Vaccini pneumococcici per adulti e bambini
Pneumovax 23, Prevenar 13
Revisione paritaria di Sid DajaniUltimo aggiornamento di Michael Stewart, MRPharmSUltimo aggiornamento 13 Jan 2023
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Pneumococcal vaccines help to protect against infections such as pneumonia and meningitis.
The vaccine will be injected into a muscle or under the surface of your skin.
The most common side-effects are tenderness at the site of the injection, a raised temperature (mild fever), feeling tired, and head/muscle aches. These should soon pass.
A colpo d'occhio
Pneumococcal vaccines protect against various infections caused by pneumococcus bacteria.
There are two types of pneumococcal vaccine: PCV and PPV.
Both types stimulate your immune system to produce antibodies.
These vaccines are given by injection.
Common side-effects include a mild fever and soreness at the injection site.
Seek urgent medical advice for breathlessness, swelling, or rash after vaccination.
About pneumococcal vaccines
Tipo di medicinale | Pneumococcal vaccine |
Utilizzato per | Protection against pneumococcal infection in adults and children |
Chiamato anche | Pneumococcal polysaccharide vaccine (PPV) (Pneumovax® 23); |
Disponibile come | Iniezione |
Pneumococcus is a germ (bacterium) which can cause polmonite, meningite and some other infections. Pneumococcal infections can affect anybody, but older people and people with long-term medical conditions are at increased risk of developing them. Some pneumococcal infections are more serious than others.
There are two types of vaccine available to protect against pneumococcal infection. One is called pneumococcal conjugate vaccine (PCV) (Prevenar13®), which is the vaccine used to routinely immunise babies. It can also be given to children and adults.
The second type of vaccine is called pneumococcal polysaccharide vaccine (PPV) (Pneumovax® 23). This vaccine is suitable for the immunisation of adults and of children over 2 years of age.
This leaflet provides information about both types of pneumococcal vaccine (PCV and PPV) when they are used in adults or in children over 2 years of age. There is another separate medicine leaflet called Vaccino pneumococcico per neonati e bambini which provides more information about PCV when it is given to babies.
Pneumococcal vaccines stimulate the body's immune system to make antibodies against pneumococcal infections. These antibodies then help protect you from illness should you become infected with pneumococcal bacteria. The vaccines provide protection against many (but not all) types of pneumococcal infection.
Before having pneumococcal vaccine
Before you are given pneumococcal vaccine, make sure your doctor knows:
If you have been unwell recently, or if you have a high temperature (fever).
If you have previously had an allergic reaction to a vaccine or to any other medicine.
Se hai una condizione che ti fa sanguinare più del normale, come l'emofilia.
If you have a weakened immune system. This may be a result of an illness or taking medicines.
Se sei incinta o stai allattando.
Se stai assumendo altri medicinali. Questo include qualsiasi medicinale che stai assumendo e che è disponibile per l'acquisto senza prescrizione medica, così come i medicinali a base di erbe e complementari.
Come viene somministrato il vaccino
Before you are given the vaccine, ask to read the manufacturer's printed information leaflet. The manufacturer's leaflet will give you more information about the vaccine and will tell you about any side-effects which you may experience from having it. If you have any questions about the vaccine, ask your doctor or nurse for advice.
You will be given one dose of the vaccine. It may be given at the same time as some other vaccines, such as the flu (influenza) vaccine, but it will be given as a separate injection.
Most adults over 65 will be given a single, one-off dose of pneumococcal vaccine. Some people with kidney problems or immune system problems may need a 'booster' dose every five years. Your doctor will advise you on this.
The vaccine is given by injection into a muscle, or as an injection underneath your skin.
Ottenere il massimo dal tuo trattamento
If you have a high temperature (fever) or if you are acutely unwell at the time of your scheduled immunisation, your doctor or nurse may recommend delaying giving the vaccine. A minor illness (such as a cough, cold or snuffles) will not interfere with the vaccine. If a delay is advised, you will be given an alternative appointment for the vaccination to be given.
If you have been prescribed antibiotic tablets/capsules to help prevent pneumococcal infections, you should continue to take these as your doctor has prescribed. Do not stop taking your antibiotics because you have been vaccinated.
If you are particularly at risk of infection (for example, if you have had your spleen removed, or if you are taking medicines that lower your immune response) you may need urgent antibiotic treatment if you suddenly feel unwell with a high temperature. Make an appointment to see your doctor straightaway if this happens.
In addition to the three routine doses of Prevenar 13® for babies, children who are particularly at risk from pneumococcal infections may need to have a dose of pneumococcal polysaccharide vaccine (PPV) when they are a little older. This may be recommended, for example, for a child who has previously had pneumonia and been admitted to hospital.
