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 your spleen. Your spleen is an important part of your body’s immune system. Without your spleen, you’re more likely to get bacterial 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 see your primary care doctor so your vaccines stay up to date.

Vaccines and Surgery

  • 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 your surgery to get your vaccines.

Surgery date: ___________________


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Vaccine Record

Why It’s Given
How It’s Given
Date Given
Revaccination and Instructions
Haemophilus B Conjugate Prevents Hib disease that can cause meningitis, pneumonia and other serious illnesses. These illnesses can cause disability or death. A shot into your muscle.  _____ None
Pneumococcal 1st: Conjugated

Helps prevent infection by pneumococcal bacteria. Pneumococcal bacteria 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).

You will get Prevnar-13 first. You can get Pneumovax at least 12 weeks later.

If you got Pneumovax-23 first, you need to wait at least 1 year until you can get Prevnar-13.

Prevnar-13 is given as a shot into your muscle. _____ None
Pneumovax-23 is given as a shot into your muscle.



People under age 65 should be re-vaccinated 5 years after the first dose. They should be re-vaccinated again at or after age 65, as long as 5 years have passed after the earlier dose.

People who got the first dose at or after age 65 don’t need to be revaccinated.


Helps prevent meningitis. Meningitis is swelling in the brain and spinal cord that can cause death.

For broader protection against meningococcal bacteria, 2 vaccines are given (Menveo® and Bexsero®). You will get Menveo first. You can get the Bexsero vaccine later or at your primary care doctor’s office.

Menveo is given as a shot into your muscle. It’s given as 2 shots, 12 weeks apart.

Date first shot received: ______

Date second shot due: ______

Date second shot received:  _____

Every 5 years
Bexsero is given as a shot into your muscle. It’s given as 2 shots, at least one month apart. It can be given at the same time as the second Menveo dose.

Date first shot received: ______

Date second shot due: ______

Date second shot received:  _____

Influenza Inactivated Virus Helps prevent the flu. A shot into your muscle. _____ Every year
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