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Adult Splenectomy Vaccine Record

This information will help you keep track of the vaccines you will need after your spleen is removed.

A splenectomy is a surgery that removes all or part of the spleen. The spleen is an important part of your body's immune system. Without your spleen, you are more likely to get infections, so you will need vaccines to help prevent them.

Tell your doctor or nurse if you have already received any of the vaccines below. Bring this record with you when you follow-up with your primary care doctor so your vaccines stay up to date.
  • If you know you’re having surgery, get your vaccines at least 14 days before your surgery.
  • If you had unplanned surgery, you must wait at least 14 days after the surgery to have your vaccines.

Surgery date: ___________________

Vaccine
Why it Is Given
How it Is Given
Date Given
Revaccination
Haemophilus B Conjugate
Prevents Hib disease. Hib disease is a serious illness that can cause disability or death.
A shot into your muscle
 
None
Meningococcal
Helps prevent meningitis. Meningitis is swelling in the brain and spinal cord that can cause death.
If you are 11 to 55 years old, you should receive a Menactra shot into your muscle
 
Every 5 years
If you are age 2 to 10 or over age 55, you should receive a MenOmune shot into your skin
 
Every 5 years
Pneumococcal
1st: Conjugated
Helps prevent infection by pneumococcal bacteria, which can cause pneumonia, meningitis, and other serious illnesses that can cause death.
 
For broader protection against pneumococcal bacteria, 2 vaccines are given (Prevnar -13® and Pneumovax-23® valent).   
Prevnar-13® is given as a shot into your muscle
 
None
Pneumovax-23® is given as a shot into your muscle
 
 
 
(No sooner than 8 weeks after Prevnar-13®)
Future doses of Pneumovax-23® will be based on your age; talk with your primary care doctor
Influenza Inactivated Virus
Helps prevent the flu.
A shot into your muscle
 
Every year