PNEUMOCOCCAL\ I A CONJUGATEV1'\ cCI N E (WHAT YOU NEED TO KNOW) Many Vaccine Information Statements are available in Spanish and other languages. See www.immunize.org/vis.

C!J Pneumococcal disease ) somepcvcanear lnfectlons.:usop;event Butsomepneumonlacases o~pneumoniaand ear and Infection with Streptococcuspneumoniaebacteria infections have many causes,and PCV only works can make children very sick. against those causedby pneumococcalbacteria. It causes blood infections, pneumonia, and PCV is given to infants and toddlers. . . to protect bacterial meningitis, mostly in young children. them when they are at greatest risk for serious (Meningitis is an infection of the covering of the diseasescaused by pneumococcal bacteria. brain.) Pneumococcal meningitis kills about 3 Older children and adults with certain chronic ill- people in 10who get it. nesses may get a different vaccine called pneumo- Pneumococcal meningitis can also lead to other coccalpolysaccharidevaccine. There is a separate health problems, including deafness and brain VaccineInformation Statement for that vaccine. damage. Beforethere wasa vaccine,pneumococcalinfection e!] Who should get PCVand when? ) caused: Infants and Children Under 2 Years of Age .over 700 cases of meningitis, PCV is routinely given as a series of 4 doses,one . 13,000 blood infections, dose at each of these ages: .about 5 million ear infections, and -2 months - 6 months . about 200 deaths -4 months - 12-15months everyyearin the United Statesin childrenunder five. Children who miss their shots at these ages Children younger than 2 years of age are at highest should still get the vaccine. The number of risk for serious disease. doses and the intervals between doses will Pneumococcal bacteria are spread from person to depend on the child's age.Ask your health person through closecontact. care provider for details. Pneumococcal infections can be hard to treat Children 2 through 4 Years of Age because some strains of the bacteria have become . Healthy children between their 2nd and 5th resistant to the drugs that have been used to treat birthdays who have not completed the PCV them. This makes prevention of pneumococcal series should get 1 dose. infections, through vaccination, even more important. . Children with medical conditions such as: - sickle cell disease, 2 Pneumococcal conjugate - a damaged spleen or no spleen, vaccine (PCV) - cochlear implants, - HIV/AIDS or other diseases that affect the There are 91 strains of pneumococcal bacteria. immune system (such as diabetes, cancer, or Pneumococcal conjugate vaccine (PCV)protects liver disease),or against 7 of them. These 7 strains are responsible chronic heart or lung disease. . . for most severepneumococcal infections among - children. Since PCV came into use, severepneu- or children who take medications that affect mococcaldisease has dropped by nearly 80% the immune system, such as chemotherapy or among children under 5. steroids. . . should get 1 or 2 dosesof PC\!,if they have not What if there is a severe already completed the 4.dose series. Ask your 6 reaction? health care provider for details. What should I look for? PCV may be given at the same time as other Any unusual condition, such as a high feveror vaccines. behavior changes. Signs of a severe allergic Some children should not get reaction can include difficultybreathing, 4 PCV or should wait hoarseness or wheezing, hives, paleness,weak- ness, a fast heart beat or dizziness. Children should not get pneumococcal conjugate What should I do? vaccine if they had a serious (life-threatening) allergic reaction to a previous dose of this vaccine, .Call a doctor, or get the person to a doctor or if they have a severeallergy to any vaccine right away. component. Tellyour health-care provider if your .Tell the doctor what happened, the date and child has ever had a severe reaction to any vaccine, time it happened, and when the vaccination was or has any severe allergies. given. .Ask your provider to report the reaction by Children with minor illnesses, such as a cold, may filing a VaccineAdverseEvent Reporting be vaccinated. But children who are moderately or System (VAERS)form. severely ill should usually wait until they recover Or you can file this report through the VAERS before getting the vaccine. website at www.vaers.hhs.gov, or by calling 1-800-822-7967. e!] What are the risks from PCV? ) Any medicine, including a vaccine, could possibly VAERS doesnotprovide medical advice. cause a serious problem, such as a severe allergic reaction. However,the risk of any vaccine causing Compensation Program ~ serious harm, or death, is extremely small. ~ The National Vaccine Injury A federal program exists to help pay for the care of In studies (nearly 60,000doses),pneumococcal anyone who has a serious reaction to a vaccine. conjugate vaccine was associated with only mild reactions: For more information about the National Vaccine Injury Compensation Program, call . Up to about 1 infant out of4 had redness, 1.800-338-2382or visit their website at tenderness, or swelling where the shot was www.hrsa.gov/vaccinecompensation. given. . Up to about lout of 3 had a fevergreater than C!J How can I learn more? ) 100AoEand up to about 1 in 50 had a higher . Ask your provider. They can give you the vaccine fever (over 102.2°F). package insert or suggest other sources of information. . Some children also became fussyor drowsy,or had a loss of appetite. . Call your local or state health department. 1-888-767-4687 No serious reactions have been associated with this . Contact the Centers for Disease Control and vaccine. Prevention (CDC): Life-threatening allergic reactions from vaccines -Call 1.800-232.4636 (1-800.CDC-INFO) or -Visit CDC's website at www.cdc.gov/vaccines. are very rare. If they do occur, it would be within a ,~"''''I,. AUTH: P.H.S., Act 42, Sect. 2126. few minutes to a fewhours after the vaccination.

VaccineInformation Statement (Interim) DCH-0955 Pneumococcal Conjugate Vaccine 42 US.c. §300aa-26 (~-::::zf.. at~.n _''''M'' r DEPARTMENT OF HEALTH AND HUMAN SERVICES 12/9/08 CENTERS FOR DISEASE CONTROL AND PREVENTION

To allow medical care/provider(s) accurate immunization status information, an immunization assessment, and a recommended schedule for future immunizations, information will be sent to the Michigan Care Improvem-enfRegistry. Individuals have the right to request that their medical care provider not forward immunization information to the Registry.