of Acute Exacerbations Of Copd In Persons With Moderate Severe Or Very Severe Copd

The American College of Chest Physicians and Canadian Thoracic Society guideline on “Prevention of acute exacerbations of COPD” states that in patients with COPD, the panel suggests administering the 23-valent pneumococcal vaccine as part of overall medical management but did not find sufficient evidence that pneumococcal vaccination prevents acute exacerbations of COPD .

Code Code Description

Extended Pneumococcal Immunisation For High

As part of the extended immunisation programme for high-risk groups, PCV13 and 23PPV are funded for eligible individuals, as shown in Table 16.3, Table 16.4 and Table 16.5. Because the recommended schedule depends on the age of the individual at diagnosis, the tables have been organised into age groups .

The PCV13 and 23PPV funding restrictions are as follows. See Table 16.3, Table 16.4 and Table 16.5 for the eligible conditions and dosing requirements.


All high-risk infants are recommended to receive at least three doses of a PCV vaccine, with at least one dose after 12 months of age. Change from PCV10 to PCV13 as soon as the infant is diagnosed as being at high risk.

  • Two doses of PCV13 are funded for high-risk children aged from 12 months and under 18 years who have previously received two or three doses of PCV10.
  • Up to four doses of PCV13 are funded for vaccination or re-vaccination of high-risk children aged under 5 years.
  • Up to four doses of PCV13 are funded for vaccination or re-vaccination of eligible individuals aged 5 years and older.


1 dose of PCV13.b


Give a maximum of 3 doses of 23PPV in a lifetime, a minimum of 5 years apart. The first 23PPV dose is given at least 8 weeks after PCV13, the 2nd a minimum of 5 years later, and the 3rd dose at age 65 years.

  • PCV13 is funded pre- or post-HSCT or chemotherapy. 23PPV is only funded post-HSCT or chemotherapy.
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    Global Epidemiology Since The Introduction Of Pneumococcal Conjugate Vaccines

    Direct impact of PCV programmes on IPD in children

    Reductions in IPD among target cohorts of children in high income countries have been similar for PCV10 and PCV7/13 in reported studies. Québec and Finland both used 2+1 schedules and observed 83 percent and 79 percent reductions in IPD in vaccine-eligible children, respectively. In England, using PCV7 then PCV13 in a 2+1 schedule, there was an estimated 5,000 fewer hospital admissions for bacteraemia, meningitis and pneumonia in children aged under 5 years over 12 years after the introduction of PCV7 and PCV13. The greatest reductions were seen in meningitis in children under 2 years age.

    Direct impact of vaccination on non-invasive pneumococcal disease

    The impact of pneumococcal conjugate vaccination on the large burden of noninvasive pneumococcal disease has been clearly demonstrated internationally in countries that have introduced these vaccines, particularly through reductions in childhood hospitalisations due to pneumonia. Other impacts, such as on acute otitis media, are less clear and more difficult to measure accurately. However, a systematic review found PCVs were associated with large reductions in risk of pneumococcal acute otitis media, but there was no evidence of benefit against allcause otitis media in high-risk children over 1 year of age or older children with a history of respiratory illness.

    Herd immunity

    Tetanus And Diphtheria Vaccine

    October 2019 ACIP Meeting – Adult Immunization Schedule

    Td is a two-in-one vaccine. It protects people against tetanus and diphtheria. The National Advisory Committee on Immunization strongly recommends that all Canadians receive a primary immunizing course of tetanus toxoid in childhood followed by routine booster doses every 10 years.

    The Ministry of Health and Long-Term Care recently introduced one lifetime dose of the pertussis vaccine for adults to the Publicly Funded Immunization Schedules for Ontario. All adults 19 to 64 years of age, who have never received the Tdap vaccine in adolescence, are now eligible to receive one lifetime dose of the vaccine. This lifetime dose replaces one of the Td booster doses given every 10 years.

    Parents, grandparents or other adult household contacts of newborns, infants and young children as well as health care workers are considered a priority to receive the Tdap vaccine.

    What is tetanus?

    Tetanus or lockjaw is a serious disease that can happen if dirt with the tetanus germ gets into a cut in the skin. Tetanus germs are found everywhere, usually in soil, dust and manure. It does not spread from person to person. Tetanus causes cramping of the muscles in the neck, arms, leg and stomach, and painful convulsions which can be severe enough to break bones. Even with early treatment, tetanus kills two out of every 10 people who get it.

    What is diphtheria?

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