The pneumonia shot is recommended for all adults older than
age 65. More than ninety different types of pneumococcus bacteria have been
identified and it is impossible to immunize against all of them. Vaccines have
been developed against the most common types.
The traditional pneumonia shot given to older adults
protects against the twenty-three strains that cause 80-90% of disease. This is
the vaccine that has been used for decades. Recently, guidelines recommend
adding a second shot that protects against thirteen additional strains. This
second shot had previously been given to children and adults who had underlying
medical conditions that reduced their immunity.
The latest recommendation from United States
Advisory Committee on Immunization Practices (ACIP) is that at age 65
every adult have the PCV 13 shot followed by the PCV 23 six to twelve months
later. Adults older than 65 who already had the PCV 23 should have the PCV 13
one or more years later.
Either form of the pneumonia shot can be given at the
same time as another vaccine. It takes the body about two weeks to start
producing antibodies (which is how the vaccine works). The most common
side-effects are pain, swelling and redness at the injection site – these typically
last fewer than 48 hours.
More information about PCV 23 and PCV 13.
Medicare and many insurance companies will pay for these shots - but be sure to check with your carrier.
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