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Vaccine product guide

PREVNAR 20

Pneumococcal 20-valent conjugate (Pneu-C-20) · Pneumococcal

Health Canada DIN 02527049. Check the product and formulation on your record before using a schedule.

Plan doses for this product →
DIN
02527049
Family
Pneumococcal
Guidance checked
2026-09-27
← All Pneumococcal products

About this vaccine

Prevnar 20 is a vaccine that helps protect against serious infections caused by a common type of bacteria called pneumococcus.

PREVNAR 20 is listed under Health Canada DIN 02527049. The product record and monograph below describe this formulation; the dose schedule comes from the Canadian Immunization Guide.

At a glance

Brand
PREVNAR 20
DIN
02527049
Vaccine
Pneumococcal 20-valent conjugate (Pneu-C-20)
Presentation
0.5 mL · suspension · intramuscular · 6 weeks and older
Live vaccine
No

Age and suitability depend on the product, the person and the reason for vaccination. Use the planner for a starting point and confirm with a healthcare professional.

Official sources

Use the DIN to confirm this exact product in Health Canada's Drug Product Database.

A listed product may not be stocked or publicly funded.

Before and after your vaccination

  • Bring your immunization record if you have one, so earlier doses can be checked.
  • Tell the healthcare professional about a serious reaction to a previous vaccine or an ingredient, and mention any health conditions or medicines that could affect your vaccination.
  • After the dose, stay where you can be observed for at least 15 minutes. Tell someone right away if you feel faint or develop symptoms of an allergic reaction.
  • Keep a record of the vaccine name, date and dose you received.

These steps come from the Canadian Immunization Guide's administration practices and acute reactions guidance.

Practical guidance for PREVNAR 20

The details below are adapted from a Pharmasist patient handout linked to the same product monograph. The current Canadian Immunization Guide determines the dose schedules shown later.

What this vaccine helps prevent

  • Prevnar 20 is a vaccine that helps protect against serious infections caused by a common type of bacteria called pneumococcus.
  • It helps prevent illnesses such as pneumonia, meningitis, and blood infections caused by 20 different strains of this bacteria.
  • Adults may also be protected against pneumonia caused by these same strains.
  • It does not protect against every strain of pneumococcus or against other germs that cause similar illnesses.

What to mention before a dose

  • Tell the person giving the vaccine if you or your child has ever had an allergic reaction to this vaccine, a previous pneumococcal vaccine, or to diphtheria toxoid.
  • Tell them if you or your child has a bleeding problem or takes blood thinners.
  • Tell them if you or your child has a weakened immune system, from an illness such as HIV or from medicine, since the vaccine may work less well in this case.
  • Tell them if you or your child is currently sick with a fever, since vaccination may need to be delayed.

How it is given

  • Prevnar 20 is given as a shot into a muscle, usually in the upper arm for adults and older children, or the thigh for infants.
  • It is given by a doctor, nurse, or healthcare professional, not something you give yourself at home.

Important things to know

  • Like any vaccine, Prevnar 20 can rarely cause a serious allergic reaction, usually within minutes of the injection.
  • Rarely, this vaccine has been linked to seizures, including seizures caused by fever, in young children.
  • A brief episode of limpness, paleness, and reduced responsiveness has rarely been reported in babies after vaccination.
  • This vaccine does not protect against every case of pneumococcal infection, so keep seeking medical care for symptoms of infection even after vaccination.

Effects you may notice

  • Pain or tenderness where the shot was given.
  • Sore muscles.
  • Feeling tired.
  • Headache.
  • Sore joints.
  • Fever or chills.
  • Upset stomach, vomiting, or diarrhea.
  • In young children: fussiness, sleepiness, or eating less than usual.

When to contact a healthcare professional

  • Contact your provider if the injection site becomes very swollen, hard, or does not improve after a few days.
  • Contact your provider if a swollen gland develops near the injection site.
  • Contact your provider about a fever that is high or does not go away.

When to get emergency help

  • Get help right away for signs of a severe allergic reaction, such as swelling of the face or throat, trouble breathing, wheezing, or a widespread rash.
  • Get help right away if your child has a seizure or becomes suddenly very limp, pale, and unresponsive after vaccination.

Other medicines and vaccines

  • This vaccine is given by injection, not by mouth, so food and alcohol are not expected to affect it.
  • Tell your provider about any medicines that weaken the immune system, since these can make the vaccine less effective.
  • This vaccine can usually be given at the same visit as other vaccines, including flu and COVID-19 vaccines, using a separate needle and a different injection site.

Key points to remember

  • Bring your or your child's immunization record to every vaccine visit so it can be kept up to date.
  • Tell every healthcare provider you see about all the vaccines you or your child have received.
  • Watch the injection site and your overall feeling of wellness for a few days after vaccination, and contact your provider with any concerns.

The practical points are adapted from the Pharmasist reference for PREVNAR 20 and its matching product monograph.

Dose schedules

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 doses

Two 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 doses

Three 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 dose

One 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 dose

One 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.

Check your dose plan →

Pregnancy and breastfeeding

Family guidance on pregnancy: Recommended for people at high risk of pneumococcal disease.

Family guidance on breastfeeding: Recommended for people at high risk of pneumococcal disease.

This guidance applies to the vaccine family. Confirm this product's details in the monograph and with your clinician. Immunization in pregnancy and breastfeeding: Canadian Immunization Guide — Chapter updated August 2026.

References and product information

General information only. A suggested date is not an appointment or a prescription; a healthcare professional confirms what you need. Clinical rules reviewed on 2026-09-27.

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