How long to wait between flu shot and pneumonia shot

Everyone plays a role in infection prevention—patients, families, and healthcare personnel—in and out of healthcare facilities.

So do your part! Wherever you are, there is something you can do to stay safe from infections.

Two things that you can do for yourself and your loved ones are to receive an influenza (flu) vaccine annually and a pneumonia immunization at the appropriate time according to your age and health history. By doing so, you not only protect yourself, but you protect others (e.g., cancer patients, people with suppressed immune systems) who are vulnerable to severe illness or even death if they get one of these viruses.

Influenza immunization

How long to wait between flu shot and pneumonia shot

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Flu activity usually peaks in the U.S. in January or February. However, seasonal flu activity can begin as early as October and continue to occur as late as May. Flu is a contagious respiratory illness caused by influenza virus. It can cause mild to severe illness, and at times can lead to death. Some people, such as older people, young children, and people with certain health conditions, are at high risk for serious flu complications. Even healthy people can get sick enough to miss work or school for a significant amount of time or even be hospitalized. Learn the flu basics.

  • Routine annual influenza vaccination of everyone ages 6 months and older is recommended.
  • This year (2013-14), U.S. trivalent influenza vaccines will protect against the three main strains of flu that research indicates will cause the most illness – two influenza A viruses and an influenza B virus. Quadrivalent vaccines will include protection against an additional influenza B virus.
  • Selection of a particular vaccine is generally based on health history, age, and availability. Not all healthcare providers will have every vaccine.

Timing of vaccination

The timing of flu cannot be predicated and can vary from season to season. In general, healthcare providers begin offering vaccination soon after vaccine becomes available, and if possible, by October.

  • All children ages 6 months to 8 years who are recommended for 2 doses (Figure 1) should receive their first dose as soon as possible after vaccine becomes available; these children should receive the second dose, if indicated, ≥4 weeks later.

Influenza vaccination for pregnant women

  • Women who are or will be pregnant during influenza season should receive inactivated influenza vaccine (IIV). Live attenuated influenza vaccine (LAIV—the nasal spray flu vaccine) is not recommended for use during pregnancy.
  • Postpartum women can receive either LAIV or IIV.
  • Pregnant and postpartum women do not need to avoid contact with persons recently vaccinated with LAIV.

BOTTOM LINE:

  • Get a flu shot.
  • Be certain your loved ones are vaccinated.
  • Don’t hold out for the quadrivalent vaccine…it’s better to be vaccinated than to wait!

Additional resources
Centers for Disease Control and Prevention—Seasonal influenza: Flu basics
Centers for Disease Control and Prevention—Seasonal Influenze Q&A
Mayo Clinic—Influenza Information
Kids Health—Influenza Information
National Foundation for Infectious Diseases—About vaccines 

Pneumonia immunization

How long to wait between flu shot and pneumonia shot

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Pneumococcal disease is an infection caused by Streptococcus pneumonia bacteria, sometimes referred to as pneumococcus. Pneumococcus can cause many types of illnesses, including pneumonia, blood infections, ear infections, and meningitis. There are vaccines to prevent pneumococcal disease in children and adults.

The best way to prevent pneumococcal disease is by getting vaccinated. The pneumococcal vaccine is a shot that helps protect against some of the more than 90 types of pneumococcal bacteria.

The vaccine for children, called pneumococcal conjugate vaccine (PCV13), protects against the 13 types of pneumococcal bacteria that cause most of the severe illness in children. The vaccine can also help prevent some ear infections. PCV13 protects children by preparing their bodies to fight the bacteria. Almost all children (about 9 children out of 10) who get PCV13 will be protected from the 13 types of pneumococcal bacteria in the vaccine. PCV13 is also recommended to help prevent pneumococcal disease in adults with certain medical conditions.

The pneumococcal polysaccharide vaccine (PPSV23) protects against 23 types of pneumococcal bacteria. It is recommended for all adults 65 years and older and for anyone who is 2 years and older at high risk for disease, including those:

  • With chronic illnesses (lung, heart, liver, or kidney disease; asthma; diabetes; or alcoholism)
  • With conditions that weaken the immune system (HIV/AIDS, cancer, or damaged/absent spleen)
  • Living in nursing homes or other long-term care facilities
  • With cochlear implants or cerebrospinal fluid (CSF) leaks (escape of the fluid that surrounds the brain and spinal cord)
  • Who smoke cigarettes

Revaccination with PPSV23

  • One-time revaccination 5 years after the first dose is recommended for anyone ages 19 to 64 with chronic renal failure or nephrotic syndrome; functional or anatomic asplenia (e.g., sickle cell disease or splenectomy); and for persons with immunocompromising conditions.
  • Individuals who received 1 or 2 doses of PPSV23 before age 65 for any indication should receive another dose of the vaccine at age 65 or later if at least 5 years have passed since their previous dose.
  • No further doses are needed for those vaccinated with PPSV23 at or after age 65.

