How Often Should You Have Pneumococcal Vaccine

Do I Need To Pay For Pneumococcal Immunisation

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 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.

Who Else Should Get The Pneumococcal Vaccination

For adults, the Centers for Disease Control and Prevention recommends pneumococcal vaccination for:

• Anyone 65 years of age and older

• Adults with any of these health conditions:

• Chronic illnesses such as lung, heart, liver or kidney disease asthma diabetes or alcoholism

• Conditions that weaken the immune system cochlear implants or cerebro-spinal fluid leaks asplenia

• Adults who smoke cigarettes

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What Are The Possible Side Effects Of Pneumococcal Immunisation

All medicines and vaccines can have side effects. Sometimes they are serious, most of the time theyre not.

For most people, the chance of having a serious side effect from a vaccine is much lower than the chance of serious harm if you caught the disease.

Talk to your doctor about possible side effects of pneumococcal vaccines, or if you or your child have symptoms after having a pneumococcal vaccine that worry you.

Common side effects of pneumococcal vaccines include:

• pain, redness and swelling where the needle went in
• fever
• reduced appetite
• body aches.

My Doctor Didnt Tell Me About The Vaccination Is It New

The CDC began recommending adults with asthma get the pneumococcal vaccination in 2008. In 2012, the CDC started recommending adults with certain medical conditions or who take medicines like corticosteroids get the second vaccine. If your doctor hasnt mentioned the vaccine, ask about it as soon as possible.

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Who Needs To Get Vaccinated For Meningitis

Its especially important for you to keep all of your meningitis vaccinations up-to-date if you fall into a high-risk category for getting the disease. High-risk categories include:

• Certain Ages. Infants less than one-year-old and young adults between the ages of 16 and 21 are the most likely to develop meningitis. Its most important to have all boosters and available vaccinations at these ages.
• Crowded Settings. Large group settings like college campuses are where outbreaks of meningitis are the most common. Get your vaccines up-to-date before entering into these settings for extended periods of time.
• Certain underlying conditions. Some underlying medical conditions can increase your chance of getting meningitis. These include HIV and other conditions that weaken your immune system. Not having a spleen also places you at higher risk.
• Work that involves meningitis-causing agents. Microbiologists and any other researchers that regularly come into contact with the bacteria and viruses that cause meningitis are consistently at risk.
• Travel to certain areas. Some areas in the world like sub-Saharan Africa have higher rates of meningitis and the pathogens that cause it. Check with your doctor before traveling to new parts of the world.

Who Should Get Vaccinated Against It

Three vaccines are now available to help prevent pneumococcal disease. Before the FDA approval of Prevnar 20, the Centers for Disease Control and Prevention recommended the use of two other pneumococcal vaccines and . You can read more about them here.

The CDC recommends pneumococcal vaccination for all children under 2 years old and all adults at least 65 years old. Although pneumococcal disease can affect people of all ages, younger children and older adults are most at risk.

Depending on vaccination history and the presence of certain medical conditions, other people may also need to receive pneumococcal vaccinations. If you arent sure of your pneumococcal vaccination history, speak to your healthcare provider.

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Groups At Risk Of Ipd

People who are immunocompromised and unable to mount an adequate immune response to pneumococcal capsular antigens have the highest risk of IPD.2,4,34 This includes people with asplenia.

Greater risk and/or severity of IPD

• excessive alcohol consumption
• certain non-immunocompromising chronic medical conditions2,34,42,43

Indigenous populations in developed countries, including Aboriginal and Torres Strait Islander people in Australia, have a disproportionately high burden of IPD

Young children and elderly people have the highest incidence of invasive pneumococcal disease .37,38,45 Disease burden is also disproportionately high in Aboriginal and Torres Strait Islander people.1,2

What Happens When You Get Pneumococcal Disease

Pneumococcal disease can lead to many different illnesses. What illness you get depends on where the bacteria goes in your body. If the bacteria spreads to your lungs, it can cause pneumonia. The bacteria can also get into the bloodstream and cause sepsis. If the bacteria gets to the central nervous system, it can cause meningitis. All forms of pneumococcal disease are very dangerous.2-4

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Persons With Chronic Diseases

Refer to Immunization of Persons with Chronic Diseases in Part 3 for additional information about vaccination of people with chronic diseases.

Asplenia or hyposplenia

Hyposplenic or asplenic individuals should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine, followed by a booster dose of Pneu-P-23 vaccine. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.

