These are Canadian Immunization Guide schedules associated with this DIN. The right schedule depends on age, health, prior doses and reason for vaccination. Public health recommendations may differ from a product monograph's authorized schedule.
Pneumococcal conjugate — healthy infant, three doses (2 + 1)
3 dosesTwo doses at 2 and 4 months plus a booster at 12 months.
Routine schedule for healthy infants in provinces using a 2 + 1 series, including Ontario: doses at 2 and 4 months, then a booster at 12 months of age. Minimum 8 weeks between doses; the booster is not given before 12 months of age. Infants with risk factors need the four-dose (3 + 1) schedule.
Pneumococcal conjugate — higher-risk infant, four doses (3 + 1)
4 dosesThree doses at 2, 4 and 6 months plus a booster at 12 to 15 months.
For infants with immunocompromising conditions, chronic heart, lung, kidney or liver disease, cochlear implants, CSF leak, sickle cell disease or asplenia, and premature infants: doses at 2, 4 and 6 months followed by a booster at 12 to 15 months. Minimum 8 weeks between doses; the booster is not given before 12 months of age.
Pneumococcal conjugate — adults 65 and older, one dose
1 doseOne dose of Pneu-C-20 or Pneu-C-21 for all adults 65 years and older.
All adults 65 years and older: one dose of Pneu-C-20 or Pneu-C-21 regardless of earlier pneumococcal vaccination, given at least 1 year after any previous Pneu-C-13, Pneu-C-15 or Pneu-P-23 dose (8 weeks in some circumstances). No further doses are currently recommended.
Pneumococcal conjugate — adults 18 to 64 with risk factors, one dose
1 doseOne dose of Pneu-C-20 or Pneu-C-21 for adults 18 to 64 with a condition that raises the risk of pneumococcal disease.
Adults 18 to 64 with immunocompromising conditions (HIV, asplenia, transplant, cancer, immunosuppressive therapy) or other risk factors for invasive pneumococcal disease (chronic heart, lung, kidney or liver disease, diabetes, alcohol use disorder, cochlear implant, CSF leak): one dose at least 8 weeks after any earlier pneumococcal vaccine. Stem-cell transplant recipients need a three-dose series plus booster instead.