How Often You Get Pneumonia Vaccine

Side Effects Of The Pneumococcal Vaccine

Like most vaccines, the childhood and adult versions of the pneumococcal vaccine can sometimes cause mild side effects.

These include:

• redness where the injection was given
• hardness or swelling where the injection was given

There are no serious side effects listed for either the childhood or adult versions of the vaccine, apart from an extremely rare risk of a severe allergic reaction .

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.

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?

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What Are The Symptoms Of Pneumonia

The signs and symptoms of pneumonia can range from mild to severe. The symptoms depend on the type of germ that caused the infection, your age and overall health. Mild signs and symptoms of pneumonia are often similar the symptoms of a cold or flu, but the effects of pneumonia last longer.

Signs and symptoms of pneumonia may include:

• Chest pain when you breathe or cough
• Confusion or changes in mental awareness
• Cough, which may produce phlegm
• Fatigue
• Fever, sweating and shaking chills
• Lower-than-normal body temperature
• Nausea, vomiting or diarrhea
• Shortness of breath

Newborns and infants may not show any sign or symptoms of the infection. However, they may vomit, have a fever, cough, be restless or tired, or have difficulty breathing and eating.

How Often Should Seniors Get Pneumonia Vaccine

All adults 65 years of age or older should receive one dose of PPSV23 5 or more years after any prior dose of PPSV23, regardless of previous history of vaccination with pneumococcal vaccine. No additional doses of PPSV23 should be administered following the dose administered at 65 years of age or older.

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Who Needs The Pneumococcal Vaccine

The Centers for Disease Control and Prevention recommends the PPSV23 vaccine for all adults 65 years or older as well as adults 19 years or older with certain medical conditions that could put them at greater risk of infection. The PCV13 vaccine, on the other hand, should be a shared decision between the patient and clinician due to additional medical considerations.

Do The Pneumonia Vaccines Work

The pneumococcal vaccines are very effective at preventing pneumonia and other pneumococcal diseases in both adults and children. In one large study of over 84,000 adults aged 65 and older, those who received PCV13 were less likely to get pneumococcal pneumonia than were those who received a placebo shot. The vaccine protected about 45% of vaccinated people from getting pneumonia and about 75% from getting an invasive pneumococcal disease. Invasive pneumococcal disease is the most serious type and can be life-threatening.

PPSV23 is also effective and protects at least 50% of vaccinated, healthy adults from invasive pneumococcal infections.

In children, PCV13 has decreased the amount of invasive pneumococcal disease. According to the CDC, PCV13 prevented about 30,000 cases of invasive disease in the first 3 years it was available.

Getting the vaccine not only protects you from getting pneumonia and other types of pneumococcal disease, but also protects vulnerable people around you who cant get vaccinated.

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Are You 65 Or Older Get Two Vaccinations Against Pneumonia

• By Gregory Curfman, MD, Assistant Professor of Medicine, Former Editor-in-Chief, Harvard Health Publishing

ARCHIVED CONTENT: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date each article was posted or last reviewed. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

If you or a loved one is age 65 or older, getting vaccinated against pneumonia is a good idea so good that the Centers for Disease Control now recommends that everyone in this age group get vaccinated against pneumonia twice.

This new recommendation is based on findings from a large clinical trial called CAPiTA, which were published today in The New England Journal of Medicine.

Streptococcus pneumoniae, sometimes just called pneumococcus, is a common bacterium that can cause serious lung infections like pneumonia. It can also cause invasive infections of the bloodstream, the tissues covering the brain and spinal cord , and other organs and tissues. Older individuals are especially prone to being infected by Pneumococcus, and these infections are often deadly.

The dark spots are pneumonia-causing Streptococcus pneumoniae bacteria isolated from the blood of an infected person.

One caveat is that while PCV13 is effective in preventing pneumonia caused by S. pneumoniae, it does not prevent pneumonia caused by viruses or other bacteria.

What Are The Possible Side Effects Of Pcv And Ppsv Vaccines

Kids may have redness, tenderness, or swelling where the shot was given. A child also might have a fever after getting the shot. There is a very small chance of an allergic reaction with any vaccine.

The pneumococcal vaccines contain only a small piece of the germ and so cannot cause pneumococcal disease.

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When To Get The Vaccine & What To Expect

Of course, before seeking the pneumococcal vaccines, its important to first speak with your primary care physician and other providers in your healthcare network. Both vaccines are safe but can have side effects and should be avoided by individuals with allergic reactions to any of the components in the vaccine. Keep in mind, its recommended that you not receive both vaccines at the same time. Talk to your healthcare provider to determine if both vaccinations are the right choice for your needs. If both vaccines are needed, PCV13 should be given prior to PPSV23. Its important to schedule a separate visitation at least one year after the professionally suggested PCV13 vaccination to receive a dose of the PPSV23 vaccine.

Where Can You Get The Pneumonia Vaccine

Once you know one of the pneumonia vaccines is right for you or your family, you may wonder where to get it. These vaccines are commonly available at medical offices and hospitals, so you might be able to get one where you see your healthcare provider. If they do not have it, many pharmacies, including CVS and Walgreens locations, have the vaccine. Your local health department is also a good resource and often gives vaccinations.

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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.

The Pneumonia Vaccine Explained

• Post

While pneumonia is usually mild, it can have deadly consequences for portions of the population, especially people over the age of 65. In fact, Streptococcus pneumoniae, the bacteria that causes pneumococcal disease, is the No. 1 cause of pneumonia worldwide.

