Wednesday, March 22, 2023

How Often Do You Take The Pneumococcal Vaccine

Do I Need To Pay For Pneumococcal Immunisation

ASK UNMC What is the new recommendation on pneumonia vaccines for older adults?

Vaccines covered by the National Immunisation Program are free for people who are eligible. See the NIP Schedule to find out which vaccines you or your family are eligible to receive.

Eligible people get the vaccine for free, but your health care provider may charge a consultation fee for the visit. You can check this when you make your appointment.

If you are not eligible for free vaccine, you may need to pay for it. The cost depends on the type of vaccine, the formula and where you buy it from. Your immunisation provider can give you more information.

How Long Does A Pneumonia Shot Last

Streptococcus pneumoniaevaccinepneumoniaStreptococcus pneumoniae

  • Younger than 2 years old: four shots
  • 65 years old or older: two shots, which will last you the rest of your life
  • Between 2 and 64 years old: between one and three shots if you have certain immune system disorders or if youre a smoker

Are The Pneumonia Vaccines Safe

Yes, pneumonia vaccines are safe. Like all vaccines, they go through rigorous scientific testing and review. Although both pneumococcal vaccines can cause mild side effects, severe reactions to the vaccines are rare. In one study of adults over age 70 who received the PCV13 and PPSV23 vaccines, there was only one adverse event that was related to the vaccine.

Allergic reactions to vaccines are rare, but they can occur and may be serious. If you have had an allergic reaction to one of the ingredients in the pneumococcal vaccines or to a prior dose of a pneumococcal vaccine, you should not get vaccinated without talking to your healthcare provider first.

If you have questions about whether the pneumonia vaccines are safe for you, discuss this with your healthcare provider. You can also find information about pneumococcal vaccine safety here.

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What Are The Side Effects Of The Pneumonia Vaccines

PCV13 and PPSV23 can both cause mild side effects. Both pneumococcal vaccines are given in the arm and are injected into muscle. Children and adults may experience arm soreness, swelling, or redness where the shot was injected. Other side effects that may occur in adults include:

  • Fatigue

  • Drowsiness

PCV13 should not be given to children at the same time as the annual flu shot, because of an increased risk of . These seizures are caused by a high fever and occur in up to 5% of children under 5. They can be scary, but dont cause any long-term health problems.

The good news is that the side effects will resolve on their own within a few days.

When To See A Doctor

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A person who is over 65 years of age should talk to their doctor about which pneumonia vaccine may be best for them. The doctor can help determine whether they should get the vaccination, which vaccination to get, and when to get it.

Parents and caregivers of young children should talk to a pediatrician about the schedule for the pneumonia vaccination. The pediatrician can also address any questions or concerns about the safety and effectiveness of the vaccination.

A person does not need to see a doctor for mild reactions to the vaccine, such as tenderness at the injection site, fever, or fatigue.

However, if a person experiences any life threatening side effects, they should seek emergency help immediately.

Signs and symptoms of allergic reactions in children may include:

  • respiratory distress, such as wheezing

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Children At High Risk Of Ipd

Infants at high risk of IPD due to an underlying medical condition should receive Pneu-C-13 vaccine in a 4 dose schedule at 2 months, 4 months and 6 months followed by a dose at 12 to 15 months of age. Table 3 summarizes the recommended schedules for Pneu-C-13 vaccine for infants and children at high risk of IPD due to an underlying medical condition by pneumococcal conjugate vaccination history.

In addition to Pneu-C-13 vaccine, children at high risk of IPD due to an underlying medical condition should receive 1 dose of Pneu-P-23 vaccine at 24 months of age, at least 8 weeks after Pneu-C-13 vaccine. If an older child or adolescent at high risk of IPD due to an underlying medical condition has not previously received Pneu-P-23 vaccine, 1 dose of Pneu-P-23 vaccine should be administered, at least 8 weeks after Pneu-C-13 vaccine. Children and adolescents at highest risk of IPD should receive 1 booster dose of Pneu-P-23 vaccine refer to Booster doses and re-immunization. Refer to Immunocompromised persons for information about immunization of HSCT recipients.

