• Key idea: All patients should receive an annual flu vaccine
• Patients should get a Tdap vaccine as an adult and then a Td booster every 10 years
• All patients should get pneumococcal vaccines (PCV13 + PPSV23) at age 65, with patients under 65 with relative immunodeficiency or increased risk getting a PPSV23 (chronic heart, lung or liver disease; diabetes; current smokers; alcoholics) and patients under 65 with very high risk getting PCV13 + PPSV23 (CSF leak, sickle cell disease, asplenia, cochlear implants, HIV, chronic kidney disease, organ transplant, etc.)

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