Table. Catch-up schedule for 20vPCV for children aged <5 years who are either Aboriginal and Torres Strait Islander (including those living in ACT, NSW, Tas or Vic born on or after 1 March 2025), or have a risk condition(s) for pneumococcal disease
*Aboriginal and Torres Strait Islander children in NT, QLD, WA and SA and children with a risk condition who have completed their PCV schedule with 13vPCV or 15vPCV are recommended to receive a single dose of 20vPCV at 4 years of age or 12 months after their last PCV dose, whichever is later. If these children have already received a single dose of 23vPPV following 13vPCV or 15vPCV, they are recommended to receive a single dose of 20vPCV at least 5 years after their first dose of 23vPPV. These 20vPCV doses replace the previously recommended 23vPPV doses.
The Australian Immunisation Register will record the 3rd dose of pneumococcal vaccine given at ≥11 months of age as a valid dose to calculate immunisation status.
This schedule does not apply to people who have had a haematopoietic stem cell transplant. See Table. Recommendations for revaccination after haematopoietic stem cell transplant in children and adults.
| Number of PCV doses received previously | Age at presentation | Age at 1st dose of PCV | Age at 2nd dose of PCV | Age at 3rd dose of PCV | Number of primary 20vPCV dose(s) required | Number* of 20vPCV booster doses needed at age ≥12 months |
|---|---|---|---|---|---|---|
| None | <12 months | na | na | na | 3 | 1 |
| 12–59 months | na | na | na | 1 | 1 | |
| 1 | <12 months | Any age | na | na | 2 | 1 |
| 12–59 months | <12 months | na | na | 1 | 1 | |
| ≥12 months | na | na | None | 1 | ||
| 2 | <12 months | Any age | Any age | na | 1 | 1 |
| 12–59 months | <12 months | <12 months | na | 1 | 1 | |
| 12–59 months | <12 months | ≥12 months | na | None | 1 | |
| 12–59 months | ≥12 months | ≥12 months | na | None | None* | |
| 3 | <12 months | Any age | Any age | Any age | None | 1 |
| 12–59 months | <12 months | <12 months | Any age | None | 1 | |
| 12–59 months | <12 months | ≥12 months | ≥12 months | None | None* | |
| na = not applicable | ||||||