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Pneumococcal Vaccine (Pneumonia Vaccine) in Singapore

The pneumococcal vaccine — commonly called the pneumonia vaccine — protects against serious infections such as pneumonia, meningitis and bloodstream infection. It's recommended for everyone aged 65 and above, and for younger adults at higher risk. Often a once-in-a-lifetime jab, with subsidies for those who qualify.

65+Recommended for all
PCV20One-dose option
HSG · CHASSubsidies available
AccessibleClinics across Singapore
A vial of pneumococcal vaccine
The disease

What is pneumococcal disease?

Pneumococcal disease is caused by the bacterium Streptococcus pneumoniae. It spreads through coughs and sneezes, and can live harmlessly in the nose and throat — until it invades the lungs, bloodstream or the lining of the brain.

The pneumococcal vaccine is often called the pneumonia vaccine because pneumonia is the most common serious illness it prevents. Note that it protects against pneumococcal pneumonia specifically — not pneumonia caused by other germs, such as influenza or COVID-19, which have their own vaccines.

What it protects against

  • Pneumonia — infection of the lungs
  • Meningitis — infection of the lining of the brain and spinal cord
  • Bacteraemia — infection of the bloodstream
  • Otitis media — middle-ear infection, common in children
  • Hospitalisation and severe illness in older adults
Is it for you?

Who should get the pneumococcal vaccine?

Singapore's National Adult Immunisation Schedule (NAIS) recommends pneumococcal vaccination for:

  • All adults aged 65 and above
  • Adults aged 18–64 at increased risk of severe disease
  • People with diabetes
  • Chronic heart, lung, liver or kidney disease
  • Weakened immunity, or on immunosuppressive treatment
  • Absent or non-functioning spleen
  • Cochlear implant, or cerebrospinal fluid leak
  • Smokers
  • Infants and young children, under the childhood schedule
The vaccines

Which pneumonia vaccines are available in Singapore?

Three pneumococcal vaccines are used. The number in each name refers to how many strains of the bacterium it covers.

20strains covered

PCV20

Prevenar 20 · conjugate

The newest conjugate vaccine, added to Singapore's NAIS on 1 September 2025. For most adults, a single dose replaces the older PCV13-then-PPSV23 sequence — broader protection in one visit.

  • Single dose for most adults
  • Covers PCV13's strains, plus 7 more
13strains covered

PCV13

Prevenar 13 · conjugate

A long-established conjugate vaccine. In adults it is usually followed later by PPSV23; in infants it forms the childhood pneumococcal series.

  • Used in the childhood schedule
  • Often paired with PPSV23 in adults
23strains covered

PPSV23

Pneumovax 23 · polysaccharide

A polysaccharide vaccine covering the greatest number of strains, though it produces a different type of immune response. Given after PCV13 in eligible adults.

  • Broadest strain coverage
  • Given about a year after PCV13

Which pneumococcal vaccine is right for you depends on your age, medical conditions and what you've had before. Our doctors will recommend the most suitable option — and if you have already completed the PCV13 and PPSV23 sequence, you generally don't need PCV20 as well.

Schedule

How the pneumococcal vaccine is given

An injection into the upper arm. The number of doses depends on your age and health.

Most adults — PCV20A single dose provides broad protection in one visit. Often a once-in-a-lifetime vaccination.
Alternative — PCV13 then PPSV23A dose of PCV13, followed by PPSV23 later — usually about a year afterwards.
Infants & childrenUnder the National Childhood Immunisation Schedule: doses at 4 months and 6 months, with a booster at 12 months.
Alongside your flu jabThe pneumococcal and influenza vaccines can usually be given at the same visit, in different arms.
Safety

Pneumococcal vaccine side effects

Most people experience nothing more than a sore arm. Reactions are usually mild and short-lived.

Common & mild

  • Soreness, redness or swelling at the injection site
  • Mild headache, body aches or tiredness
  • Low-grade fever
  • Feeling faint — you may be asked to sit for a short while
  • Usually settles within a few days

Tell your doctor if you

  • Are unwell or have a fever today
  • Reacted badly to a previous pneumococcal vaccine
  • Have any known vaccine allergies
  • Are pregnant or breastfeeding
  • Have already had a pneumococcal vaccine before

Seek help promptly for severe reactions

Severe allergic reactions are rare. Get medical attention immediately if you develop swelling of the face, eyes, lips or tongue, difficulty breathing, or a widespread itchy rash after vaccination.

Cost

Pneumonia vaccine cost & subsidies in Singapore

Because pneumococcal vaccination is nationally recommended, several schemes reduce — or remove — the cost.

Healthier SG

Fully subsidised for eligible enrollees aged 65 and above, and adults with specified conditions, at their enrolled clinic.

CHAS & Pioneer / Merdeka

Subsidised at CHAS GP clinics for cardholders in nationally recommended groups under NAIS.

