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If a client has had a total of two pneumococcal vaccinations at least 5 years apart, but both given prior to age 65, is there ever an indication to give a 3rd dose?

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If a client has had a total of two pneumococcal vaccinations at least 5 years apart, but both given prior to age 65, is there ever an indication to give a 3rd dose?

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Some healthcare providers choose to revaccinate periodically. However, there are no data to indicate that multiple boostings with pneumococcal polysaccharide vaccine (PPV23) are effective. Therefore, ACIP does not recommend more than a total of two doses of PPV23 in a lifetime even if both doses are administered before 65 years of age.

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