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http://www.cdc.gov/vaccines/vpd-vac/pneumo/in-short-both.htm


http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6140a4.htm


Which adults need the PCV13 vaccine?

Adults 19 years of age or older with certain medical conditions, and who have not previously received PCV13. Medical conditions include:
Cerebrospinal fluid (CSF) leaks
Cochlear implant(s)
Sickle cell disease and other hemaglobinopathies
Functional or anatomic asplenia
Congenital or acquired immunodeficiencies
HIV infection
Chronic renal failure
Nephrotic syndrome
Leukemia
Hodgkin disease
Generalized malignancy
Long-term immunosuppressive therapy
Solid organ transplant
Multiple myeloma
Adults with one of the above listed conditions who have not received any pneumococcal vaccine, should get a dose of PCV13 first and should also continue to receive the recommended doses of PPSV23. Ask your healthcare provider for details.
Adults who have previously received one or more doses of PPSV23, and have one of the above listed conditions should also receive a dose of PCV13 and should continue to receive the remaining recommended doses of PPSV. Ask you healthcare provider for details.