Can pneumococcal vaccines cause problems?
Along with their useful effects, vaccines like most medicines can cause unwanted side-effects, although not everyone experiences them. Pneumococcal immunisation often causes no problems, but the table below contains some of the side-effects which may occur. You will find a full list in the manufacturer's information leaflet supplied with the vaccine. Speak with a doctor or nurse if any of the following side-effects continue or become troublesome.
Common pneumococcal vaccine side-effects | Cosa posso fare se sperimento questo? |
A raised temperature (mild fever); soreness, swelling, or redness around the site of the injection | Questo dovrebbe passare presto |
Muscle aches, headache | Se problematico, chiedi al tuo farmacista di consigliare un antidolorifico adatto |
Feeling tired, drowsy, irritable or having restless sleep | Questo dovrebbe passare presto |
Loss of appetite, being sick (vomiting), diarrhoea | Drink plenty of water to replace lost fluids. If this continues, let your doctor know |
Normalmente, il medico o l'infermiere ti chiederà di aspettare alcuni minuti dopo l'immunizzazione per assicurarsi che non reagisci male al vaccino. Sebbene le reazioni allergiche siano estremamente rare, dovresti cercare urgentemente un consiglio medico se hai difficoltà a respirare, o se si sviluppa gonfiore o un'eruzione cutanea entro pochi giorni dall'immunizzazione.
Se si verificano altri sintomi che ritieni possano essere dovuti al vaccino, parla con il tuo medico o farmacista.
Informazioni importanti su tutti i medicinali
Informazioni importanti su tutti i medicinali
Se devi sottoporti a un'operazione o a un trattamento dentale, informa la persona che esegue il trattamento sui medicinali che stai assumendo.
Se acquisti dei medicinali, verifica con un farmacista che siano adatti da assumere insieme agli altri tuoi medicinali.
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Se hai domande su questo medicinale, chiedi al tuo farmacista.
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Domande frequenti
What is the difference between Prevenar13®, Apexxnar®, and Vaxneuvance®?
Prevenar13®, Apexxnar®, and Vaxneuvance® are all brand names for the pneumococcal conjugate vaccine (PCV). This type of vaccine is used to routinely immunise babies, and it can also be given to older children and adults. The article doesn't specify any differences in their use for adults or children over 2 years of age.
Why would someone need a pneumococcal vaccine if they are already taking antibiotics to prevent infections?
The article states that if you have been prescribed antibiotic tablets/capsules to help prevent pneumococcal infections, you should continue to take them as prescribed, even after vaccination. The vaccine and antibiotics have different roles in protection; the vaccine stimulates your immune system to make antibodies, while antibiotics work to treat or prevent bacterial growth. Therefore, being vaccinated does not mean you should stop your preventative antibiotics.
How long does pneumococcal vaccine protection last for most adults over 65?
Most adults over 65 will be given a single, one-off dose of the pneumococcal vaccine. This implies that for this group, the protection from a single dose is considered long-lasting enough that booster doses are not routinely required.
Are there any specific medical conditions that might require more frequent booster doses of the pneumococcal vaccine?
Yes, some people with kidney problems or immune system problems may need a 'booster' dose of the pneumococcal vaccine every five years. Your doctor will provide specific advice on whether this applies to your situation.
What should I do if I am particularly at risk of infection and suddenly feel unwell with a high temperature after vaccination?
If you are particularly at risk of infection (for example, if you have had your spleen removed or are taking medicines that lower your immune response), and you suddenly feel unwell with a high temperature, you may need urgent antibiotic treatment. In this situation, you should make an appointment to see your doctor straightaway.
Ulteriori letture e riferimenti
- Manufacturer's PIL, Prevenar 13® suspension for injection; Pfizer Limited, The electronic Medicines Compendium. Dated March 2021.
- Manufacturer's PIL, Pneumovax® 23 Pneumococcal Polysaccharide Vaccine (PPV); Merck Sharp and Dohme Limited, The electronic Medicines Compendium. Dated November 2022.
- Medicinali Completi BNF 89ª Edizione; Associazione Medica Britannica e Società Farmaceutica Reale di Gran Bretagna, Londra.
Informazioni sull'autoreVisualizza il profilo completo

Helen Allen, MPharm
Pharmacist, Medical Author
MPharm
Helen Allen qualified as a Pharmacist in 1979 and spent 3 years as the drug information leaflets' author for EMIS.
Informazioni sul recensore

Sid Dajani
Sultan Dajani si è laureato alla London School of Pharmacy nel 1994 ed è diventato il più giovane membro eletto del consiglio della Royal Pharmaceutical Society dalla sua fondazione nel 1842.
Storia dell'articolo
Le informazioni su questa pagina sono scritte e revisionate da clinici qualificati.
Articolo disponibile anche in Inglese, Tedesco, Spagnolo, Francese, Italiano, Portoghese, Hindi, Ebraico, Arabo, and Svedese.
Prossima revisione prevista: 12 Lug 2027
13 Jan 2023 | Ultima versione
10 Dec 2013 | Pubblicato originariamente
Autore:
Helen Allen, MPharm

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