text: who should get pneumococal vaccine.?   people who are 65 years of age or older.  people two years of age or older who have a chronic illness such as cardiovascular or pulmonary (lung) diseases, sickle cell disease, diabetes, alcoholism, chronic liver diseases, or cerebrospinal fluid (csf) leaks.  people with a weakened immune system due to illnesses such as hiv infection, aids, chronic renal failure, organ transplantation, hodgkin's disease, lymphoma, multiple myeloma, and those who have had their spleen removed or whose spleen is dysfunctional due to an illness such as sickle cell disease.  persons in environments or settings with increased risk of pneumococcal disease, such as nursing homes or other long-term care facilities or certain native american or alaska native populations.