Q3. Which groups of patients are at higher risk for pneumococcal disease and need PPSV23 early, starting at 2 years old?

The risk for pneumococcal disease and the need for early PPSV23 starting at 2 years old is high in patients with:

Cases of spleen issues such as a damaged spleen,

Leakage of the fluid around the brain and spinal cord,

Chronic kidney, heart, and pulmonary diseases,

Severe diabetes

Kidney disorders,