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Capvaxive (pneumococcal 21-valent conjugate vaccine, PCV21) is a biologic vaccine developed by Merck for the prevention of invasive pneumococcal disease and pneumococcal pneumonia in adults aged 18 and older. It contains capsular polysaccharides from 21 *Streptococcus pneumoniae* serotypes (3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15B, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B) individually conjugated to the CRM197 carrier protein (a nontoxic diphtheria toxin). The vaccine was FDA-approved in June 2024 and is specifically designed to cover serotypes responsible for approximately 84% of invasive pneumococcal disease in adults 65 and older. The VA Sierra Nevada Health Care System is conducting a Phase 4 clinical trial to evaluate the booster immune response of Capvaxive in immunocompromised veterans who have previously received the 23-valent pneumococcal polysaccharide vaccine (PPSV23).
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