Those who receive the vaccine prior to the age of 65 should again be vaccinated at age 65 or later if five years have passed since the first dose
Those who are vaccinated for the first time at the age of 65 only need to receive a single dose
Also recommended for patients 19-64 with underlying risk factors for pneumococcal disease, including:
Asthma
Cigarette Smokers
Avoid the pneumococcal vaccine in the following:
Patients with allergies to any component of the vaccine
Patients who have previously had a severe allergic reaction to the pneumococcal vaccine
Patients who are currently experiencing a moderate to severe illness (wait until recovered to receive the vaccine)
Pregnant women (although no harm has been reported to either a mother or fetus, women at high risk for pneumonia should be vaccinated, if possible, prior to pregnancy)