HIV: Should receive a complete series, regardless of CD4 count and viral load; Solid organ transplantation; Limited vaccine response; Vaccinate 2 weeks prior to surgery; If generated post-transplant, should be at least 3 months post-transplant as long as no acute cellular rejection is present; If

Use of inactivated vaccines should be repeated because the efficacy of a single dose is suboptimal efficacy; Complete vaccination schedules at least 2 weeks prior to initiation of immunosuppressive therapies.

The NITAG recommends starting with conjugate vaccines (PCV13) and then administer PPSV23 in those over 65 years of age. If PPSV23 is administered first, the placement of PCV13 should be generated 1 year later, not shortening the time.