CDC recommendation
CAPVAXIVE is a single-dose PCV recommended by the CDC for1-3:
- Adults 65+:
- Vaccine-naïve or vaccination history is unknown
- Previously vaccinated with PCV13 only or PPSV23 only, ≥1 year prior
- As a supplemental dose for those previously vaccinated with PCV13 and PPSV23*
- Adults 19-64:
- 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 but have not completed a recommended seriesa
*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 interpretations of EtR and policy option on PCV21 use in adults. Slide deck presented at: Advisory Committee on Immunization Practices Meeting; June 26-28, 2024; virtual.
- ACIP recommendations. Centers for Disease Control and Prevention. Last reviewed June 28, 2024. Accessed June 28, 2024. https://www.cdc.gov/vaccines/acip/recommendations.html
- Kobayashi M, Pilishvili T, Farrar JL, et al. Pneumococcal vaccine for adults aged ≥19 years: recommendations of the Advisory Committee on Immunization Practices, United States, 2023. MMWR Recomm Rep. 2023;72(3):1-39. doi:10.15585/mmwr.rr7203a1