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Pneumococcal Vaccine For Children, Ambulatory Care

The pneumococcal vaccine

is an injection given to protect your child from pneumococcal disease. Pneumococcal disease is an infection caused by pneumococcal bacteria. The infection may cause pneumonia or an ear infection. Pneumococcal disease is spread from person to person through coughing and sneezing.

Who should get the pneumococcal vaccine:

  • Children usually receive 4 doses:
    • The first dose at 2 months
    • The second dose at 4 months
    • The third dose at 6 months
    • The fourth dose at 12 to 15 months
  • Children at high risk for pneumococcal disease may need one or more doses of the vaccine. Any of the following can increase your child's risk:
    • Long-term heart disease or long-term lung disease
    • Diabetes
    • A cerebrospinal fluid leak
    • A cochlear implant
    • Sickle cell disease
    • A damaged or removed spleen
    • HIV infection
    • Kidney failure or cancer
    • An organ transplant or weak immune system

What if my child misses a dose of the pneumococcal vaccine:

Your child will need 1 vaccine dose if he is 2 to 5 years old and is not completely vaccinated. If your child misses a scheduled dose of the vaccine, the remaining shots should still be completed. Ask your child's healthcare provider when to return for the next dose.

Who should not get the pneumococcal vaccine or should wait to get it:

  • Your child should not get the vaccine if he has had an allergic reaction to the vaccine or any component of the vaccine.
  • Your child should wait to get the vaccine if he is sick or has a fever.

What are the risks of the pneumococcal vaccine:

The area where the vaccine was given may be red, tender, or swollen. Your child may get a fever and be fussy or irritable. He may have a decreased appetite. He may still get pneumococcal disease, even after he gets the vaccine. Your child may have an allergic reaction to the vaccine. This can be life-threatening.

Call 911 for any of the following:

  • A swollen mouth or throat
  • Wheezing or trouble breathing
  • Chest pain or a fast heartbeat
  • Feeling faint

Seek immediate care for any of the following :

  • A red or swollen face
  • Hives that spread over your child's body
  • Feeling weak or dizzy

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2015 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

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