{"id":7969,"date":"2021-02-23T20:18:51","date_gmt":"2021-02-23T09:18:51","guid":{"rendered":"https:\/\/mvec.mcri.edu.au\/?post_type=references&#038;p=7969"},"modified":"2026-06-18T18:00:49","modified_gmt":"2026-06-18T08:00:49","slug":"pneumococcal-disease-and-vaccines","status":"publish","type":"references","link":"https:\/\/mvec.mcri.edu.au\/zh\/references\/pneumococcal-disease-and-vaccines\/","title":{"rendered":"\u80ba\u708e\u7403\u83cc"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-0\"><div class=\"row single-top-padding single-bottom-padding one-h-padding full-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"uncode_text_column\" ><\/p>\n<h2><span class=\"TextRun SCXW16200858 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW16200858 BCX0\" data-ccp-parastyle=\"heading 2\">What is it?<\/span><\/span><\/h2>\n<p><span data-contrast=\"none\">Pneumococcal disease is caused by infection with the bacteria <\/span><i><span data-contrast=\"none\">Streptococcus pneumoniae<\/span><\/i><span data-contrast=\"none\"> (pneumococcus), which can live in the nose and throat (nasopharynx). In most cases it is considered part of the normal flora and generally does not cause illness or disease. However, in some cases the bacteria may grow and spread to other parts of the body that would normally be sterile, causing invasive pneumococcal disease (IPD), severe infections and complications. The bacteria can also cause non-invasive pneumococcal disease (non-IPD), for example, conjunctivitis and pneumonia.<\/span><\/p>\n<p><span data-contrast=\"none\">There are more than 95 different recognised serotypes of <\/span><i><span data-contrast=\"none\">Streptococcus pneumoniae<\/span><\/i><span data-contrast=\"none\"> that have a distinct polysaccharide capsule (encapsulated strains). The capsule protects the bacteria from being easily destroyed by the body\u2019s immune system. Encapsulated strains are almost exclusively the cause of IPD. Non-encapsulated strains can also cause IPD; however, this is more likely in immunocompromised individuals.<\/span><\/p>\n<h2><span class=\"TextRun SCXW73910977 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW73910977 BCX0\" data-ccp-parastyle=\"heading 2\">What to look for<\/span><\/span><\/h2>\n<p><span data-contrast=\"none\">The incubation period of pneumococcal disease is 1 to 3 days.<\/span><\/p>\n<p><span data-contrast=\"none\">Symptoms <\/span><span data-contrast=\"auto\">will vary <\/span><span data-contrast=\"none\">depending on the site of infection and can <\/span><span data-contrast=\"auto\">include:<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">fever<\/span><\/li>\n<li><span data-contrast=\"auto\">headaches and sinus pain<\/span><\/li>\n<li><span data-contrast=\"auto\">earache<\/span><\/li>\n<li><span data-contrast=\"auto\">cough and coryza (runny nose).<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Clinical signs and symptoms of pneumococcal disease cannot be distinguished from other bacterial infections without laboratory testing.<\/span><\/p>\n<p><span data-contrast=\"none\">Pneumococcal infection can lead to sinusitis, otitis media (ear infections) and pneumonia (lung infections). Sometimes infection can result in meningitis (inflammation of the tissue surrounding the brain and spinal cord), pneumonia with empyema (pus collection), septicaemia (blood infection), osteomyelitis (bone i<\/span><span data-contrast=\"none\">nfection) and joint infections. IPD can <\/span><span data-contrast=\"none\">have long-term consequences, such as hearing loss, kidney failure, loss of limbs or intellectual disability<\/span><span data-contrast=\"none\">.<\/span><\/p>\n<h2><span class=\"TextRun SCXW159309978 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW159309978 BCX0\">How is it transmitted?<\/span><\/span><\/h2>\n<p><span data-contrast=\"none\">Pneumococcal is spread by direct contact with the respiratory droplets (e.g. saliva or mucus) produced from coughing or sneezing, for example. Contact with contaminated items such as tissues can also be a source of infection.<\/span><\/p>\n<p><span data-contrast=\"none\">Pneumococcal bacteria can live harmlessly at the back of the nose or throat (asymptomatic nasopharyngeal colonisation). This means individuals can be asymptomatic carriers and may transmit the bacteria to others without knowing. From 20\u201340% of all children and from 5\u201310% of all adults are asymptomatic carriers of pneumococcal bacteria. Whether the presence of pneumococcal bacteria leads to IPD depends on the virulence of the specific serotype and the individual\u2019s immune response.<\/span><\/p>\n<p><span data-contrast=\"none\">The infectious period is presumed to last until secretions no longer contain the bacteria in significant numbers, or for 24 to 48 hours after commencing antibiotics. Note that some strains of pneumococci bacteria are resistant to antibiotics.<\/span><\/p>\n<h2><span class=\"TextRun SCXW66681452 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun CommentStart SCXW66681452 BCX0\">Epidemiology<\/span><\/span><\/h2>\n<p><span data-contrast=\"none\">Pneumococcal disease is a leading cause of serious illness and death among Australian children under 2 years of age and older people. <a href=\"https:\/\/mvec.mcri.edu.au\/references\/aboriginal-and-torres-strait-islander-immunisation-recommendations\/\">Aboriginal and Torres Strait Islander<\/a> children in central Australia have the highest reported rates of IPD worldwide.<\/span><\/p>\n<p><span data-contrast=\"none\">The introduction of vaccines has led to large decreases in pneumococcal disease incidence. Despite this, the global burden remains significant; it is estimated that around one million people die from p<\/span><span data-contrast=\"none\">neumococcal disease worldwide every <\/span><span data-contrast=\"none\">year. Much of the IPD burden results from serotypes not targeted by current vaccines.