MediSave

Can be used towards the cost of the pneumococcal vaccine for eligible Singapore Citizens and PRs.

Flexi-MediSave

Eligible seniors aged 60 and above can tap Flexi-MediSave for outpatient vaccination costs.

 Ask about pneumococcal vaccine pricing
What to expect

Getting your pneumococcal vaccine

A short visit, and for most adults, protection that lasts.

1. Quick review

We check your age, conditions and vaccination history to pick the right vaccine.

2. Your vaccination

A quick injection into the upper arm, over in seconds.

3. Short observation

A brief wait afterwards, as a standard precaution.

4. Recorded for you

Logged to the National Immunisation Registry and your HealthHub record.

Good to know

Pneumococcal vaccine & pneumonia vaccine FAQs

Is the pneumococcal vaccine the same as the pneumonia vaccine?
Effectively, yes. The pneumococcal vaccine is often called the pneumonia vaccine because pneumonia is the most common serious illness it prevents. Strictly speaking, it protects against pneumococcal disease caused by the bacterium Streptococcus pneumoniae — which includes pneumonia, meningitis, bloodstream infection and middle-ear infection. It does not prevent pneumonia caused by other germs, such as influenza or COVID-19.
Who should get the pneumococcal vaccine in Singapore?
Under the National Adult Immunisation Schedule (NAIS), pneumococcal vaccination is recommended for all adults aged 65 and above, and for adults aged 18 to 64 at increased risk — including those with diabetes, chronic heart, lung, liver or kidney disease, weakened immunity, a non-functioning spleen or a cochlear implant. Infants receive it under the childhood schedule.
Which pneumococcal vaccines are available in Singapore?
Three are used: PCV13 (Prevenar 13) and PCV20 (Prevenar 20), which are conjugate vaccines covering 13 and 20 strains, and PPSV23 (Pneumovax 23), a polysaccharide vaccine covering 23 strains. PCV20 was added to the NAIS on 1 September 2025.
How many pneumococcal jabs do I need?
For most adults, a single dose of PCV20 provides broad protection in one visit. The alternative is the older sequence — a dose of PCV13 followed by PPSV23, usually about a year later. Your doctor will recommend the right option based on your age, health and vaccination history.
Is the pneumonia vaccine a one-time vaccine?
For many healthy older adults, yes — unlike the annual flu vaccine, pneumococcal vaccination is generally a one-off, or at most two doses in a lifetime. Some people with specific medical conditions may need a further dose; your doctor will advise.
What is the schedule for children?
Under Singapore's National Childhood Immunisation Schedule (NCIS), infants receive pneumococcal conjugate vaccine doses at 4 months and 6 months, with a booster at 12 months.
Can I get the pneumococcal vaccine at the same time as my flu jab?
Yes. The pneumococcal and influenza vaccines can usually be given at the same visit, in different arms. This is convenient for older adults, who are advised to have both.
Is the pneumococcal vaccine free or subsidised?
Pneumococcal vaccination is nationally recommended, so it is fully subsidised for eligible Healthier SG enrollees, and subsidised at CHAS GP clinics for Pioneer Generation, Merdeka Generation and CHAS cardholders in recommended groups. MediSave can also be used. Contact us to check what you qualify for.
Can I use MediSave for the pneumococcal vaccine?
Yes. Eligible Singapore Citizens and Permanent Residents can use MediSave towards nationally recommended vaccinations, including the pneumococcal vaccine. Flexi-MediSave is available to eligible seniors aged 60 and above.
What are the side effects of the pneumococcal vaccine?
Most people have only mild effects: soreness, redness or swelling where the injection was given, and sometimes a mild headache, body aches, tiredness or low-grade fever. These usually settle within a few days. Feeling faint immediately afterwards is uncommon but possible, so you may be asked to sit for a short while.
Who should not have the pneumococcal vaccine?
Tell your doctor if you have had an allergic reaction to a previous dose or any vaccine component, if you are unwell or feverish today, or if you are pregnant or breastfeeding. Your doctor will advise whether to proceed or postpone.
Why is the pneumonia vaccine important for seniors?
Pneumococcal disease is more common and far more dangerous with age — pneumonia in older adults frequently leads to hospitalisation and can be life-threatening. Vaccination substantially lowers the risk of severe pneumococcal pneumonia, meningitis and bloodstream infection.
Where is my vaccination recorded?
Your pneumococcal vaccination is recorded in the National Immunisation Registry and appears in your HealthHub record, so you and your doctors always have an accurate history.
Related

Other vaccines you may need

Protect yourself against pneumonia

If you're 65 or above, or living with a chronic condition, ask us about the pneumococcal vaccine. Often a single jab — and it could keep you out of hospital.

Book your pneumococcal vaccine

Sources

The requirements and recommendations on this page are drawn from official Singapore government sources:

This page is general information, not medical advice, and requirements can change. Always confirm the current position with the relevant Singapore government agency, or speak to our doctors about your own circumstances.