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  • Pneumococcal
  • Recommendations for Adults

My adult patient now has a high-risk condition for which pneumococcal vaccination is recommended. He received the 7-valent pneumococcal vaccine (PCV7) in childhood, but has never had PCV13 or PPSV23. What do I do?

ACIP’s current pneumococcal vaccination recommendations for adults do not specifically address people with a history of PCV7 in childhood. CDC’s clinical considerations address a history of PCV13 and/or PPSV23. It is reasonable to ignore the remote history of PCV7 in childhood when evaluating and offering vaccination with PCV20 alone or PCV15 in series with PPSV23 to a younger adult at high risk for whom pneumococcal vaccination is indicated. This guidance may be updated if ACIP addresses this specifically in the future.

Last reviewed: July 26, 2022

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