Is It Safe To Get The Pneumonia Vaccine Twice

What If You Never Got Prevnar 13 As A Child

Lets say you never got a vaccine for pneumococcal bacteria when you were little . Most of you will just wait until you turn 65 years old, at which time, youll get Prevnar 13 followed by Pneumovax 23 at least 1 year later.

In certain cases, the timing may be different. Your provider will be able to advise you based on your specific situation.

How Important Is It For An Adult Over Age 65 To Get Vaccinated

It’s very important. If you are over age 65 or have an underlying medical condition that puts you at risk and have not had a pneumococcal vaccination, talk to your doctor and ask to schedule one. According to the National Foundation for Infectious Disease, bacteremia and meningitis caused by invasive pneumococcal disease is responsible for the highest rates of death among the elderly and patients who have underlying medical conditions.

Older Adults Still Need Their Shots For The Flu Shingles And More

As we age, the immune system slows down, chronic conditions become more common, and the body may be less able to fight off infection and more vulnerable to its complications.

Thats where vaccines come in. These immunity boosters help prevent serious diseases at any age.

Vaccines are not only for kids or teens, says David Kim, M.D., director of the division of vaccines and immunization at the Department of Health and Human Services. If youre older, youre at a higher risk for certain vaccine-preventable diseases.

Here are the shots you may need, when to get them, and why theyre critical for keeping you and your loved ones healthy.

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Pneumonia And Long Covid

In a Q& A about lingering COVID-19 symptoms, the Cleveland Clinic notes that it is seemingly random who experiences long-lasting symptoms and who doesn’t. So, its not quite clear whether having pneumonia in the past is connected with having long COVID.

As a way to find answers, in 2021, the National Institutes of Health launched an ongoing study into the underlying biological causes of prolonged symptoms and what makes some people more likely to get long COVID.

Where Can I Find These Vaccines

Your doctors office is usually the best place to receive recommended vaccines for you or your child.

PCV13 is part of the routine childhood immunization schedule. Therefore, it is regularly available for children at:

• Pediatric and family practice offices
• Community health clinics

If your doctor does not have pneumococcal vaccines for adults, ask for a referral.

Pneumococcal vaccines may also be available for adults at:

• Pharmacies
• Health departments
• Other community locations, such as schools and religious centers

Federally funded health centers can also provide services if you do not have a regular source of health care. Locate one near youexternal icon. You can also contact your state health department to learn more about where to get pneumococcal vaccines in your community.

When receiving any vaccine, ask the provider to record the vaccine in the state or local registry, if available. This helps doctors at future encounters know what vaccines you or your child have already received.

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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 .

How Effective Is Each Vaccine

Vaccines help protect against disease, but no vaccine is 100% effective.

Studies show that at least one dose of Prevnar 13 protects 80% of babies from serious pneumococcal infections, 75% of adults age 65 and older from invasive pneumococcal disease , and 45% of adults age 65 and older from pneumococcal pneumonia.

Studies show that one dose of Pneumovax 23 protects 50% to 85% of healthy adults against invasive pneumococcal disease.

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Path To Improved Health

Pneumococcal vaccines can protect you against getting pneumonia, which is contagious and spreads from close, person-to-person contact. Pneumonia is an infection of the lungs and can lead to many symptoms, including:

• cough
• chest pains
• bringing up mucus when you cough

For seniors, pneumonia can be very serious and life-threatening. This is especially true if you have a chronic condition, such as diabetes or COPD. Pneumonia can also develop after youve had a case of the flu or a respiratory virus such as COVID-19. It is extremely important to stay current on flu shots each year in addition to your pneumococcal vaccines.

While PPSV23 and PCV13 do not protect against all types of pneumonia, they can make it less likely that you will experience severe and possibly life-threatening complications from the illness.

The American Academy of Family Physicians recommends that seniors who have not had either pneumococcal vaccine should get a dose of PCV13 first, and then a dose of PPSV23 6-12 months later. The vaccines cannot be given at the same time. If you have recently had a dose of PPSV23, your doctor will wait at least one year to give you PCV13.

When To Get The Vaccine

Thereâs no such thing as pneumonia season, like flu season. If you and your doctor decide that you need to have a pneumonia vaccine, you can get it done at any time of the year. If itâs flu season, you can even get a pneumonia vaccine at the same time that you get a flu vaccine, as long as you receive each shot in a different arm.

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Groups At Risk For Pneumococcal Disease

Young children and elderly persons. The risk of invasive pneumococcal disease is highest in young children, is low in older children and young adults who are immunocompetent, and increases with age . According to provisional surveillance data from CDC’s Active Bacterial Core surveillance , part of the Emerging Infections Program Network, annual incidence of invasive pneumococcal disease in 1999 was 7 cases per 100,000 population in adults aged 1834 years, 19 per 100,000 population in people aged 3549 years, 24 per 100,000 population in people aged 5064 years, and 61 per 100,000 population in people aged 65 years . The measured incidence of invasive disease has varied markedly over time and between populations a review of published studies performed among people aged 65 years found rates between 27 and 83 per 100,000 population .

Incidence of invasive pneumococcal disease in adults, by race and age group, 1999. From the Centers for Disease Control and Prevention’s Active Bacterial Core Surveillance, unpublished data.

Number of cases of invasive pneumococcal disease in the United States in persons with a vaccine indication, by various vaccination strategies.

Problems That Could Happen After Getting Any Injected Vaccine

• People sometimes faint after a medical procedure, including vaccination. Sitting or lying down for about 15 minutes can help prevent fainting and injuries caused by a fall. Tell your doctor if you or your child:
• Feel dizzy
• Have vision changes
• Have ringing in the ears

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Your Good Health: You Can Get Pneumonia Even When Vaccinated

Dear Dr. Roach: When I was 55, my doctor recommended that I have the pneumonia vaccination, and a booster a couple of years ago. I am 72 now. Is it likely Hillary Clinton would have got one? Can you get pneumonia after having the vaccination? If so, why would it be recommended, and are they harmful?