<\/span><\/p>\n<p><span data-contrast=\"none\">Immunocompromised individuals, (such as people with <a href=\"https:\/\/mvec.mcri.edu.au\/references\/asplenia\/\">functional asplenia<\/a> or people taking <a href=\"https:\/\/mvec.mcri.edu.au\/references\/immunosuppression-and-vaccines\/\">immunosuppressant medications<\/a>) and individuals with congenital heart disease, are at the highest risk of IPD. A full list of at-risk conditions can be found in <\/span><span data-contrast=\"none\"><a href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/tables\/list-risk-conditions-for-pneumococcal-disease\" target=\"_blank\" rel=\"noopener\">The Australian Immunisation Handbook: Risk conditions for Pneumococcal Disease<\/a>.<\/span><\/p>\n<h2><span class=\"TextRun SCXW43338112 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun CommentStart SCXW43338112 BCX0\">Pre<\/span><span class=\"NormalTextRun SCXW43338112 BCX0\">vention<\/span><\/span><\/h2>\n<p><span data-contrast=\"none\">There are two conjugate pneumococcal vaccines available for different age groups on the <a href=\"https:\/\/www.health.gov.au\/resources\/publications\/national-immunisation-program-schedule?language=en\" target=\"_blank\" rel=\"noopener\">National Immunisation Program (NIP)<\/a> in Australia:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\">Prevenar 20 targets 20 different serotypes of pneumococcal (<span class=\"TextRun SCXW154781896 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW154781896 BCX0\">1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F<\/span><\/span>).\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\">It is recommended and funded on the NIP for children and adolescents (&lt; 18 years).<\/li>\n<\/ul>\n<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\"> Capvaxive targets 21 serotypes of pneumococcal (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, deOAc15B, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B). It also offers cross-protection against the serotype 15C.<\/span>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"15\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">It is recommended and funded on the NIP for adults (\u226518 years).\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span data-contrast=\"none\">Pneumococcal vaccines are administered intramuscularly. They can be co-administered (given on the same day) as other vaccines.<\/span><span data-contrast=\"none\"><br \/>\n<\/span><\/p>\n<\/div><div id=\"mpc_accordion-66a3c68838458c\" class=\"mpc-accordion mpc-init mpc-transition accordion-tab\" ><ul class=\"mpc-accordion__content\"><li class=\"mpc-accordion__item \"><div class=\"mpc-accordion-item__heading mpc-transition mpc-typography--default\"><div data-id=\"mpc_icon-486a3c68838456f\" class=\"mpc-icon mpc-init mpc-transition mpc-effect-fade mpc-icon-hover \"><div class=\"mpc-icon-wrap\"><i class=\"mpc-icon-part mpc-regular mpc-transition  eti eti_arrow_right-down\"><\/i><i class=\"mpc-icon-part mpc-hover mpc-transition  eti eti_arrow_left-up\"><\/i><\/div><\/div><h3>Pneumococcal vaccine guidance for children and adolescents (includes children requiring catch-up)<\/h3><\/div><div class=\"mpc-accordion-item__content mpc-container\" ><div class=\"mpc-accordion-item__wrapper mpc-typography--default\"><div class=\"uncode_text_column\" ><\/p>\n<p aria-level=\"3\"><span data-contrast=\"none\"><strong>Table: NIP pneumococcal vaccine guidance for children and adolescents aged &lt; 18 years<\/strong><\/span><\/p>\n<p>\n<\/div>\n\t<div class=\"wpb_raw_code wpb_raw_html \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<style type=\"text\/css\" id=\"supsystic-table-161_6314-css\">#supsystic-table-161_wrapper table { border-collapse: collapse; }#supsystic-table-161_wrapper table.stripe tbody tr.even { }#supsystic-table-161_wrapper table.stripe.order-column tbody tr > .sorting_1 { }#supsystic-table-161_wrapper table.hover tbody tr:hover { }#supsystic-table-161_wrapper table.stripe.order-column tbody tr.even > .sorting_1 { }#supsystic-table-161_wrapper table.order-column tbody tr > .sorting_1 { }#supsystic-table-161_wrapper table.hover.order-column tbody tr:hover > .sorting_1 { }#supsystic-table-161_wrapper tbody td { background-color: inherit; }\n<\/style>\n<div class=\"supsystic-table-loader spinner\"style=\"background-color:#000000\"><\/div><div id=\"supsystic-table-161_6314\" class=\"supsystic-tables-wrap \" style=\" width:100%; visibility: hidden; \" data-table-width-fixed=\"100%\" data-table-width-mobile=\"100%\" ><table id=\"supsystic-table-161\" class=\"supsystic-table paragraphMode border stripe lightboxImg cell-border\" data-id=\"161\" data-view-id=\"161_6314\" data-title=\"Pneumococcal under 18_June 2026\" data-currency-format=\"$1,000.00\" data-percent-format=\"10.00%\" data-date-format=\"DD.MM.YYYY\" data-time-format=\"HH:mm\" data-features=\"[&quot;after_table_loaded_script&quot;]\" data-search-value=\"\" data-loader-icon-name=\"default\" data-loader-icon-items=\"0\" data-loader-color=\"#000000\" data-processing-bg=\"#ffffff\" data-processing-color=\"#000000\" data-lightbox-img=\"\" data-head-rows-count=\"1\" data-pagination-length=\"50,100,All\" data-auto-index=\"off\" data-searching-settings=\"{&quot;columnSearchPosition&quot;:&quot;bottom&quot;,&quot;minChars&quot;:&quot;0&quot;}\" data-lang=\"default\" data-override=\"{&quot;emptyTable&quot;:&quot;&quot;,&quot;info&quot;:&quot;&quot;,&quot;infoEmpty&quot;:&quot;&quot;,&quot;infoFiltered&quot;:&quot;&quot;,&quot;lengthMenu&quot;:&quot;&quot;,&quot;search&quot;:&quot;&quot;,&quot;previous&quot;:&quot;&quot;,&quot;next&quot;:&quot;&quot;,&quot;zeroRecords&quot;:&quot;&quot;,&quot;exportLabel&quot;:&quot;&quot;,&quot;file&quot;:&quot;default&quot;}\" data-merged=\"[{&quot;row&quot;:0,&quot;col&quot;:0,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false},{&quot;row&quot;:0,&quot;col&quot;:1,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false},{&quot;row&quot;:3,&quot;col&quot;:0,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false}]\" data-responsive-mode=\"2\" data-from-history=\"0\" ><thead><tr><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:; padding: 0 !important;\"><\/th><\/tr><\/thead><tbody><tr style=\"height:37px\" ><td data-cell-id=\"A1\" data-x=\"0\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Age at presentation\" data-order=\"Age at presentation\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Age at presentation <\/td><td data-cell-id=\"B1\" data-x=\"1\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Risk