Pneumococcal Vaccine Timing and PPSV23 at the Same Visit

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DO NOT administer PCV13 Pneumococcal Vaccine Timing and PPSV23 at the same visit. Age 65+ Years (no underlying conditions) Discuss Options 1 vs. 2 with Patient Option 1 – PPSV23 only PPSV 23 Pneumovax® 23 OR Option 2 – PCV13 + PPSV23 Consider PCV13 for persons who have not received it and have at least one of these conditions: • Consider regularly oering if resides in nursing home or other long-term care facility, or resides in or is traveling to settings with low rates of pediatric immunization with PCV. • Consider oering if in group A below (smoker, or chronic conditions). No history of PCV 13 1 year PPSV 23 pneumococcal vaccine Prevnar13® (8 weeks for groups B & C below) Pneumovax® 23 Received PPSV23 1 year PCV 13 1 year after PCV13 and PPSV 23 before age 65 Prevnar13® 5 years after prior dose of PPSV23 Pneumovax® 23 Received PPSV23 1 year PCV 13 at age 65 or older Prevnar13® • If PCV13 was given before age 65 years, no additional PCV13 is needed. Age 19+ Years with Underlying Conditions • Prior doses count towards doses recommended below and do not need to be repeated. • If PPSV23 given previously – wait one year before giving PCV13 – for group B and <65 years of age, wait at least ve years before giving a second dose of PPSV23. • If doses below completed before age 65 years, oer one additional dose of PPSV23 on or after the 65th birthday and at least 5 years after most recent dose. No more than two doses of PPSV23 recommended before 65th birthday and one dose thereafter. A. Smoker, or Chronic conditions: • heart disease (excluding hypertension) • diabetes PPSV 23 If 65 years or older, consider PCV13. • lung disease (including asthma) • alcoholism Pneumovax® 23 See Option 2, above. • liver disease (including cirrhosis) B. Immunocompromised (including HIV infection), PCV 13 8 weeks PPSV 23 5 years PPSV 23 Chronic renal failure, Prevnar13® Pneumovax® 23 Pneumovax® 23 Nephrotic syndrome, or (Only if younger than 65 years when Asplenia (including sickle cell) prior dose given) C. CSF leaks or PCV 13 8 weeks PPSV 23 Cochlear implants Prevnar13® Pneumovax® 23 For further details, see: www.cdc.gov/vaccines/hcp/acip-recs/vacc-specic/pneumo.html California Department of Public Health, Immunization Branch www.EZIZ.org IMM-1152 (5/20).

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AMERICAN ACADEMY OF PEDIATRICS Committee on Infectious Diseases Policy Statement: Recommendations for the Prevention of Pneumococcal Infections, Including the Use of Pneumococcal Conjugate Vaccine (Prevnar), Pneumococcal Polysaccharide Vaccine, and Antibiotic Prophylaxis ABSTRACT. Heptavalent pneumococcal conjugate vac- lular pertussis; HbOC, Haemophilus influenzae type b conjugate cine (PCV7) is recommended for universal use in chil- vaccine; HIV, human immunodeficiency virus; AOM, acute otitis dren 23 months and younger, to be given concurrently media. with other recommended childhood vaccines at 2, 4, 6, and 12 to 15 months of age. For children 7 to 23 months he purpose of this report is to provide recom- old who have not received previous doses of PCV7, ad- ministration of a reduced number of doses is recom- mendations for use of the heptavalent pneumo- mended. Two doses of PCV7 are recommended for chil- Tcoccal conjugate vaccine (PCV7), Prevnar (Led- dren 24 to 59 months old at high risk of invasive erle Laboratories, Pearl River, NY; Wyeth-Ayerst pneumococcal infection—including children with func- Pharmaceuticals, Marietta, PA), and 23-valent pneumo- tional, anatomic, or congenital asplenia; infection with coccal polysaccharide (23PS) vaccines. In addition, rec- human immunodeficiency virus; and other predisposing ommendations for the continuing use of antibiotic pro- conditions—who have not been immunized previously phylaxis in children with sickle cell disease (SCD) and with PCV7. Recommendations have been made for use of asplenia will be given, and the use of antibiotics and 23-valent pneumococcal polysaccharide (23PS) vaccine in vaccines in children who attend out-of-home care will high-risk children to expand serotype coverage.
