Changes to Pneumococcal High-Risk Paediatric Vaccine Program

On July 2nd, 2025, the Ontario Chief Medical Officer of Health shared a memorandum RE: the pneumococcal high risk paediatric program enhancement and the Health Care Provider Fact Sheet: Pneumococcal Conjugate Vaccines for Children Aged 6 Weeks to 17 Years

Children aged 6 weeks to 17 years who are at high risk of invasive pneumococcal disease (IPD) who have completed their pneumococcal 13-valent conjugate (Pneu-C-13) immunization series are now eligible for one dose of the pneumococcal 20-valent conjugate (Pneu-C-20) vaccine. 

  • Publicly funded vaccines for children aged 6 weeks to 17 years:
    • Vaxneuvance (Pneu-C-15) for those aged 6 weeks to 4 years at low risk for IPD
    • Prevnar 20 (Pneu-C-20) for those aged 6 weeks to 17 years at high risk for IPD
  • Pneu-C-20 should be provided at a minimum interval of 8 weeks since the last dose of Pneu-C-13, or at least 1 year since a dose of Pneumovax 23 (Pneu-P-23).
  • NOTE: The eligibility criteria for the adult pneumococcal program remain unchanged.

Vaccine Orders:

Questions:

  • General: contact TPH at [email protected] or 416-338-7600, Monday to Friday from 8:30 a.m. to 4:30 p.m.
  • Vaccine Delivery: contact the Ontario Government Pharmaceutical Services Customer Service at 416-327-0837 or [email protected]

More information: 
Ministry of Health – Vaccine resources for professionals: Pneumococcal Vaccine Program 

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