category\" data-order=\"Risk category\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Risk category <\/td><td data-cell-id=\"C1\" data-x=\"2\" data-y=\"1\" data-db-index=\"1\" class=\"color-ffffff bold htMiddle htCenter bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Vaccine brand, dose, schedule and route\" data-order=\"Vaccine brand, dose, schedule and route\" style=\"min-width: 34.0606%; width: 34.0606%;\" >Vaccine brand, dose, schedule and route <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A2\" data-x=\"0\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"B2\" data-x=\"1\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"C2\" data-x=\"2\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-b493c4\" data-cell-type=\"text\" data-original-value=\"Prevenar 20&lt;br&gt;0.5 mL&lt;br&gt;IM\" data-order=\"Prevenar 20&lt;br&gt;0.5 mL&lt;br&gt;IM\" >Prevenar 20<br>0.5 mL<br>IM <\/td><\/tr><tr style=\"height:px\" ><td data-cell-id=\"A3\" data-x=\"0\" data-y=\"3\" data-db-index=\"3\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"&lt; 6 weeks\" data-order=\"&lt; 6 weeks\" >< 6 weeks <\/td><td data-cell-id=\"B3\" data-x=\"1\" data-y=\"3\" data-db-index=\"3\" class=\"bold color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" ><\/td><td data-cell-id=\"C3\" data-x=\"2\" data-y=\"3\" data-db-index=\"3\" class=\"htLeft color-3d5467 bg-cccccc\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" ><\/td><\/tr><tr style=\"height:px\" ><td data-cell-id=\"A4\" data-x=\"0\" data-y=\"4\" data-db-index=\"4\" class=\"htLeft color-ffffff bold bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 6 weeks to&lt;br&gt;&lt; 12 months\" data-order=\"\u2265 6 weeks to&lt;br&gt;&lt; 12 months\" data-colspan=\"1\" data-rowspan=\"2\" >\u2265 6 weeks to<br>< 12 months <\/td><td data-cell-id=\"B4\" data-x=\"1\" data-y=\"4\" data-db-index=\"4\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"Non-Indigenous children&lt;br&gt;with &lt;strong&gt; no&lt;\/strong&gt; medical risk condition*\" data-order=\"Non-Indigenous children&lt;br&gt;with &lt;strong&gt; no&lt;\/strong&gt; medical risk condition*\" >Non-Indigenous children<br>with <strong> no<\/strong> medical risk condition* <\/td><td data-cell-id=\"C4\" data-x=\"2\" data-y=\"4\" data-db-index=\"4\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"3 doses &lt;br&gt;(6 weeks, 4 months and 12 months)\" data-order=\"3 doses &lt;br&gt;(6 weeks, 4 months and 12 months)\" >3 doses <br>(6 weeks, 4 months and 12 months) <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A5\" data-x=\"0\" data-y=\"5\" data-db-index=\"5\" class=\"color-ffffff bold bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"B5\" data-x=\"1\" data-y=\"5\" data-db-index=\"5\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"&lt;strong&gt;First Nations children &lt;\/strong&gt;and\/or&lt;br&gt;children &lt;strong&gt;with &lt;\/strong&gt;an at\u2011risk medical condition*^&lt;br&gt;(regardles of state\/territory) \" data-order=\"&lt;strong&gt;First Nations children &lt;\/strong&gt;and\/or&lt;br&gt;children &lt;strong&gt;with &lt;\/strong&gt;an at\u2011risk medical condition*^&lt;br&gt;(regardles of state\/territory) \" ><strong>First Nations children <\/strong>and\/or<br>children <strong>with <\/strong>an at\u2011risk medical condition*^<br>(regardles of state\/territory) <\/td><td data-cell-id=\"C5\" data-x=\"2\" data-y=\"5\" data-db-index=\"5\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"4 doses &lt;br&gt;(6 weeks, 4 months, 6 months and 12 months) &lt;sup&gt;#\u03a9\" data-order=\"4 doses &lt;br&gt;(6 weeks, 4 months, 6 months and 12 months) &lt;sup&gt;#\u03a9\" >4 doses <br>(6 weeks, 4 months, 6 months and 12 months) <sup>#\u03a9 <\/td><\/tr><tr style=\"height:px\" ><td data-cell-id=\"A6\" data-x=\"0\" data-y=\"6\" data-db-index=\"6\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 12 months to&lt;br&gt;&lt; 18 years\" data-order=\"\u2265 12 months to&lt;br&gt;&lt; 18 years\" >\u2265 12 months to<br>< 18 years <\/td><td data-cell-id=\"B6\" data-x=\"1\" data-y=\"6\" data-db-index=\"6\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"Children with a &lt;strong&gt; newly diagnosed &lt;\/strong&gt;at\u2011risk medical condition*^\" data-order=\"Children with a &lt;strong&gt; newly diagnosed &lt;\/strong&gt;at\u2011risk medical condition*^\" >Children with a <strong> newly diagnosed <\/strong>at\u2011risk medical condition*^ <\/td><td data-cell-id=\"C6\" data-x=\"2\" data-y=\"6\" data-db-index=\"6\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"Single dose at diagnosis\/as soon as practical &lt;sup&gt;#\u03a9\" data-order=\"Single dose at diagnosis\/as soon as practical &lt;sup&gt;#\u03a9\" >Single dose at diagnosis\/as soon as practical <sup>#\u03a9 <\/td><\/tr><\/tbody><\/table><!-- \/#supsystic-table-161.supsystic-table --><\/div><!-- \/.supsystic-tables-wrap --><!-- Tables Generator by Supsystic --><!-- Version:1.12.0 --><!-- http:\/\/supsystic.com\/ --><a title=\"WordPress Tables Plugin\" style=\"display:none;\" href=\"https:\/\/supsystic.com\/plugins\/wordpress-data-table-plugin\/?utm_medium=love_link\" target=\"_blank\">WordPress Tables Plugin<\/a>\n\t\t<\/div>\n\t<\/div>\n<div class=\"uncode_text_column\" ><p>* If &gt; 5 years and not up to date with NIP recommendations, refer to the\u00a0<strong>Children requiring catch-up<\/strong> section below.<br \/>\n^ For at-risk conditions, refer to <a href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/tables\/table-risk-conditions-for-pneumococcal-vaccination-and-eligibility-for-nip-funding\" target=\"_blank\" rel=\"noopener\">Table. Risk conditions for pneumococcal vaccination and eligibility for NIP funding<\/a>.<br \/>\n# No more than 4 lifetime doses of Prevenar 20.<br \/>\n<span data-contrast=\"none\">\u03a9 <span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">Children\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">who receive<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\"> Prevenar 20 when &lt; 18 years due to an at-risk condition should receive\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW262713084 BCX0\">Capvax<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW262713084 BCX0\">ive<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">\u00a0once they turn 18 years\/12-months has\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">el<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">apsed\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">(whichever is later).