VPDC

Diseases

What is Strep Pneumonia?Updated 9-24-24
  • Streptococcus pneumoniae is a bacteria that can live in your nose and throat, but can also spread to other parts of your body and cause serious disease like pneumonia, blood infections, and meninigitis.
  • Anyone can get pneumococcal disease, but certain people are at an increased risk of infection and should get vaccinated to protect themselves.
Strep Pneumonia: Symptoms and Complications

Strep pneumonia can cause:

  • Ear infections
  • Sinus infections
  • Pneumonia (lung infection)
  • Meningitis (infection of the tissue covering the brain and spinal cord)
  • Bacteremia (infection of the blood)
Information for the Public
Vaccine Information
  • Pneumococcal conjugate vaccine helps protect against bacteria that cause pneumococcal disease.
  • There are two types of pneumococcal vaccines:
    • Pneumococcal conjugate vaccine
      • PCV 15 (Prevnar)
      • PCV 20
      • PCV 21
    • Pneumococcal polysaccharide
      • PPSV23 (Pneumovax®)
  • The different vaccines are recommended for different people based on age and underlying health conditions.
  • Pneumococcal vaccines help protect against serious pneumococcal disease.

Common Side Effects from the Vaccine:

Vaccine Recommendations

There are several types of pneumococcal vaccines used in the United States:

Vaccination is the best way to prevent pneumococcal disease. CDC recommends pneumococcal vaccination for:

  • All children younger than 5 years should receive 4 doses (PCV15 or PCV20) total, with 1 dose at the following ages:
    • 2 months
    • 4 months
    • 6 months
    • 12 through 15 months
  • Children and adolescents aged 2 through 18 years with certain risk conditions
  • People aged 19 through 64 years old with certain risk factors
  • Adults aged 65 years or older

Pneumococcal disease rates have decreased dramatically since the United States began using PCVs.

PCV15, PCV20, and PCV21 are new vaccines, so there is no data on how well these vaccines work in real-world conditions. They were approved based on clinical trial data comparing their safety and immune responses to earlier vaccines (e.g., PCV13).

Studies show that PCV13 prevented invasive pneumococcal disease caused by vaccine serotypes:

  • For 4 in 5 healthy children
  • For 4 in 5 children with certain risk conditions
  • PCV13 also prevented antibiotic-resistant pneumococcal infections caused by vaccine serotypes.

    For adults aged 65 years or older, studies found getting PCV13 protected:

    • 3 in 4 people against invasive pneumococcal disease
    • 9 in 20 people against pneumococcal pneumonia

    Studies have also shown PPSV23 protects 7 in 10 adults with healthy immune systems from invasive pneumococcal disease. This protection is against pneumococcal infections caused by serotypes in the vaccine.

    Talk to your healthcare provider to see which pneumococcal vaccine is right for you.

    Who should not get the vaccine (if applicable):

    • People who’ve had a life-threatening allergic reaction to the pneumococcal vaccine or known to be allergic to any part of the pneumococcal vaccine.

    Talk to a vaccine provider about your vaccination history and a specific vaccine's ingredients. There may be times when someone shouldn't get a pneumococcal vaccine.

    Where to get the Vaccine

    There are many places to get the pneumococcal vaccine. If you have insurance, talk to your doctor or check with your local pharmacy to see what vaccines are offered. Most health insurances cover the cost of all recommended vaccines for children and adults.

    If you are uninsured or underinsured, there are programs available to help cover the cost of vaccines. Children who are 18 years of age or younger are eligible to receive vaccines at no cost through the Vaccines for Children (VFC) Program if they are:

    • Eligible for or are enrolled in Medi-Cal
    • American Indian or Alaskan Native
    • Uninsured (do not have health insurance)
    • Underinsured (private health insurance does not cover the full cost of vaccines)

    Click to see if your child is eligible to receive VFC vaccines: English | Spanish

    Uninsured or underinsured adults can access free or low cost vaccines at select clinics enrolled in the Vaccines for Adults (VFA) program. For more information on who is eligible, read VFA Eligibility Based on Insurance Status. You can use the following resources for more information on locating clinics:

    You can also dial 2-1-1 for a list of free or low cost vaccine clinics. This includes Vaccines for Children (VFC) provider locations that serve Medi-Cal eligible children and uninsured or underinsured adults. Learn more about specific vaccine information for different age groups:

    Keeping Record of Your Immunization Records

    Are you not sure if you have been vaccinated against pneumococcal disease or you can’t find your vaccine records?

    If you need official copies of your vaccine records, or if you need to update your personal records:

    Information for Providers
    Clinical Presentation

    Streptococcus pneumoniae (S. pneumoniae) is a normal colonizer of the nasopharynx but can cause invasive disease in young children, older adults, and those with certain underlying conditions including immunocompromised status.

    Invasive pneumococcal disease includes:

    • Ear and sinus infections
    • Pneumonia and empyema
    • Meningitis
    • Bacteremia with septic shock
    • Endocarditis
    • Septic arthritis
    • Peritonitis

    Certain individuals are at increased risk for S. pneumoniae infections, including:

    • Young children
    • Older adults
    • Persons who are immunocompromised
    • Persons with underlying medical conditions (e.g., heart disease, lung disease, diabetes)
    • Persons with cochlear implants
    Vaccine Recommendations

    The United States uses 2 types of pneumococcal vaccines. Each individual vaccine helps protect against different serotypes of pneumococcal bacteria.

    • Pneumococcal conjugate vaccines (PCVs)
    • Pneumococcal polysaccharide vaccine

    Pneumococcal vaccine recommendations have been updated as of June 27, 2024, to recommend PCV21 for adults.

    Infants and children

    CDC recommends routine pneumococcal vaccination for all children younger than 5 years old.

    Administer a 4-dose PCV series (PCV15 or PCV20), 1 dose at each of the following ages:

    • 2 months
    • 4 months
    • 6 months
    • 12 through 15 months

    Vaccinate children younger than 5 years of age who miss their shots or start the series later than recommended. Catch – up guidance for healthy children aged 4 months through 4 years can be found here.

    Adults aged 65 years or older

    CDC recommends routine pneumococcal vaccination (PCV15, PCV20, or PCV 21) for adults who have never received PCV and are:

    Based on shared clinical decision making, adults aged 65 years and older have the option to receive PCV 20 if they’ve received:

    • PCV13 (but not PCV15 or PCV20) at any age and
    • PPSV23 at or after the age of 65 years old

    Pneumococcal vaccine is also recommended for children and adults at increased risk for pneumococcal disease. See Summary of Risk – based Pneumococcal Vaccination Recommendations or the PneumoRecs VaxAdvisor for details.

    CDC estimates that rates of invasive pneumococcal disease (IPD) in children less than 5 years have decreased by 95% since the introduction of PCVs. Rates of IPD in adults also decreased after routine vaccination with PCV was recommended for children.

    Storage and Handling

    Proper vaccine storage and handling practices play an important role. For general recommendations and guidance access the Vaccine Storage and Handling Toolkit.

    Reporting

    Reporting information can be found here.

    Vaccine Adverse Event Reporting

    Report any adverse events to the Vaccine Adverse Event Reporting System VAERS



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  • Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.

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