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Which vaccine will I be offered?

Older adults and people aged two and over at higher risk from pneumococcal disease

In Wales, two pneumococcal vaccines are available for people in these groups:  

  • pneumococcal conjugate vaccine (PCV20, Prevenar 20), and 

  • pneumococcal polysaccharide vaccine (PPV23, Pneumovax 23). 

From early 2026, PCV20 will replace PPV23. You will be given the vaccine available at the time you attend your appointment. Both vaccines work well. 

You can learn more about these pneumococcal vaccines by reading the patient leaflets: 

Prevenar 20 suspension for injection in pre-filled syringe - Patient Information Leaflet (PIL) - emc (external site) 

Pneumovax 23 solution for injection in pre-filled syringe - Patient Information Leaflet (PIL) - emc (external site) 

Babies under two at higher risk from pneumococcal disease 

Some babies at higher risk may need extra pneumococcal vaccines. This includes babies who have: 

  • A missing spleen or a spleen that does not work properly 

  • A condition called complement disorder 

  • A very weak immune system 
     

If your baby has one of these conditions, they will be offered either the pneumococcal conjugate vaccine 13 (PCV13) or PCV20 (when available). Your baby will be given the vaccine available at the time you attend the appointment. Their specialist doctor or nurse will also let you know if your baby needs more doses. 

You can learn more about PCV13 and PCV20 by reading the patient leaflets: 

Prevenar 13 suspension for injection - Patient Information Leaflet (PIL) - emc (external site) 

Prevenar 20 suspension for injection in pre-filled syringe - Patient Information Leaflet (PIL) - emc (external site)