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==UPDATE HISTORY==
*This page was created at 15th Feb 2023
===Interaction between meningococcal and pneumococcal conjugate vaccine===
See [[Meningococcus#Interactions of MenACWY conjugate vaccines and other vaccines|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 [https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/immunocompetence.html ACIP recommendations for Altered Immunocompetence] and [https://www.cdc.gov/vaccines/schedules/hcp/imz/catchup.html 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).
{|class="wikitable" style="min-width:800px"
|+Catch-up schedules for asplenia with unimmunized for each of vaccine
|-
!style="width:8em"|Age!!style="width:20em"|Hib vaccine!if unimmunized!style="width:20em"|Pneumococcal vaccineif unimmunized!style="width:20em"|Meningococcal if unimmunized!Meningococcal vaccinestyle="width:8em"|Age
|-
!years < 21|*3-4 Hib as Official Routine Schedules
|
*Immunize according to 3-4 PCV13 as Official Routine Schedules*PPSV23: wait until ≥ 2 years old|rowspan="2"|*Wait until ≥ 2 years old**consider unapproved imported MenACWY-CRM!years < 1|-!1 ≤ years < 2
|
*Immunize only PCV13 according to '''2 Hib [0, 8w]'''**of which 1 dose as Official Routine Catch-up Schedules*Wait until ≥ 2 years old for PPSV23
|
*Wait '''2 PCV13 [0, 60d]''' as Official Routine Schedules*PPSV23: wait until ≥ 2 years old for MenACWY!1 ≤ years < 2
|-
!2 ≤ years < 5
|
*'''2 Hib [0, 8w]'''
|
*'''2 PCV13 [0, 8w]'''
**of which 1 dose as Official Catch-up Schedules
**if PPSV23 precedes, '''1 year after the precedent PPSV23'''
*'''2 PPSV23 [0, 5y]'''
**'''8 weeks after the last PCV13'''
|rowspan="3"|
*'''2 Men-ACWY [0, 8w]'''
**[[Meningococcus#Interactions of MenACWY conjugate vaccines and other vaccines|'''メナクトラ Menactra exclusively 4 weeks after PCV13''']]
**[[Meningococcus#Interactions of MenACWY conjugate vaccines and other vaccines|メンクアッドフィ MenQuadfi can be co-administered with PCV13]]
!2 ≤ years < 5
|-
!5 ≤ years < 6
|rowspan="3"|
*'''1 Hib'''
|
*'''1 PCV13''' as Official Catch-up Schedules
**if PPSV23 precedes, '''1 year after the precedent PPSV23'''
*'''2 PPSV23 [0, 5y]'''
**'''8 weeks after the last PCV13'''
!5 ≤ years < 6
|-
!6 ≤ years < 6410|rowspan="2"|*'''1 PCV13'''**if PPSV23 precedes, '''1 year after the precedent PPSV23'''*'''2 PPSV23 [0, 5y]'''**'''8 weeks after the last PCV13'''!6 ≤ years <10
|-
!65 10 ≤ years|*'''2 Men-ACWY [0, 8w]'''**[[Meningococcus#Interactions of MenACWY conjugate vaccines and other vaccines|'''メナクトラ Menactra exclusively 4 weeks after PCV13''']]**[[Meningococcus#Interactions of MenACWY conjugate vaccines and other vaccines|メンクアッドフィ MenQuadfi can be co-administered with PCV13]]**'''consider unapproved imported Men-B'''!10 ≤ years
|}
