Adults who are asplenic need pneumococcal conjugate vaccine (PCV) and meningococcal vaccination. Does the recommendation to separate PCV and Menactra (MenACWY-D) apply to adults as well as children?

Yes. If Menactra (MenACWY-D) is being used, you should space it 4 weeks after PCV. With both asplenic children and asplenic adults, if less than four weeks separate Menactra and PCV (in either order), the dose of PCV should be repeated four weeks after whichever vaccine was administered second.

Menveo (MenACWY-CRM) and MenQuadfi (MenACWY-TT) can be administered at any time before, simultaneous with, or after PCV.