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MediumACIP expanded recommendations to a single dose of a pneumococcal conjugate vaccine (e.g. PCV20) for all PCV‑naïve adults ≥50 years; PCV15 followed by PPSV23 remains an option. PPSV23 alone (A) or reversed sequences (D) are not preferred. Restricting to chronic disease (E) is outdated.ACIP Recommendation (2025): Expanded Adult Pneumococcal Conjugate Vaccine Usepreventive medicine

A 52-year-old without prior pneumococcal vaccination asks about current recommendations. According to ACIP 2024/2025 guidance, what is recommended for adults ≥50 years who have not previously received a PCV?

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