infections
Pneumococcal Vaccine
Administration of Pneumococcal Vaccine
All of the pneumococcal vaccines are injected into a muscle. Recommendations and the vaccine given depend on the person's age and other factors. Children up to 18 years of ageshould receive the pneumococcal vaccine, usually in 4 doses at ages 2 months, 4 months, 6 months, and 12 to 15 months, as a part of the routine vaccination schedule recommended for children (seeCDC: Child and Adolescent Immunization Schedule by Age).. People 65 years old and overwho have not previously received a conjugate vaccine or whose vaccination history is unknown should receive either 1 dose of PCV20or 1 dose of PCV15 followed by a dose of PPSV23 People 19 to 64 years oldwho have certain conditions or risk factors (see below), have not previously received a conjugate vaccine, and whose vaccination history is unknown should receive either 1 dose of PCV20or 1 dose of PCV15 followed by a dose of PPSV23 People 19 to 64 years old who have any of the following should receive pneumococcal vaccine: Chronic Kidney Disease or Cerebrospinal fluid leak A weakened immune system (including those with Human Immunodeficiency Virus (HIV) Infection , Dysfunctional spleen (including those with Sickle Cell Disease ) Cochlear Implants None Chronic heart, lung (including Asthma and Diabetes Mellitus (DM) None Alcohol Use None Smoking and Other Tobacco Use None For both adult age groups,the dose of PPSV23 should follow the dose of PCV15 by at least 1 year. However, a minimum of 8 weeks between PCV15 and PPSV23 is sometimes considered for adults with an immunocompromising condition, cochlear implant, or cerebrospinal fluid (CSF) leak. Also, for those who have previously received a dose of pneumococcal vaccine, see detailed recommendations regarding further pneumococcal vaccine dosing atCDC: Recommendations for Ages 19 Years or Older. If people have a temporary illness, doctors usually wait to give the vaccine until the illness resolves (see alsoCDC: Who Should NOT Get Vaccinated With These Vaccines?). 