<\/span><\/span><\/span><\/span><span data-contrast=\"none\"><span class=\"TextRun SCXW205577230 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun Superscript ContextualSpellingAndGrammarErrorV2Themed SCXW205577230 BCX0\" data-fontsize=\"11\"><span class=\"TextRun SCXW159258326 BCX0\" lang=\"EN-AU\" xml:lang=\"EN-AU\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW159258326 BCX0\"><span class=\"TextRun SCXW159258326 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><br \/>\n<a class=\"box grey\" name=\"grey\"><\/a> shaded boxes not recommended for use in this age group.<\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<h3>Children requiring catch-up<\/h3>\n<p><span class=\"TextRun SCXW266613313 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW266613313 BCX0\">C<\/span><span class=\"NormalTextRun SCXW266613313 BCX0\">hildren <\/span><span class=\"NormalTextRun SCXW266613313 BCX0\">under 5 years who are not up to date with the <\/span><span class=\"NormalTextRun SCXW266613313 BCX0\">NIP schedule are recommended to follow a catch-up schedule. For specific advice refer to:<\/span><\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/tables\/table-catch-up-schedule-for-20vpcv-for-aboriginal-and-torres-strait-islander-children-living-in-act-nsw-tas-or-vic-born-before-1-march-2025-and-children-from-all-statesterritories-who-do-not-have-risk-conditions-for-pneumococcal-disease\" target=\"_blank\" rel=\"noopener\">Table. Catch-up schedule for 20vPCV for Aboriginal and Torres Strait Islander children living in ACT, NSW, Tas or Vic, born before 1 March 2025, and children from all states\/territories who do not have risk condition(s) for pneumococcal disease, aged &lt;5 y<\/a><\/li>\n<li><a href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/tables\/table-catch-up-schedule-for-20vpcv-for-aboriginal-and-torres-strait-islander-children-including-those-living-in-act-nsw-tas-or-vic-who-were-born-after-1-march-2025-and-all-children-with-risk-conditions-for-pneumococcal-disease-aged\" target=\"_blank\" rel=\"noopener\">Table. Catch-up schedule for 20vPCV for Aboriginal and Torres Strait Islander children (including those living in ACT, NSW, Tas or Vic who were born after 1 March 2025), and all children with risk condition(s) for pneumococcal disease, aged &lt;5 years<\/a><\/li>\n<\/ul>\n<p>\n<\/div><\/div><\/div><\/li><li class=\"mpc-accordion__item \"><div class=\"mpc-accordion-item__heading mpc-transition mpc-typography--default\"><div data-id=\"mpc_icon-486a3c68838456f\" class=\"mpc-icon mpc-init mpc-transition mpc-effect-fade mpc-icon-hover \"><div class=\"mpc-icon-wrap\"><i class=\"mpc-icon-part mpc-regular mpc-transition  eti eti_arrow_right-down\"><\/i><i class=\"mpc-icon-part mpc-hover mpc-transition  eti eti_arrow_left-up\"><\/i><\/div><\/div><h3>Pneumococcal vaccine guidance for adults<\/h3><\/div><div class=\"mpc-accordion-item__content mpc-container\" ><div class=\"mpc-accordion-item__wrapper mpc-typography--default\"><div class=\"uncode_text_column\" ><p><strong><span class=\"TrackChangeTextInsertion TrackedChange TrackChangeHoverSelectColorRed SCXW262604295 BCX0\"><span class=\"TrackedChange SCXW262604295 BCX0\"><span class=\"TextRun SCXW262604295 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun TrackChangeHoverSelectHighlightRed SCXW262604295 BCX0\">Table: NIP pneumococcal guidance for adults \u2265 18 years (1 July 2026 onwards)<\/span><\/span><\/span><\/span><\/strong><\/p>\n<\/div>\n\t<div class=\"wpb_raw_code wpb_raw_html \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<style type=\"text\/css\" id=\"supsystic-table-162_27630-css\">#supsystic-table-162_wrapper table { border-collapse: collapse; }#supsystic-table-162_wrapper table.stripe tbody tr.even { }#supsystic-table-162_wrapper table.stripe.order-column tbody tr > .sorting_1 { }#supsystic-table-162_wrapper table.hover tbody tr:hover { }#supsystic-table-162_wrapper table.stripe.order-column tbody tr.even > .sorting_1 { }#supsystic-table-162_wrapper table.order-column tbody tr > .sorting_1 { }#supsystic-table-162_wrapper table.hover.order-column tbody tr:hover > .sorting_1 { }#supsystic-table-162_wrapper tbody td { background-color: inherit; }\n<\/style>\n<div class=\"supsystic-table-loader spinner\"style=\"background-color:#000000\"><\/div><div id=\"supsystic-table-162_27630\" class=\"supsystic-tables-wrap \" style=\" width:100%; visibility: hidden; \" data-table-width-fixed=\"100%\" data-table-width-mobile=\"100%\" ><table id=\"supsystic-table-162\" class=\"supsystic-table paragraphMode border stripe lightboxImg cell-border\" data-id=\"162\" data-view-id=\"162_27630\" data-title=\"Pneumococcal adults_June 2026\" data-currency-format=\"$1,000.00\" data-percent-format=\"10.00%\" data-date-format=\"DD.MM.YYYY\" data-time-format=\"HH:mm\" data-features=\"[&quot;after_table_loaded_script&quot;]\" data-search-value=\"\" data-loader-icon-name=\"default\" data-loader-icon-items=\"0\" data-loader-color=\"#000000\" data-processing-bg=\"#ffffff\" data-processing-color=\"#000000\" data-lightbox-img=\"\" data-head-rows-count=\"1\" data-pagination-length=\"50,100,All\" data-auto-index=\"off\" data-searching-settings=\"{&quot;columnSearchPosition&quot;:&quot;bottom&quot;,&quot;minChars&quot;:&quot;0&quot;}\" data-lang=\"default\" data-override=\"{&quot;emptyTable&quot;:&quot;&quot;,&quot;info&quot;:&quot;&quot;,&quot;infoEmpty&quot;:&quot;&quot;,&quot;infoFiltered&quot;:&quot;&quot;,&quot;lengthMenu&quot;:&quot;&quot;,&quot;search&quot;:&quot;&quot;,&quot;previous&quot;:&quot;&quot;,&quot;next&quot;:&quot;&quot;,&quot;zeroRecords&quot;:&quot;&quot;,&quot;exportLabel&quot;:&quot;&quot;,&quot;file&quot;:&quot;default&quot;}\" data-merged=\"[{&quot;row&quot;:0,&quot;col&quot;:1,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false},{&quot;row&quot;:0,&quot;col&quot;:0,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false}]\" data-responsive-mode=\"2\" data-from-history=\"0\" ><thead><tr><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:; padding: 