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Pneumococcal Vaccine Timing for Adults Make Sure Your Patients Are up to Date with Pneumococcal Vaccination
Pneumococcal Vaccine Timing for Adults Make sure your patients are up to date with pneumococcal vaccination. When both are If either vaccine is PCV13 and PPSV23 Two pneumococcal vaccines are recommended for adults: indicated, PCV13 inadvertently given should not be 13-valent pneumococcal conjugate vaccine (PCV13, Prevnar13®) should be given earlier than the administered during the ® before PPSV23 recommended window, 23-valent pneumococcal polysaccharide vaccine (PPSV23, Pneumovax 23) same office visit. whenever possible. do not repeat the dose. One dose of PCV13 is recommended for adults: One dose of PPSV23 is recommended for adults: 19 years or older with certain medical conditions and who have not 65 years or older, regardless of previous history of vaccination with previously received PCV13. See Table 1 for specific guidance. pneumococcal vaccines. Adults 65 years or older can discuss and decide, with their clinician, – Once a dose of PPSV23 is given at age 65 years or older, no to receive PCV13 if they have not previously received a dose (shared additional doses of PPSV23 should be administered. clinical decision-making). 19 through 64 years with certain medical conditions. – A second dose may be indicated depending on the medical condition. See Table 1 for specific guidance. Adults 65 years or older without an immunocompromising condition, CSF* leak, or cochlear implant For those who have not received any pneumococcal For those who have previously received 1 dose of vaccines, or those with unknown vaccination history PPSV23 at ≥ 65 years and no doses of PCV13 If patient and provider decide PCV13 is not to be given: If patient and provider decide PCV13 is not to be given: Administer 1 dose of PPSV23.
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Adults with DIABETES Are Among Those Who Need Pneumococcal
Patients with diabetes are at an increased risk for complications from pneumococcal disease. Diabetes may be a unique risk factor for increased incidence of sepsis associated with pneumococcal infection. One of the reasons people with diabetes are at greater risk for pneumococcal disease is that they may have abnormalities in immune function that affect their reaction to infection. Pneumococcal disease causes serious illnesses like pneumonia, meningitis, and sepsis. Pneumococcal disease is serious and deadly. In the US, pneumococcal pneumonia, meningitis, and sepsis kill tens of thousands each year. Pneumococcal disease survivors may suffer hearing loss, seizures, blindness, or paralysis. Pneumococcal vaccination is recommended for all adults with diabetes. Adults with DIABETES Are Among Those Who Need Pneumococcal Vaccination There are two types of pneumococcal vaccine recommended for US adults: a pneumococcal conjugate vaccine (PCV13) and a pneumococcal polysaccharide vaccine (PPSV23). Adults 65 and older, and adults age 19 to 64 years with any of the following need to receive both vaccines: immunocompromising conditions or treatments (e.g., HIV/AIDS, leukemia, lymphoma, Hodgkin disease, radiation therapy); a damaged or missing spleen; cochlear implants; or cerebrospinal fluid leaks. Other adults for whom pneumococcal vaccination is recommended only need PPSV23, but may need more than one dose and will need PCV13 when they, too, reach age 65. Please refer to the Adult Pneumococcal Vaccination Guide or visit cdc.gov/vaccines/vpd-vac/pneumo/ for details on timing of vaccine doses. For more information and resources to educate patients about pneumococcal disease, visit adultvaccination.org/professional-resources/pneumo This initiative is supported by unrestricted educational grants from Merck & Co., Inc.
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2021 Medicare Vaccine Coverage Part B Vs Part D
CDPHP® Medicare Advantage Vaccine Coverage Guide Part B (Medical) vs. Part D (Pharmacy) Medicare Part B (Medical): Medicare Part D (Pharmacy): Vaccinations or inoculations Vaccinations or inoculations are included when the administration is (except influenza, pneumococcal, reasonable and necessary for the prevention of illness. and hepatitis B for members at risk) are excluded unless they are directly related to the treatment of an injury or direct exposure to a disease or condition. • Influenza Vaccine (Flu) • BCG Vaccine • Pneumococcal Vaccine • Diphtheria/Tetanus/Acellular Pertussis Vaccine (ADACEL, (Pneumovax, Prevnar 13) BOOSTRIX, DAPTACEL, INFANRIX) • Hepatitis B Vaccine • Diphtheria/Tetanus/Acellular Pertussis/Inactivated Poliovirus (Recombivax, Engerix-B) Vaccine (KINRIX, QUADRACEL) for members at moderate • Diphtheria/Tetanus Vaccine (DT, Td, TDVAX, TENIVAC) to high risk • Diphtheria/Tetanus/Acellular Pertussis/Inactivated Poliovirus Vac • Other vaccines when directly cine/ Haemophilus Influenzae Type B Conjugate Vaccine (PENTACEL) related to the treatment of an • Diphtheria/Tetanus/Acellular Pertussis/Inactivated Poliovirus injury or direct exposure to a Vaccine/Hepatitis B Vaccine (PEDIARIX) disease or condition, such as: • Haemophilus Influenzae Type B Conjugate Vaccine (ActHIB, PedvaxHIB, • Antivenom Sera Hiberix) • Diphtheria/Tetanus Vaccine • Hepatitis A Vaccine, Inactivated (VAQTA) (DT, Td, TDVAX, TENIVAC) • Hepatitis B Vaccine, Recombinant (ENGERIX-B, RECOMBIVAX HB) • Rabies Virus Vaccine for members at low risk (RabAvert,