BOTTOM LINE:

  • Get your pneumonia immunization based on health history and age.
  • Get revaccinated, if necessary.
  • It is also important to get an influenza vaccine every year because having the flu increases your chances of getting pneumococcal disease.

Additional resources
Centers for Disease Control and Prevention—Pneumococcal Disease
WebMD—Pneumococcal Vaccine Information
Immunization Action Coalition—Pneumococcal vaccines

The pneumococcal vaccine protects against serious and potentially fatal pneumococcal infections. It's also known as the pneumonia vaccine.

Pneumococcal infections are caused by the bacterium Streptococcus pneumoniae and can lead to pneumonia, blood poisoning (sepsis) and meningitis.

At their worst, they can cause permanent brain damage, or even kill.

Anyone can get a pneumococcal infection. But some people are at higher risk of serious illness, so it's recommended they're given the pneumococcal vaccination on the NHS.

These include:

  • babies
  • adults aged 65 or over
  • children and adults with certain long-term health conditions, such as a serious heart or kidney condition

Babies are offered 2 doses of pneumococcal vaccine, at 12 weeks and at 1 year of age.

People aged 65 and over only need a single pneumococcal vaccination. This vaccine is not given annually like the flu jab.

If you have a long-term health condition you may only need a single, one-off pneumococcal vaccination, or a vaccination every 5 years, depending on your underlying health problem.

Find out who should have the pneumococcal vaccine

The type of pneumococcal vaccine you're given depends on your age and health. There are 2 types.

Pneumococcal conjugate vaccine (PCV) is used to vaccinate children under 2 years old as part of the NHS vaccination schedule. It's known by the brand name Prevenar 13.

Read the patient information leaflet for Prevenar 13 on the electronic medicines compendium website

Pneumococcal polysaccharide vaccine (PPV) is given to people aged 65 and over and people at high risk because they have long-term health conditions.

Children at risk of pneumococcal infections can have the PPV vaccine from the age of 2 years onwards. The PPV vaccine is not very effective in children under the age of 2.

Both types of pneumococcal vaccine encourage your body to produce antibodies against pneumococcal bacteria.

Antibodies are proteins produced by the body to neutralise or destroy disease-carrying organisms and toxins.

They protect you from becoming ill if you're infected with the bacteria.

More than 90 different strains of the pneumococcal bacterium have been identified, although most of these strains do not cause serious infections.

The childhood vaccine (PCV) protects against 13 strains of the pneumococcal bacterium, while the adult vaccine (PPV) protects against 23 strains.

Children respond very well to the pneumococcal vaccine.

The introduction of this vaccine into the NHS childhood vaccination schedule has resulted in a large reduction in pneumococcal disease.

The pneumococcal vaccine given to older children and adults is thought to be around 50 to 70% effective at preventing pneumococcal disease.

Both types of pneumococcal vaccine are inactivated or "killed" vaccines and do not contain any live organisms. They cannot cause the infections they protect against.

Find out more about why vaccination is safe and important

Occasionally, you or your child may need to delay having the pneumococcal vaccine or avoid it completely.

Vaccine allergy

Tell your GP if you or your child has had a bad reaction to any vaccination in the past.

If there's been a confirmed severe allergic reaction (anaphylaxis) to the pneumococcal vaccine or any ingredient in the vaccine, it may not be possible for you to have it.

But if it was only a mild reaction, such as a rash, it's generally safe to have the vaccine.

Fever at the vaccination appointment

If you or your child are mildly unwell at the time of the vaccination, it's safe to have the vaccine.

But if you or your child are more seriously ill (for example, with a high temperature and feeling hot and shivery), it's best to delay the vaccination until after recovery.

Pregnancy and breastfeeding

Having the pneumococcal vaccine is thought to be safe during pregnancy and while you're breastfeeding.

But as a precaution, you may want to wait until you’ve had your baby if you're pregnant, unless the benefits of having the vaccine outweigh the risks to your child.

Like most vaccines, the childhood and adult versions of the pneumococcal vaccine can sometimes cause mild side effects.

These include:

  • a slightly raised temperature
  • redness where the injection was given
  • hardness or swelling where the injection was given

There are no serious side effects listed for either the childhood or adult versions of the vaccine, apart from an extremely rare risk of a severe allergic reaction (anaphylaxis).

Find out more about the side effects of the pneumococcal vaccination

Watch a YouTube video about the story of 11-year-old Sam, who had pneumococcal meningitis as a baby (before the childhood pneumococcal vaccine was introduced) and was left severely brain damaged.

Page last reviewed: 14 February 2019
Next review due: 14 February 2022