A 3-year-old child who was fully vaccinated on-time with PCV13 has a diagnosis of selective IgA deficiency and was sent by her physician to the health department to receive a dose of PPSV23. Does her illness fall under the criteria for administering PPSV23?

Yes. Selective IgA deficiency is a B-cell immunodeficiency, so PPSV23 is indicated if the child is age 2 years or older and already age-appropriately vaccinated with PCV13. If the child were not fully vaccinated with PCV13, the recommendation would have been to give her any recommended doses of PCV13 first, followed by PPSV23 at least 8 weeks later. PCV15 and PCV20 are not recommended for use in children at this time.