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This is a sequential vaccination strategy that combines pneumococcal polysaccharide vaccine (PPSV23, Pneumovax 23) with a pneumococcal conjugate vaccine (PCV, such as Prevnar 13, Prevnar 20, or other PCVs). The rationale for sequential administration is to provide broader protection against pneumococcal disease. Studies have shown that administering the pneumococcal conjugate vaccine first leads to a better immune response to serotypes common to both vaccines when the polysaccharide vaccine is given later. The recommended interval between the two vaccines varies based on age and risk factors, typically being 1 year for most adults, but can be shortened to 8 weeks for immunocompromised individuals.
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