An Introduction to Dosages for Prevnar 13
Preferred Prevnar 13 Dosing Schedule
The standard
Prevnar 13 dosage is 0.5 mL injected intramuscularly (into a muscle). For infants, the thigh is usually chosen, while the upper arm is generally preferred for toddlers or older children. The ideal vaccination schedule for Prevnar 13 is as follows:
- First dose -- 2 months old
- Second dose -- 4 months old
- Third dose -- 6 months old
- Fourth dose -- 12 to 15 months old.
The first dosage can be given as early as six weeks of age, and there should be at least four to eight weeks in between the doses. The fourth dosage should be given at least two months after the third dose.
This vaccine schedule is exactly the same as the one for the older version of Prevnar. In fact, Prevnar 13 can (and should) be used to complete the series for any child who started but has not yet finished the series with the older Prevnar vaccine.
In addition, all children under the age of five who have previously completed the older Prevnar series should receive one dose of Prevnar 13 in order to benefit from the extra protection this new vaccine provides.
Also, it is recommended that children age 6 to 18 years of age who are at an increased risk for invasive pneumococcal disease because of sickle cell disease,
HIV infection (or other immunocompromising conditions), cochlear implant, or cerebrospinal fluid leaks should receive one Prevnar 13 dosage, regardless of previous vaccination with Prevnar or
Pneumovax®. This is an
off-label use for the vaccine, however, since it is approved for use in children only up until the sixth birthday.
Prevnar 13 is also approved for use in adults age 50 and older. For this age group, the dosage is 0.5 mL injected intramuscularly for a single dose.