Impact and Cost of a Pharmacist Pneumococcal Vaccination Program With PNEUMOVAX® 23 at an Urban Senior Center

Inclusion criteria

A. Inclusions for PPVP:

• Age ≥ 50 years old
• Can attend a 1.5-hour session at CIP
• Cognitively intact based on responses to an Abbreviated Mental Test Score (AMTS) of ≥7 (see Appendix for AMTS instrument)
• Can speak and read English at ≥4th grade level as evidenced by ability to read a brief passage
• Access to a telephone

B. Inclusions to receive the optional pneumococcal vaccination:

Patient meets ≥1 of the following criteria for receiving their first pneumococcal vaccination:

• All adults age 65 years and older who have not had the vaccine previously
• Age 50-64 years with any of the following conditions:

• Cigarette smokers age 19 years and older
• Chronic cardiovascular disease (e.g., congestive heart failure, cardiomyopathies; excluding hypertension)
• Chronic pulmonary disease (including COPD and emphysema, and for adults ages 19 years and older, asthma)
• Diabetes mellitus
• Alcoholism
• Chronic liver disease, cirrhosis
• Candidate for or recipient of cochlear implant
• Functional or anatomic asplenia (e.g., sickle cell disease, splenectomy)
• Immunocompromising conditions or on immunosuppressive therapy
• Chronic renal failure or nephrotic syndrome

OR

Patient meets ≥1 of the following criteria for receiving a booster dose of the pneumococcal vaccination:

• Adults age 65 years and older who received their first dose for any indication when they were younger than age 65 years.
• Adults age 50-64 who have not received the vaccine for ≥5 years and have one of the following conditions:

• Functional or anatomic asplenia (including persons with sickle cell disease or splenectomy patients);
• Chronic renal failure (including dialysis patients) or nephrotic syndrome;
• Immunocompromising conditions or on immunosuppressive therapy

Exclusion criteria

A. Exclusions to the PPVP program: none

B. Exclusions to receiving the optional pneumococcal vaccine:

• Participant has a history of allergic reaction to pneumococcal vaccine
• Participant has a history of allergic reaction to any component of any vaccine
• Participant with moderate or severe illness (these individuals will be advised to speak to their doctor regarding the vaccine)