Pneumococcal Vaccination Acceptance/declination Form Page 3
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5But these people should still be vaccinated, because
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What are the risks from PPSV?
they are more likely to have serious complications if
they get pneumococcal disease.
About half of people who get PPSV have mild side
effects, such as redness or pain where the shot is
Children who often get ear infections, sinus
given.
infections, or other upper respiratory diseases, but
who are otherwise healthy, do not need to get PPSV
Less than 1% develop a fever, muscle aches, or more
because it is not effective against those conditions.
severe local reactions.
How many doses of PPSV are
A vaccine, like any medicine, could cause a serious
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needed, and when?
reaction. But the risk of a vaccine causing serious
harm, or death, is extremely small.
Usually only one dose of PPSV is needed, but under
some circumstances a second dose may be given.
What if there is a severe
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• A second dose is recommended for people 65 years
reaction?
and older who got their fi rst dose when they were
What should I look for?
younger than 65 and it has been 5 or more years
Any unusual condition, such as a high fever or
since the fi rst dose.
behavior changes. Signs of a severe allergic reaction
• A second dose is recommended for people 2
can include diffi culty breathing, hoarseness or
through 64 years of age who:
wheezing, hives, paleness, weakness, a fast heart
- have a damaged spleen or no spleen
beat or dizziness.
- have sickle-cell disease
What should I do?
- have HIV infection or AIDS
• Call a doctor, or get the person to a doctor right
- have cancer, leukemia, lymphoma, multiple
away.
myeloma
• Tell the doctor what happened, the date and time
- have nephrotic syndrome
it happened, and when the vaccination was given.
- have had an organ or bone marrow transplant
• Ask your provider to report the reaction by fi ling
- are taking medication that lowers immunity
a Vaccine Adverse Event Reporting System
(such as chemotherapy or long-term steroids)
(VAERS) form. Or you can fi le this report through
When a second dose is given, it should be given 5
the VAERS website at , or by
years after the fi rst dose.
calling 1-800-822-7967.
Some people should not get
VAERS does not provide medical advice.
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PPSV or should wait
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How can I learn more?
•
Anyone who has had a life-threatening allergic
reaction to PPSV should not get another dose.
•
Ask your provider. They can give you the vaccine
package insert or suggest other sources of
•
Anyone who has a severe allergy to any component
information.
of a vaccine should not get that vaccine. Tell your
provider if you have any severe allergies.
•
Call your local or state health department.
•
Anyone who is moderately or severely ill when the
•
Contact the Centers for Disease Control and
shot is scheduled may be asked to wait until they
Prevention (CDC):
- Call 1-800-232-4636 (1-800-CDC-INFO) or
recover before getting the vaccine. Someone with a
- Visit CDC’s website at
mild illness can usually be vaccinated.
•
While there is no evidence that PPSV is harmful to
either a pregnant woman or to her fetus, as a
precaution, women with conditions that put them
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
at risk for pneumococcal disease should be
vaccinated before becoming pregnant, if possible.
PPSV
(10/6/09)
Vaccine Information Statement
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