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Global Immunization News 25 February 2011
Global Immunization News 25 February 2011 World Health Organization Global Immunization News Inside this issue: Technical Information Meeting of the Global Advisory 2 Committee on Vaccine Safety Polio eradication mourns loss of 2 NEW VACCINES, NEW true polio champion OPPORTUNITIES Announcements from The SIVAC 3 25/02/2011 from Hayatee Hasan, WHO/HQ Initiative In the past two months, four countries ― WHO position on pandemic influ- 3 Guyana, Kenya, Sierra Leone and Yemen ― enza vaccination following reports of narcolepsy subsequent to use of have introduced the pneumococcal conjugate Pandemrix vaccine. They represent the first of a series of countries introducing the vaccine in 2011. PHOTO Cold Chain and Logistics Taskforce 3 WHO concludes that quality issues 4 These introductions represent a major relating to Quinvaxem production milestone - the gap between access to new have been resolved vaccines between developed and developing AFRICA 4-6 countries is shortening; it is extraordinary to The launching of the Pneumococcal see a new vaccine launched in a developing conjugate vaccine (PCV-13) in Si- erra Leone country within one to two years of its introduction in the Americas and Europe, Kenya launches ten-valent pneumo- while in the past, it has taken several years coccal conjugate vaccine (PCV10) Vaccine carrier containing pneumococcal vaccine in (averaging 15 years) between the Kenya Meetings held in afro central introduction of new vaccines in developed and developing countries. AMERICAS 6-8 Peru introduces nationwide HPV vaccination; Argentina announces For more information regarding the launches in these countries, please see the articles on HPV vaccine introduction Kenya, Sierra Leone and Yemen.
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Vaccines-Pneumococcal- Influenza- Shingles Q and A
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Pneumococcal Vaccine Called PCV7, Or to Any Vaccine Spread from Person to Person Through Close Contact
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Adult Pneumococcal Vaccination Recommendations
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Pneumococcal Vaccination Recommendations
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Immunizers Guide to Flu and PPV Vaccinations
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PNEUMOVAX 23 Safely and Effectiv Ely
Individuals using assistive technology may not be able to fully access the information contained in this file. For assistance, please send an e-mail to: [email protected] and include 508 Accommodation and the title of the document in the subject line of your e-mail. HIGHLIGHTS OF PRESCRIBING INFORMATION ---------------------------------- ADVERSE REACTIONS---------------------------------- These highlights do not include all the information needed to use PNEUMOVAX 23 safely and effectiv ely. See full prescribing The most common adverse reactions, reported in >10% of subj ects information for PNEUMOVAX 23. vaccinated with PNEUMOVAX 23 for the first time in a clinical trial, were: injection-site pain/soreness/tenderness (60.0%), injection-site PNEUMOVAX® 23 (pneumococcal v accine polyv alent) swelling/induration (20.3%), headache (17.6%), injection-site erythema Sterile, Liquid Vaccine for Intramuscular or Subcutaneous (16.4%), asthenia and fatigue (13.2%), and myalgia (11.9%). (6.1) Injection To report SUSPECTED ADVERSE REACTIONS, contact Merck Initial U.S. Approv al: 1983 Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., at 1-877- ------------------------------- INDICATIONS AND USAGE------------------------------- 888-4231 or VAERS at 1-800-822-7967 or www.vaers.hhs.gov. PNEUMOVAX 23 is a vaccine indicated for active immunization for the -----------------------------------DRUG INTERACTIONS ---------------------------------- prevention of pneumococcal disease caused by the 23 serotypes In a randomized clinical study, a reduced immune response to contained in the vaccine (1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, and 33F). (1.1) ZOSTAVAX® as measured by gpELISA was observed in individuals who received concurrent administration of PNEUMOVAX 23 and PNEUMOVAX 23 is approved for use in persons 50 years of age or older ZOSTAVAX compared with individuals who received these vaccines 4 and persons aged ≥2 years who are at increased risk for pneumococcal weeks apart.
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