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Pneumococcal Vaccine

The following content is from by IAP Advisory Committee on Vaccines & Immunization Practices.
Original Article –

What is pneumococcal disease?

Pneumococcal disease is an illness caused by bacteria called pneumococcus. It is often mild but can cause serious symptoms, lifelong disability, or death. Children younger than 2 years of age are among those most at risk for the disease.

What are the symptoms of pneumococcal disease?

There are many types of pneumococcal disease. Symptoms depend on the part of the body that is infected.

Pneumococcal pneumonia (lung infection) is the most common serious form. It causes the following:

  • Fever and chills
  • Cough
  • Rapid breathing or difficulty breathing
  • Chest pain

Pneumococcal meningitis is an infection of the covering of the brain and spinal cord. It causes the following:

  • Stiff neck
  • Fever and headache
  • Increased pain from bright lights
  • Confusion

In babies, meningitis may cause poor eating and drinking, low alertness, and vomiting.

Blood infection (bacteremia and sepsis) causes fever, chills, and low alertness.

Pneumococcal disease causes up to half of middle ear infections (otitis media). Symptoms are ear pain, a red, swollen ear drum, and sometimes, fever and sleepiness.

How serious is it?

Pneumococcal disease ranges from mild to very dangerous. About 2,000 cases of serious disease (bacteremia, pneumonia with bacteremia, and meningitis) occur each year in children under 5 in the United States. These illnesses can lead to disabilities like deafness, brain damage, or loss of arms or legs. About 1 out of 15 children who get pneumococcal meningitis dies.

How does pneumococcal disease spread?

Pneumococcal disease spreads when an infected person coughs or sneezes. Some children may not even feel sick, but they could have the bacteria in their noses and throats. These children can still spread pneumococcal disease.

What is the burden of pneumococcal diseases in India

There is significant burden of pneumococcal diseases, particularly pneumonia in the country. The currently available pneumo vaccines, PCV13 and PCV10 are safe and efficacious. WHO continues to recommend that these vaccines be prioritized for inclusion in the national programs in countries with high child mortality. The best way to protect against pneumococcal disease is by getting the pneumococcal vaccine (also called PCV13). Doctors recommend that all children get the vaccine.

Why should my child get the pneumococcal vaccine?

The pneumococcal shot:

  • Protects your child from pneumococcal disease, a potentially serious, and even deadly infection
  • Prevents your child from developing pneumococcal meningitis and pneumonia
  • Keeps your child from missing school or childcare (and keeps you from missing work to care for your sick child)

Is the pneumococcal vaccines safe?

The pneumococcal vaccine is very safe, and it is effective at preventing pneumococcal disease. Vaccines, like any medicine, can have side effects. Most children who get the PCV13 shot have no side effects.

What are the side effects?

The most common side effects are usually mild and include the following:

  • Fussiness
  • Sleepiness
  • Loss of appetite (not wanting to eat)
  • Soreness, redness, and swelling where the child got the shot
  • Fever


  • Pneumococcal Disease and the Vaccine (Shot) to Prevent It. Available from:
  • IAP Guidebook on Immunization 2013-14. Available from:

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