Vaccines for Asplenia

UPDATE HISTORY

• This page was created at 15th Feb 2023

Vaccines specifically recommended for asplenia

Interaction between meningococcal and pneumococcal conjugate vaccine

See Interactions of MenACWY conjugate vaccines and other vaccines

Immunization schedules for asplenia

※NOTICE

• The following descriptions are based on Official Routine Immunization Schedules in Japan as well as vaccines approvement in Japan.
• Catch-up schedules not covered by Official Schedules in Japan are derived from ACIP recommendations for Altered Immunocompetence and Catch-up Immunization Schedule for Children and Adolescents Who Start Late or Who Are More than 1 Month Behind.
  • both accessed on 15th Feb 2023

Catch-up schedules for asplenia with unimmunized for each of vaccine

Age	Hib if unimmunized	Pneumococcal if unimmunized	Meningococcal if unimmunized
years < 2	Immunize according to Official Routine Schedules	PCV13: 2-3 doses according to Official Routine Schedules PPSC23: wait until ≥ 2 years old	Wait until ≥ 2 years old
2 ≤ years < 5	Immunize according to Official Catchup Schedules	PCV13: 2 doses [0, 8w], of which 1 dose as Official Catchup Schedules PPSV23: 2 doses [0, 5y] 8 weeks after the last PCV13
5 ≤ years < 6		PCV13: 1 dose as Official Catchup Schedules PPSV23: 2 doses [0, 5y] 8 weeks after the last PCV13
6 ≤ years < 64		PCV13: 1 dose PPSV23: 2 doses [0, 5y] 8 weeks after the last PCV13
65 ≤ years