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Immunizations in AdultsQuestion 7/10

A 41-year-old man, newly diagnosed with HIV, presents to the clinic to establish care. His CD4 count is 412 cells/mm3. He starts on antiretroviral therapy, and he is seen back 4 weeks later for a follow-up visit. At this time, you plan to immunize him against Streptococcus pneumoniae. He has never received a pneumococcal vaccine.

For this man, which one of the following is a recommended toa  provide complete pneumococcal immunization?

Figure 1. Pneumococcal Immunization in Adults with HIV: No Prior Pneumococcal Immunization
Source: Panel on Opportunistic Infections in Adults and Adolescents with HIV. Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV: recommendations from the Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. Immunizations for Preventable Diseases in Adults and Adolescents Living with HIV. Last updated: Mary 27, 2026.
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Question Last Updated
June 28th, 2026

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