Give according to routine schedule§ In adults, if no prior pneumococcal vaccine:
Give one dose Prevnar® 13 (or PCV 15), wait 8 weeks minimum, then give one dose Pneumovax® 23 (see below)
Alternatively, one dose of Prevnar® 20 can be given
One-time booster after 5 years (if first vaccine was given at > 10 years of age) or 3 years (if first vaccine given at ≤ 10 years) and immunosuppressed.
*PCV-13, PCV-15 and PPSV-23 should not be routinely used in patients at increased risk of invasive pneumococcal disease (IPD) unless PCV-20 is not available (or not funded by the provincial/territorial public health vaccination program)
*Pneu-C-20 should be the product of choice for routine and catch-up immunization in children less than 5 years of age who are at increased risk of IPD. Please refer to Canadian Immunization Guide for recommended schedules.