0 !important;\"><\/th><\/tr><\/thead><tbody><tr style=\"height:37px\" ><td data-cell-id=\"A1\" data-x=\"0\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Age\" data-order=\"Age\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Age <\/td><td data-cell-id=\"B1\" data-x=\"1\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Risk category\" data-order=\"Risk category\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Risk category <\/td><td data-cell-id=\"C1\" data-x=\"2\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Vaccine brand, dose, schedule and route\" data-order=\"Vaccine brand, dose, schedule and route\" style=\"min-width: 36.0265%; width: 36.0265%;\" >Vaccine brand, dose, schedule and route <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A2\" data-x=\"0\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"B2\" data-x=\"1\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"C2\" data-x=\"2\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter bold color-ffffff bg-b493c4\" data-cell-type=\"text\" data-original-value=\"Capvaxive*&lt;br&gt;0.5 mL&lt;br&gt;IM\" data-order=\"Capvaxive*&lt;br&gt;0.5 mL&lt;br&gt;IM\" >Capvaxive*<br>0.5 mL<br>IM <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A3\" data-x=\"0\" data-y=\"3\" data-db-index=\"3\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 18 years\" data-order=\"\u2265 18 years\" >\u2265 18 years <\/td><td data-cell-id=\"B3\" data-x=\"1\" data-y=\"3\" data-db-index=\"3\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"All adults with an at\u2011risk medical condition\" data-order=\"All adults with an at\u2011risk medical condition\" >All adults with an at\u2011risk medical condition <\/td><td data-cell-id=\"C3\" data-x=\"2\" data-y=\"3\" data-db-index=\"3\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose at time of diagnosis\/&lt;br&gt;as soon as practical^&lt;sup&gt;#\u03a9\" data-order=\"1 dose at time of diagnosis\/&lt;br&gt;as soon as practical^&lt;sup&gt;#\u03a9\" >1 dose at time of diagnosis\/<br>as soon as practical^<sup>#\u03a9 <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A4\" data-x=\"0\" data-y=\"4\" data-db-index=\"4\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 25 years\" data-order=\"\u2265 25 years\" >\u2265 25 years <\/td><td data-cell-id=\"B4\" data-x=\"1\" data-y=\"4\" data-db-index=\"4\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"&lt;strong&gt;First Nations adults&lt;\/strong&gt; with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" data-order=\"&lt;strong&gt;First Nations adults&lt;\/strong&gt; with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" ><strong>First Nations adults<\/strong> with <strong>no<\/strong> medical risk condition <\/td><td data-cell-id=\"C4\" data-x=\"2\" data-y=\"4\" data-db-index=\"4\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose^&lt;sup&gt;#\" data-order=\"1 dose^&lt;sup&gt;#\" >1 dose^<sup># <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A5\" data-x=\"0\" data-y=\"5\" data-db-index=\"5\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 65 years\" data-order=\"\u2265 65 years\" >\u2265 65 years <\/td><td data-cell-id=\"B5\" data-x=\"1\" data-y=\"5\" data-db-index=\"5\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"Non-Indigenous adults with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" data-order=\"Non-Indigenous adults with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" >Non-Indigenous adults with <strong>no<\/strong> medical risk condition <\/td><td data-cell-id=\"C5\" data-x=\"2\" data-y=\"5\" data-db-index=\"5\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose^&lt;sup&gt;#\" data-order=\"1 dose^&lt;sup&gt;#\" >1 dose^<sup># <\/td><\/tr><\/tbody><\/table><!-- \/#supsystic-table-162.supsystic-table --><\/div><!-- \/.supsystic-tables-wrap --><!-- Tables Generator by Supsystic --><!-- Version:1.12.0 --><!-- http:\/\/supsystic.com\/ --><a title=\"WordPress Tables Plugin\" style=\"display:none;\" href=\"https:\/\/supsystic.com\/plugins\/wordpress-data-table-plugin\/?utm_medium=love_link\" target=\"_blank\">WordPress Tables Plugin<\/a>\n\t\t<\/div>\n\t<\/div>\n<div class=\"uncode_text_column\" ><p>* <span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\">From 1 July 2026\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW238125897 BCX0\">Capvaxive<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\"> replaces Prevenar 13 and Pneumovax 23 on the NIP<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\">\u00a0refer to\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\">Adult pneumococcal vaccination \u2013 see <a href=\"https:\/\/www.health.gov.au\/resources\/publications\/adult-pneumococcal-vaccination-program-advice-for-health-professionals\" target=\"_blank\" rel=\"noopener\">Program advice for health professionals<\/a><\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\"> for more information.<br \/>\n^ <span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW227975738 BCX0\">A 12-month\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW227975738 BCX0\">inter<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW227975738 BCX0\">val<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW227975738 BCX0\">\u00a0is recommended between\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW227975738 BCX0\">Capvaxive<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW227975738 BCX0\"><span class=\"TrackedChange SCXW227975738 BCX0\"><span class=\"TextRun SCXW227975738 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW227975738 BCX0\"> and other pneumococcal vaccines.<br \/>\n# <span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">A<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">du<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">lt<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">s who<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">have previously\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">received a dose of\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW243627036 BCX0\">Capvax<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW243627036 BCX0\">iv<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW243627036 BCX0\">e<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">\u00a0<\/span><\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW243627036 BCX0\"><span class=\"TextRun SCXW243627036 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW243627036 BCX0\">do not need another dose.