S.M.

I dont know whether Mrs. Clinton was vaccinated. However, expert groups recommend vaccination. The current recommendation from the U.S. Advisory Committee on Immunization Practices is to get the PCV13 at age 65, followed by a dose of PPSV23 six to 12 months later. Adults over 18 also should receive these two vaccines if they have a condition that compromises the immune system, or certain other medical conditions. Some experts recommend only the Pneumovax for healthy elderly.

No vaccine is perfect, so it is still possible to get pneumococcal pneumonia after vaccination. There are many other types of pneumonia caused by organisms other than the one covered by the vaccine.

The best estimate is that the vaccine prevents 50 to 80 per cent of severe pneumococcal disease. The most common side effects are a sore or swollen arm. Serious reactions are rare. Because of the significant benefit and small risk of harm, I recommend at least the PPSV23 pneumococcal vaccine for those over 65.

S.C.

The second issue is whether it is safe to do both cataract surgeries at the same time.

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 .

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Persons With Inadequate Immunization Records

Children and adults lacking adequate documentation of immunization should be considered unimmunized and should be started on an immunization schedule appropriate for their age and risk factors. Pneumococcal vaccines may be given, regardless of possible previous receipt of the vaccines, as adverse events associated with repeated immunization have not been demonstrated. Refer to Immunization of Persons with Inadequate Immunization Records in Part 3 for additional information about vaccination of people with inadequate immunization records.

How Is This Vaccine Given

This vaccine is given as an injection into a muscle or under the skin.

PPSV is usually given as 1 shot. You may need another shot if you are at high risk of infection with pneumococcal bacteria.

Keep taking any antibiotic your doctor has prescribed to help protect you against pneumococcal disease.

• Save up to 80% on your prescriptions.
• Accepted at over 65,000 pharmacies.

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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

Adults At High Risk Of Ipd

Adults with immunocompromising conditions resulting in high risk of IPD, except HSCT, should receive 1 dose of Pneu-C-13 vaccine followed at least 8 weeks later by 1 dose of Pneu-P-23 vaccine, if not previously received. The dose of Pneu-C-13 vaccine should be administered at least 1 year after any previous dose of Pneu-P-23 vaccine. Refer to Immunocompromised persons for information about immunization of HSCT recipients.

Immunocompetent adults with conditions or lifestyle factors resulting in high risk of IPD should receive 1 dose of Pneu-P-23 vaccine, if not previously received. One dose of Pneu-P-23 vaccine is also recommended for all adults who are residents of long-term care facilities and should be considered for individuals who use illicit drugs.

Some experts also suggest a dose of Pneu-C-13 vaccine, followed by Pneu-P-23 vaccine, for immunocompetent adults with conditions resulting in high risk of IPD as this may theoretically improve antibody response and immunologic memory. However, Pneu-P-23 vaccine is the vaccine of choice for these individuals, and if only one vaccine can be provided, it should be Pneu-P-23 vaccine, because of the greater number of serotypes included in the vaccine.

Adults at highest risk of IPD should also receive 1 booster dose of Pneu-P-23 vaccine refer to Booster doses and re-immunization.

Table 4 – provides recommended schedules for adult immunization with pneumococcal vaccines.

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How Many Doses Of Pcv13 Can An Adult Get In A Lifetime Who/when

CDC recommends adults receive 1 dose of PCV13, if indicated and if they have not received PCV13 previously . In addition, adults age 65 or older who do not have an immunocompromising condition, cerebrospinal fluid leak, or cochlear implant can choose to receive PCV13 based on shared clinical decision-making. However, if an adult received a dose of PCV13 prior to turning 65 years of age , they should not receive a dose of PCV13 when they turn 65.

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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When To See A Doctor

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

Who Should Get Pneumococcal Vaccines

CDC recommends pneumococcal vaccination for all children younger than 2 years old and all adults 65 years or older. In certain situations, older children and other adults should also get pneumococcal vaccines. Below is more information about who should and should not get each type of pneumococcal vaccine.

Talk to your or your childs doctor about what is best for your specific situation.

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Who Needs A Pneumococcal Vaccination

The pneumococcal vaccine is available in Scotland for all people aged 65 years and over.

It may also be available if you’re under 65 and fall under one of the following risk groups, or have one of the following serious medical conditions:

• problems with the spleen, either because the spleen has been removed or doesn’t work properly
• chronic respiratory diseases, including chronic obstructive pulmonary disease , chronic bronchitis, and emphysema
• serious heart conditions

Pneumonia Treatments And Covid

According to the World Health Organization , bacterial pneumonia should be treated with antibiotics, which are usually prescribed at a health center.

If your symptoms are severe, it is important that you call your healthcare provideror seek immediate helpto get the proper treatment. Severe symptoms include:

• Difficulty breathing
• Bluish color in your lips or fingertips
• A high fever
• Cough with mucus that is severe or worsening

Although COVID-19 is caused by a virus, people with the illness can still develop a superinfection, which is a reinfection or secondary infection caused by bacteria. If this happens, antibiotics will be given to the patient. In order to prevent antibiotic resistance, when antibiotics become useless against bacteria, some researchers have suggested following antimicrobial stewardship principles .

Moreover, because severe cases of pneumonia may require treatment at a hospital, healthcare providers must consider the chance that a patient may acquire coinfections in hospitals. So, to be safe and not add to superinfection among hospitalized patients, antibiotics are warranted.

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