Table 1 UK immunisation schedule for patients without functioning spleens
PneumococcusMeningococcus and Haemophilus influenzae type bInfluenza
Under 2 yearsRoutine*Routine*Annual
Over 2 but under 5 years (fully vaccinated)Single dose of PPVBooster dose given as the Hib/MenC vaccineAnnual
Over 2 but under 5 years (unvaccinated or partially vaccinated)Two doses of PCV given 2 months apart, followed 2 months later by PPVTwo doses of the Hib/MenC vaccine given 2 months apartAnnual
5 years and over (previously vaccinated)Single dose of PPVBooster dose given as the Hib/MenC vaccineAnnual
5 years and over (unvaccinated)Single dose of PPVTwo doses of the Hib/MenC vaccine given 2 months apartAnnual
Reinforcing immunisationPPV every 5 yearsMenC vaccine every 5 years; Hib vaccine not currently recommendedAnnual
  • Schedule summarised from The Green Book (UK).21

  • *Routine UK immunisation schedule.

  • Hib, Haemophilus influenzae type b; MenC, meningococcus group C; PCV, pneumococcal conjugate vaccine; PPV, pneumococcal polysaccharide vaccine.