<br \/>\n<span data-contrast=\"none\">\u03a9 <span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">Adults <\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">who received<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\"> Prevenar 20 in childhood (when &lt; 18 years) due to an at-risk condition should receive <\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW262713084 BCX0\">Capvax<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW262713084 BCX0\">ive<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">\u00a0once they turn 18 years\/12-months has\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">el<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">apsed\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW262713084 BCX0\"><span class=\"TextRun SCXW262713084 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW262713084 BCX0\">(whichever is later).<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><strong><span class=\"TrackChangeTextInsertion TrackedChange TrackChangeHoverSelectColorRed SCXW262604295 BCX0\"><span class=\"TrackedChange SCXW262604295 BCX0\"><span class=\"TextRun SCXW262604295 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun TrackChangeHoverSelectHighlightRed SCXW262604295 BCX0\">Table: NIP pneumococcal guidance for adults \u2265 18 years (up until 30 June 2026)<\/span><\/span><\/span><\/span><\/strong><\/p>\n<\/div>\n\t<div class=\"wpb_raw_code wpb_raw_html \" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<style type=\"text\/css\" id=\"supsystic-table-163_21616-css\">#supsystic-table-163_wrapper table { border-collapse: collapse; }#supsystic-table-163_wrapper table.stripe tbody tr.even { }#supsystic-table-163_wrapper table.stripe.order-column tbody tr > .sorting_1 { }#supsystic-table-163_wrapper table.hover tbody tr:hover { }#supsystic-table-163_wrapper table.stripe.order-column tbody tr.even > .sorting_1 { }#supsystic-table-163_wrapper table.order-column tbody tr > .sorting_1 { }#supsystic-table-163_wrapper table.hover.order-column tbody tr:hover > .sorting_1 { }#supsystic-table-163_wrapper tbody td { background-color: inherit; }\n<\/style>\n<div class=\"supsystic-table-loader spinner\"style=\"background-color:#000000\"><\/div><div id=\"supsystic-table-163_21616\" class=\"supsystic-tables-wrap \" style=\" width:100%; visibility: hidden; \" data-table-width-fixed=\"100%\" data-table-width-mobile=\"100%\" ><table id=\"supsystic-table-163\" class=\"supsystic-table paragraphMode border stripe lightboxImg cell-border\" data-id=\"163\" data-view-id=\"163_21616\" data-title=\"Pneumococcal adults pre-Capvaxive_June 2026\" data-currency-format=\"$1,000.00\" data-percent-format=\"10.00%\" data-date-format=\"DD.MM.YYYY\" data-time-format=\"HH:mm\" data-features=\"[&quot;after_table_loaded_script&quot;]\" data-search-value=\"\" data-loader-icon-name=\"default\" data-loader-icon-items=\"0\" data-loader-color=\"#000000\" data-processing-bg=\"#ffffff\" data-processing-color=\"#000000\" data-lightbox-img=\"\" data-head-rows-count=\"1\" data-pagination-length=\"50,100,All\" data-auto-index=\"off\" data-searching-settings=\"{&quot;columnSearchPosition&quot;:&quot;bottom&quot;,&quot;minChars&quot;:&quot;0&quot;}\" data-lang=\"default\" data-override=\"{&quot;emptyTable&quot;:&quot;&quot;,&quot;info&quot;:&quot;&quot;,&quot;infoEmpty&quot;:&quot;&quot;,&quot;infoFiltered&quot;:&quot;&quot;,&quot;lengthMenu&quot;:&quot;&quot;,&quot;search&quot;:&quot;&quot;,&quot;previous&quot;:&quot;&quot;,&quot;next&quot;:&quot;&quot;,&quot;zeroRecords&quot;:&quot;&quot;,&quot;exportLabel&quot;:&quot;&quot;,&quot;file&quot;:&quot;default&quot;}\" data-merged=\"[{&quot;row&quot;:0,&quot;col&quot;:0,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false},{&quot;row&quot;:0,&quot;col&quot;:1,&quot;rowspan&quot;:2,&quot;colspan&quot;:1,&quot;removed&quot;:false}]\" data-responsive-mode=\"2\" data-from-history=\"0\" ><thead><tr><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:10%; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:; padding: 0 !important;\"><\/th><th class=\"\" style=\"width:; padding: 0 !important;\"><\/th><\/tr><\/thead><tbody><tr style=\"height:37px\" ><td data-cell-id=\"A1\" data-x=\"0\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Age at presentation\" data-order=\"Age at presentation\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Age at presentation <\/td><td data-cell-id=\"B1\" data-x=\"1\" data-y=\"1\" data-db-index=\"1\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"Risk category\" data-order=\"Risk category\" style=\"min-width: 10%; width: 10%;\" data-colspan=\"1\" data-rowspan=\"2\" >Risk category <\/td><td data-cell-id=\"C1\" data-x=\"2\" data-y=\"1\" data-db-index=\"1\" class=\"bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" style=\"min-width: 24.7949%; width: 24.7949%;\" ><\/td><td data-cell-id=\"D1\" data-x=\"3\" data-y=\"1\" data-db-index=\"1\" class=\"bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" style=\"min-width: 25.6153%; width: 25.6153%;\" ><\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A2\" data-x=\"0\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"B2\" data-x=\"1\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter color-ffffff bold htMiddle bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" data-hide=\"true\" ><\/td><td data-cell-id=\"C2\" data-x=\"2\" data-y=\"2\" data-db-index=\"2\" class=\"htCenter bold color-ffffff bg-b493c4\" data-cell-type=\"text\" data-original-value=\"Prevenar 13 (13vPCV)*&lt;br&gt;0.5 mL&lt;br&gt;IM\" data-order=\"Prevenar 13 (13vPCV)*&lt;br&gt;0.5 mL&lt;br&gt;IM\" >Prevenar 13 (13vPCV)*<br>0.5 mL<br>IM <\/td><td data-cell-id=\"D2\" data-x=\"3\" data-y=\"2\" data-db-index=\"2\" class=\"color-ffffff bold htCenter bg-b493c4\" data-cell-type=\"text\" data-original-value=\"Pneumovax 23 (23vPPV)*&lt;br&gt;0.5 mL&lt;br&gt;IM\" data-order=\"Pneumovax 23 (23vPPV)*&lt;br&gt;0.5 