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Prevnar 20
pneumococcal 20-valent conjugate vaccine (PCV20)
Adult Dosing .
Dosage forms: INJ
invasive pneumococcal disease prevention
- [no or unknown pneumococcal vaccine history]
- Dose: 0.5 mL IM x1; Info: for patients 50 yo and older and high-risk patients <50 yo; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
- [previously received PCV7 only]
- Dose: 0.5 mL IM x1; Info: for patients 50 yo and older and high-risk patients <50 yo; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
- [previously received PCV13 only]
- Dose: 0.5 mL IM x1; Start: >1y after PCV13; Info: for patients 50 yo and older and high-risk patients <50 yo; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
- [previously received PPSV23 only]
- Dose: 0.5 mL IM x1; Start: >1y after PPSV23; Info: for patients 50 yo and older and high-risk patients <50 yo; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
- [previously received PCV13 and PPSV23, <50 yo]
- Dose: 0.5 mL IM x1; Start: >5y after last pneumococcal vaccine dose; Info: for patients with cochlear implant, CSF leak, or immunocompromised patients; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
- [previously received PCV13 and PPSV23, 65 yo and older]
- Dose: 0.5 mL IM x1; Start: >5y after last pneumococcal vaccine dose; Info: give based on shared clinical decision-making if PPSV23 received at 65 yo and older; search 'immunization' for epocrates Adult Immunization decision tool including links to CDC/ACIP schedules
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [no adjustment]
Peds Dosing .
- Dosage forms: INJ
otitis media and invasive pneumococcal disease prevention
- [6 wk old-6 mo at series start]
- Dose: 0.5 mL IM x2 doses at least 4wk apart, then 0.5 mL IM x1 when patient >1 yo and at least 8wk after prior dose; Info: may give 1st dose as early as 6 wk old; give 4th dose at least 8wk after 3rd dose; search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
- [7-11 mo at series start]
- Dose: 0.5 mL IM x2 doses at least 4wk apart, then 0.5 mL IM x1 when patient >1 yo and at least 8wk after prior dose; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
- [12-23 mo at series start]
- Dose: 0.5 mL IM x2 doses at least 8wk apart; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
- [24-59 mo at series start, healthy patients]
- Dose: 0.5 mL IM x1; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
- [24-71 mo at series start, patients with high infection risk]
- Dose: 0.5 mL IM x2 doses at least 8wk apart; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
- [6 yo and older at series start, patients with high infection risk]
- Dose: 0.5 mL IM x1 dose; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool including links to CDC/ACIP schedules
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [no adjustment]
Contraindications / Cautions .
- hypersensitivity to drug or ingredient
- hypersensitivity to diphtheria toxoid
- caution: immunocompromised patients
- caution: illness, acute moderate-severe
Drug Interactions .
Overview
pneumococcal vaccine
vaccine
- non-live vaccine
Avoid/Use Alternative
Monitor/Modify Tx
Adverse Reactions .
Serious Reactions
- hypersensitivity reaction
- anaphylaxis
- erythema multiforme
Common Reactions
- injection site reaction
- irritability (peds patients)
- somnolence (peds patients)
- myalgia
- fatigue
- headache
- appetite decr. (peds patients)
- fever (peds patients)
- arthralgia
Safety/Monitoring .
Monitoring Parameters
no routine tests recommended
Look/Sound-Alike Drug Names
Prevnar 20 confused with: Prevnar 13; Pneumovax 23
pneumococcal vaccine, 20-valent confused with: pneumococcal vaccine, 13-valent; pneumococcal vaccine, 15-valent; pneumococcal vaccine, 23-valent
Pregnancy/Lactation .
Pregnancy
Clinical Summary
weigh risk/benefit during pregnancy; inadequate human data available; no known risk of fetal harm based on animal data at recommended human dose
Lactation
Clinical Summary
may use while breastfeeding; no human data available, though risk of infant harm not expected based on vaccine properties; no human data available to assess effects on milk production
Pharmacology .
Metabolism: for pneumococcal vaccine: other; CYP450: unknown
Excretion: for pneumococcal vaccine: other; Half-life: unknown
Subclass: Pneumococcal Vaccines ; Routine Adult Vaccines ; Routine Pediatric Vaccines
Mechanism of Action
for pneumococcal vaccine: exact mechanism of action unknown; induces antibody formation
Formulary .
No Formulary Selected
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