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In September 2000, CDC published an interim vaccination schedule recommended by the Advisory Committee on Immunization Practices (ACIP) to be used during a pneumococcal conjugate vaccine shortage that was anticipated to be brief.1,2 Because the duration of the shortage has been longer and the severity has been greater than anticipated, ACIP has revised these recommendations to health-care providers who had been advised to conserve vaccine by decreasing the number of doses administered to healthy infants rather than to leave some infants unvaccinated. For infants who receive their first dose before age 6 months, vaccination with a maximum of 3 doses is recommended; the fourth dose should be deferred. All health-care providers should reduce the number of vaccine doses used and ordered, regardless of their current supply, so that vaccine is more widely available until supplies are adequate.
Updated Recommendations on the Use of Pneumococcal Conjugate Vaccine in a Setting of Vaccine Shortage—Advisory Committee on Immunization Practices. JAMA. 2002;287(7):833–834. doi:10.1001/jama.287.7.833
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