mL&lt;br&gt;IM\" >Pneumovax 23 (23vPPV)*<br>0.5 mL<br>IM <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A3\" data-x=\"0\" data-y=\"3\" data-db-index=\"3\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"At any age\" data-order=\"At any age\" >At any age <\/td><td data-cell-id=\"B3\" data-x=\"1\" data-y=\"3\" data-db-index=\"3\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"All adults with an at\u2011risk medical condition^\" data-order=\"All adults with an at\u2011risk medical condition^\" >All adults with an at\u2011risk medical condition^ <\/td><td data-cell-id=\"C3\" data-x=\"2\" data-y=\"3\" data-db-index=\"3\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose at time of diagnosis\/as soon as practical &lt;sup&gt;\u03b2\" data-order=\"1 dose at time of diagnosis\/as soon as practical &lt;sup&gt;\u03b2\" >1 dose at time of diagnosis\/as soon as practical <sup>\u03b2 <\/td><td data-cell-id=\"D3\" data-x=\"3\" data-y=\"3\" data-db-index=\"3\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"2 doses, minimum of 5 years apart &lt;sup&gt;\u03b2 \u00a7 \u221e \" data-order=\"2 doses, minimum of 5 years apart &lt;sup&gt;\u03b2 \u00a7 \u221e \" >2 doses, minimum of 5 years apart <sup>\u03b2 \u00a7 \u221e <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A4\" data-x=\"0\" data-y=\"4\" data-db-index=\"4\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 50 years\" data-order=\"\u2265 50 years\" >\u2265 50 years <\/td><td data-cell-id=\"B4\" data-x=\"1\" data-y=\"4\" data-db-index=\"4\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"&lt;strong&gt;First Nations adults&lt;\/strong&gt; with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" data-order=\"&lt;strong&gt;First Nations adults&lt;\/strong&gt; with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" ><strong>First Nations adults<\/strong> with <strong>no<\/strong> medical risk condition <\/td><td data-cell-id=\"C4\" data-x=\"2\" data-y=\"4\" data-db-index=\"4\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose &lt;sup&gt;\u03b2 \" data-order=\"1 dose &lt;sup&gt;\u03b2 \" >1 dose <sup>\u03b2 <\/td><td data-cell-id=\"D4\" data-x=\"3\" data-y=\"4\" data-db-index=\"4\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"2 doses, minimum of 5 years apart &lt;sup&gt;\u03b2 \u00a7 \u221e \" data-order=\"2 doses, minimum of 5 years apart &lt;sup&gt;\u03b2 \u00a7 \u221e \" >2 doses, minimum of 5 years apart <sup>\u03b2 \u00a7 \u221e <\/td><\/tr><tr style=\"height:37px\" ><td data-cell-id=\"A5\" data-x=\"0\" data-y=\"5\" data-db-index=\"5\" class=\"htLeft bold color-ffffff bg-3d5567\" data-cell-type=\"text\" data-original-value=\"\u2265 70 years\" data-order=\"\u2265 70 years\" >\u2265 70 years <\/td><td data-cell-id=\"B5\" data-x=\"1\" data-y=\"5\" data-db-index=\"5\" class=\"color-ffffff bg-3d5567 htCenter\" data-cell-type=\"text\" data-original-value=\"Non-Indigenous adults with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" data-order=\"Non-Indigenous adults with &lt;strong&gt;no&lt;\/strong&gt; medical risk condition\" >Non-Indigenous adults with <strong>no<\/strong> medical risk condition <\/td><td data-cell-id=\"C5\" data-x=\"2\" data-y=\"5\" data-db-index=\"5\" class=\"htCenter color-253541\" data-cell-type=\"text\" data-original-value=\"1 dose &lt;sup&gt;\u03b2 \" data-order=\"1 dose &lt;sup&gt;\u03b2 \" >1 dose <sup>\u03b2 <\/td><td data-cell-id=\"D5\" data-x=\"3\" data-y=\"5\" data-db-index=\"5\" class=\"htCenter bg-cccccc color-253541\" data-cell-type=\"text\" data-original-value=\"\" data-order=\"\" ><\/td><\/tr><\/tbody><\/table><!-- \/#supsystic-table-163.supsystic-table --><\/div><!-- \/.supsystic-tables-wrap --><!-- Tables Generator by Supsystic --><!-- Version:1.12.0 --><!-- http:\/\/supsystic.com\/ --><a title=\"WordPress Tables Plugin\" style=\"display:none;\" href=\"https:\/\/supsystic.com\/plugins\/wordpress-data-table-plugin\/?utm_medium=love_link\" target=\"_blank\">WordPress Tables Plugin<\/a>\n\t\t<\/div>\n\t<\/div>\n<div class=\"uncode_text_column\" ><p><span class=\"TrackChangeTextInsertion TrackedChange SCXW238125897 BCX0\"><span class=\"TrackedChange SCXW238125897 BCX0\"><span class=\"TextRun SCXW238125897 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW238125897 BCX0\">* From 1 July 2026\u00a0<span class=\"NormalTextRun SpellingErrorV2Themed SCXW238125897 BCX0\">Capvaxive<\/span> replaces Prevenar 13 and Pneumovax 23 on the NIP\u00a0refer to\u00a0Adult pneumococcal vaccination \u2013 see <a href=\"https:\/\/www.health.gov.au\/resources\/publications\/adult-pneumococcal-vaccination-program-advice-for-health-professionals\" target=\"_blank\" rel=\"noopener\">Program advice for health professionals<\/a> for more information.<br \/>\n^ For at-risk conditions, refer to\u00a0<a class=\"cursor-init\" href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/tables\/table-risk-conditions-for-pneumococcal-vaccination-and-eligibility-for-nip-funding\" target=\"_blank\" rel=\"noopener\">Table. Risk conditions for pneumococcal vaccination and eligibility for NIP funding<\/a>.<br \/>\n\u03b2 If 23vPPV is inadvertently given prior to required dose of 13vPCV, wait 12 months before administering 13vPCV.<br \/>\n\u00a7 No more that 2 lifetime doses of 23vPPV.<br \/>\n\u221e\u00a0<span class=\"TextRun SCXW159258326 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"none\">23vPPV must be minimum of 8 weeks after last dose of 13vPCV.<\/span><\/span><\/span><\/span><\/span><br \/>\n<a class=\"box grey\" name=\"grey\"><\/a> shaded boxes not recommended for use in this age group.<\/p>\n<\/div><\/div><\/div><\/li><\/ul><\/div><div class=\"uncode_text_column\" ><\/p>\n<h2><span class=\"TextRun SCXW177644192 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW177644192 BCX0\">Precautions<\/span><\/span><\/h2>\n<p><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">There is minimal data on the use of\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">Capva<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">x<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">iv<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">e<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">\u00a0in pregnancy<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">.