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Prevnar 20
pneumococcal 20-valent conjugate vaccine (PCV20)
Adult Dosing .
Dosage forms: INJ
invasive pneumococcal dz prevention
- [no or unknown pneumococcal vaccine hx]
- Dose: 0.5 mL IM x1; Info: for pts 50 yo and older and high-risk pts <50 yo; search 'immunization' for epocrates Adult Immunization decision tool incl. links to CDC/ACIP schedules
- [previously received PCV7 only]
- Dose: 0.5 mL IM x1; Info: for pts 50 yo and older and high-risk pts <50 yo; search 'immunization' for epocrates Adult Immunization decision tool incl. links to CDC/ACIP schedules
- [previously received PCV13 only]
- Dose: 0.5 mL IM x1; Start: >1y after PCV13; Info: for pts 50 yo and older and high-risk pts <50 yo; search 'immunization' for epocrates Adult Immunization decision tool incl. links to CDC/ACIP schedules
- [previously received PPSV23 only]
- Dose: 0.5 mL IM x1; Start: >1y after PPSV23; Info: for pts 50 yo and older and high-risk pts <50 yo; search 'immunization' for epocrates Adult Immunization decision tool incl. 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 pts w/ cochlear implant, CSF leak, or immunocompromised pts; search 'immunization' for epocrates Adult Immunization decision tool incl. 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 incl. 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 dz 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 pt >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 incl. 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 pt >1 yo and at least 8wk after prior dose; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool incl. 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 incl. links to CDC/ACIP schedules
- [24-59 mo at series start, healthy pts]
- Dose: 0.5 mL IM x1; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool incl. links to CDC/ACIP schedules
- [24-71 mo at series start, pts w/ high infection risk]
- Dose: 0.5 mL IM x2 doses at least 8wk apart; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool incl. links to CDC/ACIP schedules
- [6 yo and older at series start, pts w/ high infection risk]
- Dose: 0.5 mL IM x1 dose; Info: search 'immunization' for epocrates Child/Adolescent Immunization decision tool incl. links to CDC/ACIP schedules
renal dosing
- [no adjustment]
- renal impairment: no adjustment
- HD/PD: no adjustment; no supplement
hepatic dosing
- [no adjustment]