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For adults below 60, pneumonia vaccine is recommended only if you want extra protection, or if you have any risk factors such as: Asthma Diabetes Smoking Heart disease Lung disease Frequent respiratory infections If none of these apply and you are generally healthy, vaccination is optional, but still beneficial. There are two options: 1: Single Vaccine Strategy (Most modern) PCV20 (Prevnar 20) • Only 1 dose for lifetime • Covers 20 pneumococcal strains • Most convenient & preferred in 2024 guidelines • No booster needed If available, this is the best choice. Option 2: Older, Two-Vaccine Strategy If PCV20 is not available: Step 1: PCV13 (Prevnar 13) – one dose THEN after 8 weeks Step 2: PPSV23 (Pneumovax 23) – one dose This gives broad coverage but requires two visits. Which One Should YOU Take at Age 35? If you want simplest & strongest protection → PCV20 single dose If PCV20 is unavailable → PCV13 now → PPSV23 after 8 weeks