CDC recommendation
UPDATED OCTOBER 2024
CAPVAXIVE is a single-dose PCV recommended by the CDC for1-3
- Adults 50+
- Vaccine-naïve or vaccination history is unknown (lowered from 65+)
- Adults 19-49
- With certain chronic medical conditions or other risk factors who are vaccine-naïve or vaccination history is unknown
- Diabetes, renal disorders, chronic heart disease, chronic liver disease, chronic lung disease including asthma, smoking, alcoholism
- Previously Vaccinated Adults
- For Adults 19+
- Previously vaccinated with PCV13 only or PPSV23 only, ≥1 year prior at any age
- Previously vaccinated but have not completed a recommended seriesa
- For Adults 65+
- As a supplemental dose for those previously vaccinated with PCV13 and PPSV23*
*Routine if PCV13 was administered at any age and PPSV23 was administered before age 65 with the last pneumococcal vaccine being at least 5 years prior. Shared clinical decision-making if PCV13 was administered at any age and PPSV23 was administered at or after the age of 65 and the last pneumococcal vaccine was at least 5 years prior.1,3
aPatients are eligible to receive CAPVAXIVE if they only received PCV13 or PPSV23 ≥1 year ago or if last dose of PPSV23 was completed ≥5 years ago where PCV13 and PPSV23 were both received.1,3
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CDC, Centers for Disease Control and Prevention; IPD, invasive pneumococcal disease; PCV, pneumococcal conjugate vaccine; PCV13, 13-valent pneumococcal conjugate vaccine; PPSV23, 23-valent pneumococcal polysaccharide vaccine.
References:
- Kobayashi M. Summary of work group interpretation of EtR and policy options: PCV use in adults aged ≥50 years. Slide deck presented at: Advisory Committee on Immunization Practices Meeting; October 23, 2024; Atlanta, GA. Accessed October 23, 2024. https://www.cdc.gov/acip/downloads/slides-2024-10-23-24/04-Kobayashi-Pneumococcal-508.pdf
- ACIP recommendations. Centers for Disease Control and Prevention. August 29, 2024. Accessed October 25, 2024. https://www.cdc.gov/acip/vaccine-recommendations/
- Kobayashi M, Leidner AJ, Gierke R, et al. Use of 21-valent pneumococcal conjugate vaccine among U.S. adults: recommendations of the Advisory Committee on Immunization Practices —United States, 2024. MMWR Morb Mortal Wkly Rep. 2024;73(36):793-798. doi:10.15585/mmwr.mm7336a3