Chronic kidney disease and patients on dialysis

Individuals with chronic kidney disease should receive age appropriate pneumococcal vaccines. Children less than 18 years of age with chronic kidney failure or nephrotic syndrome, should receive Pneu-C-13 vaccine and Pneu-P-23 vaccine. Adults with chronic kidney failure should receive Pneu-P-23 vaccine. Adults with nephrotic syndrome should receive Pneu-C-13 and Pneu-P-23 vaccine. Due to the decreased immunogenicity and efficacy of Pneu-P-23 vaccine in children and adults with chronic kidney failure, 1 booster dose of Pneu-P-23 vaccine is recommended. Refer to Table 3, Table 4 and Booster doses and re-immunization for additional information.

Neurologic disorders

Chronic lung disease, including asthma

Chronic heart disease

Chronic liver disease

Endocrine and metabolic diseases

Non-malignant hematologic disorders

Cochlear implants

Whats The Difference Between Pcv13 And Ppsv23

• Both vaccines help prevent pneumococcal complications like bacteremia and meningitis.
• Youll need more than one pneumonia shot during your lifetime. A 2016 study found that, if youre over 64, receiving both the PCV13 shot and the PPSV23 shot provide the best protection against all the strains of bacteria that cause pneumonia.
• Dont get the shots too close together. Youll need to wait about a year in between each shot.
• Check with your doctor to make sure youre not allergic to any of the ingredients used to make these vaccines before getting either shot.

• a vaccine made with diphtheria toxoid
• another version of the shot called PCV7
• any previous injections of a pneumonia shot

• are allergic to any ingredients in the shot
• have had severe allergies to a PPSV23 shot in the past
• are very sick

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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 .

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.

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How Long Does The Pneumonia Vaccine Last

For most adults, one dose of the pneumonia vaccine should last a lifetime. In other words, you wont usually need to get another dose. This makes it different to the flu vaccine, which is given every year.

For some people, boosters of the pneumonia vaccine will be needed. This will be the case for people who have underlying health conditions that make them high-risk for pneumonia and related conditions. Your doctor will let you know if you need another vaccine.

If youre somebody who needs top-ups of the pneumonia vaccine, youll be able to receive them for free on the NHS.

What Are The Symptoms Of Pneumococcal Disease

Symptoms are not the same for everyone. They can be different from person to person. They can appear very suddenly and without warning. Depending on whether the infection causes pneumonia, sepsis, or meningitis, you may have some combination of the following:

• Abrupt onset of fever
• Stiff neck
• Disorientation

If you develop any of these symptoms, seek immediate medical help. Call 911 or go to the emergency room

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Tdap Vaccine And/or The Td Booster

Who needs it: The Tdap vaccine came out in 2005, and along with protecting against tetanus and diphtheria, like the vaccine it replaced, it also includes new, additional protection against whooping cough, also known as pertussis. If you cant remember ever getting this shot, you probably need it. And doing so, says Katz, can also count for one of the Td boosters youre supposed to get every 10 years.

How often: You get Tdap only once, and after that, you still need the Td booster every 10 years. Otherwise, your protection against tetanus and diphtheria will fade.

Why you need it: Due to a rise in whooping cough cases in the U.S., you really do need to be vaccinated against it, even if youre over 65. In the first year after getting vaccinated, Tdap prevents the illness in about 7 out of 10 people who received the vaccine.

Talk to your doctor if you: Have epilepsy or other nervous system problems, had severe swelling or pain after a previous dose of either vaccine, or have Guillain-Barré syndrome.

Parting shot: This vaccine is especially crucial for people who have close contact with infants younger than 12 months of age including parents, grandparents, and child care providers.

Who Should Get The Vaccine

People over age 65. As you age, your immune system doesnât work as well as it once did. Youâre more likely to have trouble fighting off a pneumonia infection. All adults over age 65 should get the vaccine.

Those with weakened immune systems. Many diseases can cause your immune system to weaken, so itâs less able to fight off bugs like pneumonia.

If you have heart disease, diabetes, emphysema, asthma, or COPD , youâre more likely to have a weakened immune system, which makes you more likely to get pneumonia.

The same goes for people who receive chemotherapy, people who have had organ transplants, and people with HIV or AIDS.