Table 3: Recommended Schedules for Pneu-C-13 Vaccine for Children 2 months to less than 18 years of age, by Pneumococcal Conjugate Vaccination History

Age at presentation for immunization Number of doses of Pneu-C-7, Pneu-C-10 or Pneu-C-13 previously received

How Often Do I Need To Get The Pneumonia Vaccine

The pneumonia vaccine also known as the pneumococcal vaccine offers protection against several strains of bacteria that can cause pneumonia. There are two types of the vaccine, one of which is specifically designed for adults over the age of 65 and anyone particularly high-risk because of a long-term health condition. The other vaccine Prevnar 13 is available in our stores for adults aged 18 and over.*

Most adults getting the pneumonia vaccine will only need to get it once. Others who are high risk may need to get booster jabs every few years.

If youve never had the pneumonia vaccine, and you think you could benefit, you should check to see if youre eligible for it on the NHS. If not, you can book yours with us and have it in your local LloydsPharmacy.

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Everything You Need To Know About The Pneumonia Vaccine

During the winter months, many people think that they have a nasty cold or flu, but it turns out to be pneumonia an illness that can be life threatening in certain people. A vaccine can help lower your chance of contracting pneumonia. While the pneumonia vaccine does not prevent all cases of pneumonia, it reduces the severity of the disease.

That is especially important for older adults and if you have certain medical conditions that put you at greater risk for complications.

Now is the time to talk to your doctor about your risks and if you need a vaccine to protect you against pneumonia.

Niharika Juwarkar, MD, Internal Medicine with Firelands Physician Group, answers your most frequently asked questions about pneumonia and the risks.

What is pneumonia?

Pneumonia is a respiratory lung infection that is often mistaken for the flu. Your lungs become filled with fluid or pus that results in inflammation. Symptoms are very similar to the flu, but pneumonia can last for weeks and result in very serious complications.

While pneumonia can be caused by bacteria, viruses or fungi, most cases are due to a specific bacteria called streptococcus pneumoniae, more commonly known as pneumococcal pneumonia. This form can be treated with antibiotics. Your doctor can test to see what form of pneumonia you have. Treatment depends on the type of pneumonia you have and the severity of your symptoms. But, the best defense is vaccination.

Who is most at risk for pneumonia?

How Is Prevnar 13 Given

Ask the Expert: Who should get a Pneumococcal Vaccine?

Prevnar 13 is given as an injection into a muscle.

For infants and toddlers, the pneumococcal 13-valent vaccine is given in a series of shots. The first shot is usually given when the child is 6 weeks to 2 months old. The booster shots are then given at 4 months, 6 months, and 12 to 15 months of age.

If your child is 7 months to 5 years old, he or she can still receive Prevnar 13 on the following schedule:

  • Age 7-11 months: Two shots at least 4 weeks apart, followed by a third shot after the child turns 1 year .

  • Age 12-23 months: Two shots at least 2 months apart.

  • Age 24 months to 5 years : One shot.

The timing of this vaccination is very important for it to be effective. Your child’s individual booster schedule may be different from these guidelines. Follow your doctor’s instructions or the schedule recommended by your local health department.

For adults and children older than 5 years, Prevnar 13 is usually given as one shot.

Be sure to keep your child on a regular schedule for other immunizations such as diphtheria, tetanus, pertussis , hepatitis, and varicella . Your doctor or state health department can provide you with a recommended immunization schedule.

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How Does It Work

Prevnar 20 is a conjugate vaccine. This means that it contains pieces of sugar-like substances called polysaccharides that typically coat the bacteria but also hide it from our immune system. The vaccine uses only a certain portion of the bacteria not the bacteria itself so its unable to cause an infection.

This conjugate vaccine uses 20 slightly different polysaccharides that are specific to the 20 serotypes and attaches them to proteins that our immune systems can recognize. If the bacteria enters the body after the vaccination is administered, the immune system can recognize the polysaccharide molecule and release antibodies to fight the bacteria before it causes an infection.

