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Table. Clinical guidance on pneumococcal vaccine administration errors

Advice on the management of a range of possible pneumococcal vaccine administration errors.

Type of error Administration error Repeat dose recommendation
Incorrect vaccine product A dose of 21vPCV administered to a person aged <18 years Give a dose of 20vPCV at least 2 months later
A dose of 20vPCV administered to a person aged ≥18 years Give a dose of 21vPCV at least 2 months later
Incorrect interval A dose of PCV is given <8 weeks after a previous PCV dose Repeat PCV dose at least 8 weeks later
A dose of PCV is given ≥8 weeks but <12 months after 23vPPV Consider a repeat dose at least 12 months from PPV dose
An adult receives a dose of 21vPCV ≥2 months but <12 months after 13vPCV Do not give a repeat dose
Additional doses A 4th dose is given to a child without a risk condition recommended a 3-dose schedule Monitor for adverse events

An additional dose of 21vPCV is given to an adult. Examples include: 

  • A person with a risk condition who received 21vPCV at diagnosis at age 62 years recieves another dose of 21vPCV upon turning 65 years.
  • A person who recived a dose at age 65 years receives a dose of 21vPCV upon developing a risk condition at age 70 years.
 Monitor for adverse events

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