Vaccines Help Maintain Your Health
Vaccines have minimal risks and are generally very safe. Even healthy people need vaccines. Ask your health care provider about these vaccines at your next appointment to determine what is best for your preventative health.
Michelle Twombly, CNP, is a certified nurse practitioner at UH Family Medicine Center in Strongsville.
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
- reduced appetite
- body aches.
Do You Need To Get Both Vaccines
Most people do not, but some may, depending on age and other health conditions.
All healthy children should get PCV13, and children with certain health conditions should also receive PPSV23. When both vaccines are needed, they are given 8 weeks apart, and PCV13 is given first.
Adults aged 65 and over
All adults aged 65 and older should get PPSV23. If you are a healthy adult over 65, you should talk to your healthcare provider about whether you need PCV13.
PCV13 used to be recommended for all adults over age 65, but the ACIP recently changed its recommendations. This is because, as more children have been vaccinated with PCV13, the types of pneumococci that this vaccine protects against are less likely to spread and infect older adults. PCV13 can still be given, and your healthcare provider can help you decide if it is right for you.
Adults younger than 65
For adults younger than 65, PPSV23 is recommended in certain situations. If you smoke or have a chronic illness, like asthma, chronic obstructive pulmonary disease , or liver disease, you should get PPSV23 at a younger age. Adults with other conditions, like a weakened immune system, should have both vaccines before age 65.
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Pregnancy And Pneumococcal Immunisation
Immunisation against pneumococcal disease is not usually recommended for women who are pregnant or breastfeeding. Women who are at increased risk of pneumococcal infection should be vaccinated before pregnancy or as soon as possible after giving birth. Speak with your doctor about whether you are at risk of infection and should be immunised.
Pneumococcal Diseases & Pneumonia Shots
There is a category of diseases called pneumococcal disease, of which pneumonia is one of the most dangerousthe other most dangerous being meningitis. People with diabetes are about three times more likely to die with flu and pneumococcal diseases, yet most dont get a simple, safe pneumonia shot.
Symptoms of pneumonia include:
Cough that can produce mucus that is gray, yellow, or streaked with blood Chest pain
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Maintain Good Overall Health
Having a pre-existing health condition like obesity, diabetes, asthma, COPD, or heart disease greatly increases your risk of pneumonia, hospitalization, and even death.
Preventing these conditions via a combination of vaccination, healthy eating, regular exercise, and routine visits to your healthcare provider are key to preventing pneumonia.
Vaccines For Children Program
The Vaccines for Children Program provides vaccines to children whose parents or guardians may not be able to afford them. A child is eligible if they are younger than 19 years old and meets one of the following requirements:
- American Indian or Alaska Native
If your child is VFC-eligible, ask if your doctor is a VFC provider. For help in finding a VFC provider near you, contact your state or local health departments VFC Program Coordinator or call CDC at 1-800-CDC-INFO .
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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
Should You Get A Pneumonia Vaccination
Medical Author: Melissa Conrad Stoppler, MD Medical Editor: William C. Shiel, Jr, MD, FACP, FACR
The term pneumonia refers to any infection of the lung. The “pneumoniavaccine” is given to prevent one specific type of pneumonia–the pneumonia caused by the Pneumococcus bacterium. Pneumonia caused by Pneumococcus is the most common form of infection occurring outside of a hospital or institutional setting in the U.S. Pneumococcusinfection is responsible for over 6,000 deaths per year in the U.S.– the highest number for any vaccine-preventable disease. A serious complication of pneumonia, pneumococcal meningitis, is associated with a particularly high fatality rate.
Certain groups of people are considered to be at particularly high risk for the development of pneumonia, and the U.S. Centers for Disease Control and Prevention recommend vaccination for these groups. Those recommended groups include:
- People age 65 or older
- People over age two years of age who have problems with their lungs, heart, liver, or kidneys
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Why Is Pneumococcal Vaccine Important
Pneumococcal vaccine can prevent pneumonia and other infections caused by 23 types of the Streptococcus pneumoniae bacteria. These 23 types account for approximately nine out of 10 cases of pneumococcal disease. The vaccine is recommended for people with certain medical conditions listed below, and people 65 years of age and older. About eight out of 10 cases occur in these high- risk groups. The vaccine protects about 50 to 80 per cent of people against pneumococcal infection. Vaccination also makes the disease milder for those who may catch it. This pneumococcal vaccine has been used in Canada since 1983.
Flu And Pneumonia Shots
Having the flu can be dangerous for anyone. But it is extra risky for people with diabetes or other chronic health problems. Having diabetes means having more instances of high blood sugar than a person without diabetes. High blood sugar hinders your white blood cells ability to fight infections.
Beyond people living with diabetes, flu is also extra risky for people with heart disease, smokers and those with chronic lung disease, people who have an impaired immune system , very young children, and people living in very close quarters, such as college dorms, military barracks, or nursing homes.
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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.
Babies And The Pneumococcal Vaccine
Babies are routinely vaccinated with a type of pneumococcal vaccine known as the pneumococcal conjugate vaccine as part of their childhood vaccination programme.
Babies born on or after 1 January 2020 have 2 injections, which are usually given at:
- 12 weeks old
- 1 year old
Babies born before this date will continue to be offered 3 doses, at 8 and 16 weeks and a booster at 1 year.
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What Are The Symptoms Of Pneumonia
The signs and symptoms of pneumonia can range from mild to severe. The symptoms depend on the type of germ that caused the infection, your age and overall health. Mild signs and symptoms of pneumonia are often similar the symptoms of a cold or flu, but the effects of pneumonia last longer.