People who smoke. If youâve smoked for a long time, you could have damage to the small hairs that line the insides of your lungs and help filter out germs. When theyâre damaged, they arenât as good at stopping those bad germs.

Heavy drinkers. If you drink too much alcohol, you may have a weakened immune system. Your white blood cells donât work as well as they do for people with a healthy immune system.

People getting over surgery or a severe illness. If you were in the hospital ICU and needed help breathing with a ventilator, youâre at risk of getting pneumonia. The same is true if youâve just had major surgery or if youâre healing from a serious injury. When your immune system is weak because of illness or injury or because itâs helping you get better from surgery, you canât fight off germs as well as you normally can.

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The Different Types Of Pneumococcal Vaccine

The type of pneumococcal vaccine you’re given depends on your age and health. There are 2 types.

Pneumococcal conjugate vaccine is used to vaccinate children under 2 years old as part of the NHS vaccination schedule. It’s known by the brand name Prevenar 13.

Children at risk of pneumococcal infections can have the PPV vaccine from the age of 2 years onwards. The PPV vaccine is not very effective in children under the age of 2.

How Do We Know The Vaccine Is Safe

All medicines are tested for safety and effectiveness by the Medicines and Healthcare Products Regulatory Agency . The vaccine meets the high safety standards required for it to be used in the UK and other European countries. The vaccine has been given to millions of people worldwide.

Once they’re in use, the safety of vaccines continues to be monitored by the MHRA.

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Age Recommendations And Dosing

Prevnar 13 is approved for use in children 6 weeks and older, and the CDC recommends it for children younger than 2 years old and people 2 years or older with certain medical conditions. Its given into the muscle, and its a 4-dose series for children between 2 and 15 months of age. For children who dont receive the vaccine at this time, a catch-up schedule is available.

Prevnar 20 is currently approved for use in adults at least 18 years old, but official CDC recommendations havent been established yet. Its given as a single-dose injection into the muscle.

Pneumovax 23 is approved for use in children 2 years and older at higher risk of infection and adults at least 50 years old. However, the CDC recommends it for all adults 65 years or older, people 2 through 64 years with certain medical conditions, and adults 19 through 64 years who smoke cigarettes. Its a single-dose injection given into the muscle or skin, but additional doses may be recommended for some people.

Babies And The Pneumococcal Vaccine

Babies are routinely vaccinated with a type of pneumococcal vaccine known as the pneumococcal conjugate vaccine as part of their childhood vaccination programme.

Babies born on or after 1 January 2020 have 2 injections, which are usually given at:

• 12 weeks old
• 1 year old

Babies born before this date will continue to be offered 3 doses, at 8 and 16 weeks and a booster at 1 year.

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How Often Should I Be Vaccinated

There are two types of pneumococcal vaccines available for adults: a pneumococcal polysaccharide vaccine and a pneumococcal conjugate vaccine . Adults with kidney disease, kidney failure, or a kidney transplant need to receive both vaccines.

Most healthy adults only need to be vaccinated one time, but some people at high risk, including people with kidney disease, dialysis-treated patients, and people with kidney transplants, need to receive two pneumococcal vaccines initially followed by revaccination in five years. Ask your doctor about your specific circumstances.

People With Medical Risk Factors

In addition to the 3 doses of 13vPCV routinely recommended for healthy non-Indigenous children < 5 years of age, children 12 months of age with risk conditions for pneumococcal disease are recommended to receive:

• An additional dose of at 6 months of age
• a dose of at 4 years of age
• a 2nd dose of at least 5 years after the 1st dose of 23vPPV

This is because of the higher disease burden and the possibility of lower antibody responses in these children.2-4

Aboriginal and Torres Strait Islander children diagnosed with risk conditions at 12 months of age who live in the Northern Territory, Queensland, South Australia and Western Australia already receive these extra doses as part of their routine schedule.

Any child aged 6 to 11 months with a newly identified risk condition who has not received an additional dose of 13vPCV at 6 months of age should receive this dose at diagnosis. The exception is children who have received a haematopoietic stem cell transplant these children are recommended to receive 3 doses of 13vPCV after transplantation, followed by 2 doses of 23vPPV

All children and adults with newly identified risk conditions are recommended to receive:

• 1 dose of at diagnosis (at least 2 months after any previous doses of 13vPCV
• or at 4 years of age whichever is later
• a 2nd dose of 23vPPV at least 5 years later

See also Vaccine information and Variations from product information for more details.

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