My patient is currently age 57 and has a history of splenectomy 8 years ago. He has received PCV13 and one dose of PPSV23 in the past. What does he need now?

People with anatomic asplenia should follow the same recommendations as described for people with immunocompromising conditions. CDC currently recommends that people with immunocompromising conditions who have already received PCV13 and 1 dose of PPSV23 receive another pneumococcal vaccination at least 5 years after the last vaccine. They may receive either PCV20 or PPSV23. If they receive PCV20, no additional pneumococcal vaccines are needed. If they receive PPSV23, check to see what is recommended at the time the patient turns 65.