Signs and symptoms of pneumonia may include:
- Chest pain when you breathe or cough
- Confusion or changes in mental awareness
- Cough, which may produce phlegm
- Fever, sweating and shaking chills
- Lower-than-normal body temperature
- Nausea, vomiting or diarrhea
- Shortness of breath
Newborns and infants may not show any sign or symptoms of the infection. However, they may vomit, have a fever, cough, be restless or tired, or have difficulty breathing and eating.
People Who Should Receive The Pneumococcal Vaccine
A number of medical conditions put people at higher risk of pneumococcal disease and people with these conditions require immunisation.
You should speak with your doctor about whether you are at risk.
Pneumococcal immunisation is required for people who have:
- no spleen or have a spleen with poor function
- a weakened immune system includes people with immune deficiency, HIV infection, people receiving chemotherapy or radiotherapy, people who have received a transplant or people with a genetic immune deficiency
- leakage of fluid from around the spine and brain
- cochlear implants
It is also required for people who:
- use alcohol to a harmful degree
- were born prematurely .
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Other Types Of Pneumococcal Disease
Pneumonia vaccines protect against pneumococcal infections in other parts of the body. These infections include:
What is it: An infection in the middle part of the ear.
Symptoms: Fever, ear pain, and decreased hearing
Who gets it: In the U.S., over 5 million children get it each year. Pneumococcus is a common cause of ear infections. It is found in up to 30% of samples of middle ear fluid.
What is it: A sinus infection, which is often first caused by a virus. Later, a bacterial infection can set in, causing worsening or ongoing symptoms.
Symptoms: Pain and pressure around the eyes and nose, fever, drainage, and congestion
Who gets it: Sinus infections are more common in adults than in children. Pneumococcus is a common cause and may contribute to up to 35% of sinus infections.
What is it: An infection of the leptomeninges, or the tissue surrounding the brain and spinal cord. Meningitis can be life-threatening, so getting immediate treatment is important.
Symptoms: Fever, confusion, headache, and neck stiffness
Who gets it: Pneumococcal meningitis usually occurs in very young children and older adults. In the U.S., pneumococcus is the most common cause of bacterial meningitis in children under age 5.
These infections can also be caused by other bacteria, viruses, and fungi. Pneumococcus, the pneumococcal vaccines, is only one cause.
What Are The Possible Side Effects Of Pcv And Ppsv Vaccines
Kids may have redness, tenderness, or swelling where the shot was given. A child also might have a fever after getting the shot. There is a very small chance of an allergic reaction with any vaccine.
The pneumococcal vaccines contain only a small piece of the germ and so cannot cause pneumococcal disease.
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How Are Cvs Pharmacy And Minuteclinic Different
At the pharmacy, vaccinations for adolescents through seniors are administered by a certified immunizationâtrained pharmacist. Age and state restrictions apply. No appointment necessary.
At MinuteClinic, vaccinations for children all the way through seniors are administered by a nurse practicioner or a physician associate.* No appointment necessary.
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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Where Can I Find These Vaccines
Your doctors office is usually the best place to receive recommended vaccines for you or your child.
PCV13 is part of the routine childhood immunization schedule. Therefore, it is regularly available for children at:
- Pediatric and family practice offices
- Community health clinics
If your doctor does not have pneumococcal vaccines for adults, ask for a referral.
Pneumococcal vaccines may also be available for adults at:
- Health departments
- Other community locations, such as schools and religious centers
Federally funded health centers can also provide services if you do not have a regular source of health care. Locate one near youexternal icon. You can also contact your state health department to learn more about where to get pneumococcal vaccines in your community.
When receiving any vaccine, ask the provider to record the vaccine in the state or local registry, if available. This helps doctors at future encounters know what vaccines you or your child have already received.
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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Should You Get A Flu Shot
In general, every person with diabetes needs a flu shot each year. Talk with your doctor about having a flu shot. Flu shots do not give 100% protection, but they do make it less likely for you to catch the flu for about six months.
For extra safety, it’s a good idea for the people you live with or spend a lot of time with to get a flu shot, too. You are less likely to get the flu if the people around you don’t have it.
The best time to get your flu shot is beginning in September. The shot takes about two weeks to take effect.
If youre sick , ask if you should wait until you are healthy again before having your flu shot. And don’t get a flu shot if you are allergic to eggs.
You are advised to continue to take the general precautions of preventing seasonal flu and other communicable illnesses and diseases:
- Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash. If you dont have a tissue, cough or sneeze into your elbow, not your hand.
- Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
- Avoid touching your eyes, nose, or mouth. Germs spread that way.
- Try to avoid close contact with sick people.
- If you get sick, stay home from work or school and limit contact with others to keep from infecting them.
How Does The Pneumonia Vaccine Work
There are currently two vaccines administered in the United States:
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Medical Conditions Resulting In High Risk Of Ipd
Table 1: Medical Conditions Resulting in High risk of IPD
IPD is more common in the winter and spring in temperate climates.
Spectrum of clinical illness
Although asymptomatic upper respiratory tract colonization is common, infection with S. pneumoniae may result in severe disease. IPD is a severe form of infection that occurs when S. pneumoniae invades normally sterile sites, such as the bloodstream or central nervous system. Bacteremia and meningitis are the most common manifestations of IPD in children 2 years of age and younger. Bacteremic pneumococcal pneumonia is the most common presentation among adults and is a common complication following influenza. The case fatality rate of bacteremic pneumococcal pneumonia is 5% to 7% and is higher among elderly persons. Bacterial spread within the respiratory tract may result in AOM, sinusitis or recurrent bronchitis.
Worldwide, pneumococcal disease is a major cause of morbidity and mortality. The World Health Organization estimates that almost 500,000 deaths among children aged less than 5 years are attributable to pneumococcal disease each year. In Canada, IPD is most common among the very young and adults over 65 years of age.