Immunization Recommendations for Those Without a Spleen

1. Tdap: every 10 years

2. Influenza: annually in the fall but no later than the end of October

3.Meningitis B: 2 dose primary series at least 4 wks apart for BEXSERO, 3rd dose 1 year later, then subsequent doses every 2-3 years (per 6/27/19 CDC recommendation)

4. Meningitis ACWY: initial 2 dose series separated by at least 8 weeks then every 5 year booster dose

5. Hib: one dose after spleen is removed

6. Prevnar-13: one dose for <65 years then again at age 65 yrs at least 5 years from the first

7. Pneumovax 2 doses 5 years apart before age 65 yrs; give 3rd dose 1 yr after Prevnar-13 given at age 65 yrs