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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 who were born on or after 1 March 2025), or have a risk condition(s) for pneumococcal

*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
Related diseases
Pneumococcal disease
Related chapters
Catch-up vaccination
Vaccination for Aboriginal and Torres Strait Islander people

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