Medical Conditions Resulting In High Risk Of Ipd

Table 1: Medical Conditions Resulting in High risk of IPD

Non-immunocompromising conditions

IPD is more common in the winter and spring in temperate climates.

Spectrum of clinical illness

Although asymptomatic upper respiratory tract colonization is common, infection with S. pneumoniae may result in severe disease. IPD is a severe form of infection that occurs when S. pneumoniae invades normally sterile sites, such as the bloodstream or central nervous system. Bacteremia and meningitis are the most common manifestations of IPD in children 2 years of age and younger. Bacteremic pneumococcal pneumonia is the most common presentation among adults and is a common complication following influenza. The case fatality rate of bacteremic pneumococcal pneumonia is 5% to 7% and is higher among elderly persons. Bacterial spread within the respiratory tract may result in AOM, sinusitis or recurrent bronchitis.

Disease distribution

Worldwide, pneumococcal disease is a major cause of morbidity and mortality. The World Health Organization estimates that almost 500,000 deaths among children aged less than 5 years are attributable to pneumococcal disease each year. In Canada, IPD is most common among the very young and adults over 65 years of age.

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Who Is Recommended To Get Prevnar 20

Although adults ages 18 and older are eligible to receive Prevnar 20, its not yet certain how Prevnar 20 will be used alongside Prevnar 13 and Pneumovax 23.

The CDCs Advisory Committee on Immunization Practices develops recommendations on how to use vaccines. Although Prevnar 20 was approved last week, the CDC and ACIP have yet to incorporate Prevnar 20 into its overall recommendations.

According to Pfizer, ACIP is expected to meet in to discuss updated recommendations on the use of pneumococcal vaccines in adults.

Know The Facts About The Pneumonia Vaccine

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Just as with a flu shot, and now the COVID-19 vaccines, some people believe that getting a pneumococcal vaccine will cause them to come down with the disease or experience long-term side effects.

This is absolutely not true, Dr. Suri says.

Not only will the pneumococcal vaccine help reduce the risk of contracting certain types of bacterial pneumonia, it also guards against serious consequences resulting from the flu and severe infections, such as .

For young children, older adults, smokers and those with other risk factors, the vaccine is a healthy choice to make.

I cant see any reason to avoid this vaccine and every reason to get it, she says.

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Can The Shots Cause Pneumonia Or Make You Sick

No. The pneumonia vaccines dont contain live bacteria, so they cant cause an infection. They wont cause pneumonia or other pneumococcal diseases. If you dont feel well after your vaccine, you should discuss your symptoms with your healthcare provider to find out whether they are related to the vaccine or caused by another illness.

What Is A Pneumococcal Vaccine

A pneumococcal vaccine is an injection that can prevent pneumococcal disease. A pneumococcal disease is any illness that is caused by pneumococcal bacteria, including pneumonia. In fact, the most common cause of pneumonia is pneumococcal bacteria. This type of bacteria can also cause ear infections, sinus infections, and meningitis.

Adults age 65 or older are amongst the highest risk groups for getting pneumococcal disease.

To prevent pneumococcal disease, there are two types of pneumococcal vaccines: the pneumococcal polysaccharide vaccine and the pneumococcal conjugate vaccine .

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What Are The Side Effects

Vaccines are very safe. It is much safer to get the vaccine than to get pneumococcal disease.

Many people have no side effects from the vaccines. For those that do, side effects are usually mild and last 1 to 2 days . Serious side effects are very rare.

It is important to stay in the clinic for 15 minutes after getting any vaccine because there is a very rare possibility, between one in 100,000 and one in a million, of a life-threatening allergic reaction called anaphylaxis. This may include hives, difficulty breathing, or swelling of the throat, tongue or lips. Should this reaction occur, your health care provider is prepared to treat it. Emergency treatment includes injection of epinephrine and transfer by ambulance to the nearest emergency department. If symptoms develop after you leave the clinic, call 9-1-1 or the local emergency number.

