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Do I need the pneumococcal vaccine if I have asthma?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am 30 years old and have asthma, which my doctor says may increase my risk for pneumococcal disease. Should I consider getting the pneumococcal vaccine, and are there different types that would be more effective given my condition? How can I recognize early symptoms of pneumococcal infection, and what precautions should I take to lower my risk?

Please help.

Hello,

Welcome to icliniq.com.

I went through your query.

Pneumococcal disease is an infection caused by Streptococcus pneumoniae bacteria. It is contagious and may cause severe illness, so early diagnosis and treatment is important. Its presentation can be sinusitis, pneumonia and meningitis. Patients with sinusitis can present with running nose, nasal congestion. Patients with pneumonia can present with fever, cough, shortness of breath and wheezing. Patients with meningitis can present with headache, fever, seizures. If such symptoms are there, urgent pulmonologist consultation should be taken either virtually or physically, so that proper diagnosis can be established.

Patients who are at increased risk includes:

1. Patients with cochlear implants.

2. Patients with cerebrospinal fluid (CSF) leak.

3. Patients with diabetes.

4. Patients with kidney disorders and history of splenectomy.

5. Immunocompromised conditions like HIV / post organ transplantation.

6. Elderly people.

7. Chronic alcoholics and smokers.

8. Chronic lung diseases like asthma.

Pneumococcal vaccine is advised for children and all individuals who are above 65 years of age irrespective of their health status and to all those individuals who have any of the above risk factors irrespective of their age. It is quite effective in preventing occurrence of pneumonia due to streptococcus pneumonie. Vaccination schedules vary between children and adults and it shall be followed as per the national policy. It is recommended in children and elderly and must be taken by all such individuals. This vaccine is quite safe and only mild side effects like fever, local site pain can occur.

Types of Pneumococcal Vaccines:g

There are two main types of pneumococcal vaccines recommended for adults:

1. Pneumococcal Conjugate Vaccine (PCV13 or PCV20): PCV13 protects against 13 types of pneumococcal bacteria. PCV20 covers 20 types and is recommended for adults over 65 and those with certain health conditions.

2. Pneumococcal Polysaccharide Vaccine (PPSV23): PPSV23 protects against 23 types of pneumococcal bacteria and is often given after the conjugate vaccine. Recommended Schedule For most adults, it is typically recommended to get one dose of PCV20 or a sequence of PCV13 followed by PPSV23 after a certain interval. Your doctor can provide personalized advice based on your health history and any previous vaccinations.

Getting vaccinated is a proactive step to safeguard your health as you age. It is always a good idea to discuss any concerns or questions with your healthcare provider to ensure you are following the best plan for your health needs. If you have not already, consider scheduling your vaccination soon.

Measures for prevention of pneumonia in general includes:

1. Regular vaccination should be given two to four weeks after recovery from pneumonia including COVID-19, pneumococcal and influenza vaccinations, if not taken already.

2. Maintain active and healthy lifestyle.

3. Ensure consumption of balanced and nutritious diet.

Hope it helps.

Thank you.

Answered byDr. Nitesh Goyal

Medically reviewed byiCliniq medical review team

Published At November 18, 2024
Reviewed AtJune 17, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nitesh Goyal
Dr. Nitesh Goyal

Pulmonology (Asthma Doctors)

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