The vaccine indirectly protects adults by stopping children from spreading the bacteria

“But this bacteria doesn’t just cause pneumonia. It’s a nasty human pathogen that can invade the brain and bloodstream, leading to ear infections, sinus infections, even meningitis,” says Dr. Michael Ben-Aderet, associate medical director of Hospital Epidemiology at Cedars-Sinai.

“It can make people very sick, and it’s a key cause of death among the elderly.”

In 2017, an estimated 3,600 people died from invasive pneumococcal disease in the U.S. alone.

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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.

What Does Shared Clinical Decision

• PCV13 is a safe and effective vaccine for older adults. The risk for PCV13-type disease among adults aged 65 years is much lower than it was before the pediatric program was implemented, as a result of indirect PCV13 effects . The remaining risk is a function of each individual patients risk of exposure to PCV13 serotypes and the influence of underlying medical conditions on the patients risk of developing pneumococcal disease if exposure occurs.
• The following adults aged 65 years are potentially at increased risk of exposure to PCV13 serotypes and might attain higher than average benefit from PCV13 vaccination, and providers/practices caring for many patients in these groups may consider regularly offering PCV13 to their patients aged 65 years who have not previously received PCV13:
• Persons residing in nursing homes or other long-term care facilities
• Persons residing in settings with low pediatric PCV13 uptake
• Persons traveling to settings with no pediatric PCV13 program

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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.

Pneumococcal Diseases & Pneumonia Shots

There is a category of diseases called pneumococcal disease, of which pneumonia is one of the most dangerousthe other most dangerous being meningitis. People with diabetes are about three times more likely to die with flu and pneumococcal diseases, yet most dont get a simple, safe pneumonia shot.

Symptoms of pneumonia include:

Cough that can produce mucus that is gray, yellow, or streaked with blood Chest pain

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Can I Administer Ppsv23 And Pcv13 At The Same Office Visit

No, never give PPSV23 and PCV13 together. The recommended order for the two vaccines, if possible, is to give PCV13 first followed by PPSV23 later. The interval between administrations depends on the age of the patient, the indication for giving it, and which vaccine you administer first. See Pneumococcal Vaccine Timing for Adults pdf icon for additional details.

Who Should Get Prevnar 13 And Pneumovax 23

Prevnar 13 was developed for infants and children. The CDC recommends that all infants and children younger than 2 years of age get Prevnar 13. Prevnar 13 involves a series of four doses of the vaccine given at 2 months, 4 months, 6 months, and sometime between 12 and 15 months of age.

Pneumovax 23 is the vaccine used in adults. It does not work in infants and children under 2 years old.

Most adults do not need a pneumococcal vaccine until they reach the age of 65. Once a person turns 65 years old, the CDC recommends Pneumovax 23.

The same is true for any adult who smokes or has one or more of these chronic illnesses:

• Chronic heart disease

• Chronic liver disease

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Who Needs One Or Two Pneumonia Vaccines

There are two pneumococcal vaccines, each working in a different way to maximize protection. PPSV23 protects against 23 strains of pneumococcal bacteria. Those 23 strains are about 90- to 95-plus percent of the strains that cause pneumonia in humans, Poland explains. PCV13, on the other hand, is a conjugate vaccine that protects against 13 strains of pneumococcal bacteria. PCV13 induces immunologic memory, he says. Your body will remember that it has encountered an antigen 20 years from now and develop antibodies to fight it off.

In order to get the best protection against all strains of bacteria that cause pneumonia, the CDC has long recommended that everyone 65 or older receive both vaccines: PCV13 , followed by the pneumococcal polysaccharide vaccine at a later visit. But the agency is now saying that PCV13 may not be necessary for healthy people 65 and older, suggesting that the decision be left up to patients and their physicians as to whether that extra skin prick is appropriate.

“Anyone who reaches the age of 65 and is in any way immunocompromised or has any of the listed indications for pneumococcal vaccine because they’re in a high-risk group for example, if they have diabetes, heart disease or lung disease, or are a smoker should continue to get both vaccines, says Schaffner.

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What Is The Pneumonia Shot

The pneumonia shot is a vaccine that keeps you from getting pneumonia. There are two types of vaccines. The pneumococcal conjugate vaccine is primarily for children under age two, though it can be given to older ages, as well. The pneumococcal polysaccharide vaccine is for adults over age 65.

The pneumonia vaccine for older adults is one dose. Unlike the flu vaccine, you dont get it every year.

The vaccine teaches your body to make proteins that will destroy the pneumonia bacteria. These proteins are called antibodies and they will protect you and keep you from getting infected. The pneumonia vaccines dont have live bacteria or viruses in them, so you wont get pneumonia from the vaccine.

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You should have the pneumonia vaccine if you:

• Are over age 65
• Have a long-term health problem
• Asthma

Vaccines dont prevent all pneumonia, but people who get the shot dont get as sick as those who dont have it. Benefits of the vaccine include:

• Milder infections

• Ringing in your ears
• Sweating

If you know you dont like needles or feel worried before getting a vaccine, you can try to look away while you have the shot. You can also try a relaxation technique like deep breathing or visualization to help you feel calm.

Older people are more likely to have long-term health problems that can make getting an infection dangerous. The pneumonia shot is recommended for most people.

Continued

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