Supplemental Grant Application Instructions II-2 . Scenario C. Exempt Human Subjects Research If all of the proposed human subjects research meets the criteria for one or more of the exemptions from the requirements in the HHS regulations (46.101(b)) (see Part III Section 3 under Human Subjects Research
Adults with one of the above listed conditions who have not received any pneumococcal vaccine should get a dose of PCV13 first and should also continue to receive the recommended doses of PPSV23. Ask your health care provider for details.
However, many doctors do give a second shot 5 to 10 years after the first shot. People who smoke, those with chronic lung disease, and those with impaired immunity can get the first pneumonia shot at any age. The same is true for people who have had surgery to remove the spleen or who have a spleen that is not working.