1 May 2026Vaccines, immunoglobulins and antisera
Pneumococcal conjugate vaccine (PCV)
PCV guidance for prevention of invasive pneumococcal infection, pneumonia, and acute otitis media in children from 6 weeks of age.
This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.
Indications
Prevention of invasive infections, pneumonia, and acute otitis media due to Streptococcus pneumoniae in children from 6 weeks of age.
Composition, forms, route of administration
- 10-valent or 13-valent pneumococcal polysaccharide conjugate vaccine.
- Suspension for injection: 10-valent vaccine in multidose vials, 13-valent vaccine in monodose and multidose vials.
- For IM injection into the anterolateral part of the thigh in children under 2 years and into the deltoid muscle in children 2 years and over.
- Do not administer into the gluteal muscle.
Dose and vaccination schedule
Child: 0.5 ml per dose.
Child from 6 weeks to under 12 months
- 3p+0 schedule: 3 doses 4 weeks apart at 6, 10, and 14 weeks of age.
- 2p+1 schedule: 2 doses 8 weeks apart and a booster dose between 9 and 15 months.
Child from 12 months to under 2 years
- 2 doses 8 weeks apart.
Child from 2 to 5 years
- A single dose.
Contra-indications, adverse effects, precautions
- Do not administer in the event of allergic reactions to a previous dose of vaccine.
- Vaccination should be postponed in the event of severe acute febrile illness; minor infections are not contra-indications.
- May cause mild local reactions, fever, irritability, drowsiness, loss of appetite, and rarely seizures or anaphylactic reactions.
- If administered simultaneously with other vaccines, use different syringes and injection sites.
- If the vaccination is interrupted before the complete series has been administered, continue the schedule from where it was interrupted and do not repeat the previous dose.
- Choice of vaccines and vaccination schedule: follow national recommendations.
- Shake before use to homogenise the vaccine.
- 10-valent vaccine, 2-dose vial: if the open vial is not used entirely within 6 hours it should be discarded.
- 10-valent and 13-valent vaccine, 4-dose vial: if the open vial is not used entirely it can be stored for 28 days, provided the cold chain is respected.
Source
MSF Essential drugs practical guidelines (January 2026)
This page reproduces the structured reference information for this batch while leaving out the Storage and Remarks sections.
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