<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">\u00a0Instead<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">,<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW244322496 BCX0\">\u00a0it should be administered prior to conception or after delivery.\u00a0<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">C<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">ap<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">vax<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">i<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">v<\/span><\/span><\/span><span class=\"TrackChangeTextInsertion TrackedChange SCXW244322496 BCX0\"><span class=\"TextRun SCXW244322496 BCX0\" lang=\"EN-GB\" xml:lang=\"EN-GB\" data-contrast=\"auto\"><span class=\"NormalTextRun SpellingErrorV2Themed SCXW244322496 BCX0\">e<\/span><span class=\"NormalTextRun SCXW244322496 BCX0\">\u00a0may be administered to people who are breastfeeding.<\/span><\/span><\/span><span class=\"EOP TrackedChange SCXW244322496 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/p>\n<h2 aria-level=\"2\"><b><span data-contrast=\"none\">Vaccine side effects<\/span><\/b><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;134245418&quot;:true,&quot;134245529&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h2>\n<p><span data-contrast=\"none\">Common side effects after receiving a pneumococcal vaccine include <\/span><span data-contrast=\"none\">fever, irritability, lethargy, <a href=\"https:\/\/mvec.mcri.edu.au\/references\/injection-site-reactions\/\">injection site reactions (ISRs)<\/a> and body aches.<\/span><\/p>\n<p><span data-contrast=\"none\">In children, ISRs are commonly reported as occurring within 24 to 48 hours following immunisation. In adults, Prevenar 13 is associated with delayed-onset ISRs (occurring more than 3 days after vaccination), particularly in those who have previously received Pneumovax 23.<\/span><\/p>\n<p><span data-contrast=\"none\">ISRs are not a sign of allergy or local infection<\/span><span data-contrast=\"none\">. Therefore, antihistamines, steroids or antibiotics are not <\/span><span data-contrast=\"none\">required<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\"><br \/>\n<\/span><span data-contrast=\"none\">A history of ISRs following previous pneumococcal vaccines is not a contraindication to further doses.<\/span><\/p>\n<p><span data-contrast=\"none\">Refer to the <a href=\"https:\/\/mvec.mcri.edu.au\/references\/injection-site-reactions\/\">MVEC: Injection site reactions<\/a> reference page for further information.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<\/div><div class=\"uncode_text_column\" ><\/p>\n<h2>Resources<\/h2>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/immunisationhandbook.health.gov.au\/vaccine-preventable-diseases\/pneumococcal-disease\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">Australian Immunisation Handbook: Pneumococcal disease<\/span><\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/immunisationhandbook.health.gov.au\/resources\/handbook-tables\/list-risk-conditions-for-pneumococcal-disease\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">Australian Immunisation Handbook: List. Risk conditions for pneumococcal disease<\/span><\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/mvec.mcri.edu.au\/references\/catch-up-immunisations\/\"><span data-contrast=\"auto\">MVEC: Catch-up<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\"> immunisations<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.health.gov.au\/resources\/publications\/adult-pneumococcal-vaccination-program-advice-for-health-professionals?language=en\" target=\"_blank\" rel=\"noopener\">National Immunisation Program: Adult pneumococcal vaccination \u2013 Program advice for health professionals<\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:&#091;8226&#093;,&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30303436\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\"><span data-ccp-charstyle=\"Hyperlink\">Human Vaccines and Immunotherapeutics: Coadministration of 13-valent pneumococcal conjugate and quadrivalent inactivated influenza vaccines in adults <\/span><span data-ccp-charstyle=\"Hyperlink\">pre<\/span><span data-ccp-charstyle=\"Hyperlink\">viously immunized with polysaccharide pneumococcal vaccine 23: a randomized clinical trial<\/span><\/span><\/a><\/li>\n<\/ul>\n<p>\n<\/div><div class=\"uncode_text_column\" ><\/p>\n<div class=\"reviewedSection\">\n<p><strong>Authors:<\/strong> Mel Addison (SAEFVIC Research Nurse, Murdoch Children\u2019s Research Institute), Georgina Lewis (Clinical Manager SAEFVIC, Murdoch Children&#8217;s Research Institute), Rachael McGuire (MVEC Education Nurse Coordinator), Teresa Lazzaro (Paediatrician, the Royal Children&#8217;s Hospital)<\/p>\n<p><strong>Reviewed by: <\/strong>Rachael McGuire (MVEC Education Nurse Coordinator)<\/p>\n<p><strong>Date:<\/strong> June 2026<\/p>\n<p>Materials in this section are updated as new information and vaccines become available. The Melbourne Vaccine Education Centre (MVEC) staff regularly reviews materials for accuracy.<\/p>\n<p>You should not consider the information on this site to be specific, professional medical advice for your personal health or for your family\u2019s personal health. For medical concerns, including decisions about vaccinations, medications and other treatments, you should always consult a healthcare professional.<\/p>\n<\/div>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-0\" data-row=\"script-row-unique-0\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-0\"));<\/script><\/div><\/div><\/div>\n<\/div>","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":"","_wp_rev_ctl_limit":""},"first_letter":[24],"class_list":["post-7969","references","type-references","status-publish","hentry","first_letter-p"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pneumococcal - The Melbourne Vaccine Education Centre (MVEC)<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mvec.mcri.edu.au\/zh\/\u53c2\u8003\/pneumococcal-disease-and-vaccines\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pneumococcal - 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