It is important to always report serious or unexpected reactions to your immunizing health care provider.

How Often Should I Get Pneumonia Vaccine

Do I need a pneumonia vaccine?

If you are over 65 but are overall healthy, you should get a one-time vaccination with the pneumonia shot. You do not require a booster shot in this case, but some doctors recommend getting a second shot 5-10 years after the first one. In case you smoke, have chronic lung disease, or have impaired immunity, you should get your first pneumonia shot whenever you want. The same holds true for anyone who has a dysfunctional spleen.

The frequency of pneumonia vaccine depends on your age and overall health. However, it is usually enough to get the pneumonia shot once or twice during adulthood to protect yourself from pneumococcal disease. It is different from flu shots that you need to get every year. The reason is pneumonia virus does not change constantly as in the case of the influenza virus. Because the influenza virus mutates constantly, the vaccine that may have worked last year may no longer be effective in the next year.

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Questions To Ask Your Doctor

  • When should I make an appointment to get each type of pneumococcal vaccine?
  • Should I still get the vaccines if Ive recently had pneumonia?
  • Should I wait to turn 65 before I get each dose of pneumococcal vaccines?
  • If I have a negative reaction to one type of pneumococcal vaccine, am I likely to have that same reaction to the other?

Funding was provided for these pneumococcal resources through an unrestricted grant from Pfizer Independent Grant for Learning and Change .

Concurrent Administration Of Vaccines

Pneumococcal vaccines may be administered concomitantly with other vaccines, with the exception of a different formulation of pneumococcal vaccine . There should be at least an 8 week interval between a dose of pneumococcal conjugate vaccine and a subsequent dose of Pneu-P-23 vaccine, and at least a 1 year interval between a dose of Pneu-P-23 vaccine and a subsequent dose of pneumococcal conjugate vaccine refer to Immunocompromised persons for information regarding administration of pneumococcal vaccines to HSCT recipients. Different injection sites and separate needles and syringes must be used for concurrent parenteral injections. Refer to Timing of Vaccine Administration in Part 1 for additional information about concurrent administration of vaccines.

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Do You Need To Get Both Vaccines

Most people do not, but some may, depending on age and other health conditions.

Children

All healthy children should get PCV13, and children with certain health conditions should also receive PPSV23. When both vaccines are needed, they are given 8 weeks apart, and PCV13 is given first.

Adults aged 65 and over

All adults aged 65 and older should get PPSV23. If you are a healthy adult over 65, you should talk to your healthcare provider about whether you need PCV13.

PCV13 used to be recommended for all adults over age 65, but the ACIP recently changed its recommendations. This is because, as more children have been vaccinated with PCV13, the types of pneumococci that this vaccine protects against are less likely to spread and infect older adults. PCV13 can still be given, and your healthcare provider can help you decide if it is right for you.

Adults younger than 65

For adults younger than 65, PPSV23 is recommended in certain situations. If you smoke or have a chronic illness, like asthma, chronic obstructive pulmonary disease , or liver disease, you should get PPSV23 at a younger age. Adults with other conditions, like a weakened immune system, should have both vaccines before age 65.

Pneumococcal Disease In Children

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In children, the most common manifestation is bacteraemia without focus. This accounts for approximately 70% of IPD, followed by pneumonia with bacteraemia.

Meningitis is the least common but most severe category of IPD

  • irritability
  • seizures

Acute otitis media is the most common non-invasive manifestation of pneumococcal disease in children. Streptococcus pneumoniae is detected in 2855% of middle ear aspirates from children with acute otitis media.34,38,39

Pneumococcal disease in adults

In adults, pneumonia with bacteraemia is the most common manifestation of IPD

  • more than one-third of all community-acquired pneumonia
  • up to half of hospitalised pneumonia in adults

However, it is difficult to accurately determine the proportion attributable to pneumococci in cases of non-bacteraemic pneumonia.

Symptoms of pneumonia include:

  • chest pain

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