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Regarding PCV I have seen some recommendations to vaccinate all adult asthmatics, to vaccinate just those that are on long term systemic steroids CDC, or to not vaccinate at all. Since all asthma patients, even those with mild asthma, may be at risk for invasive pneumococcal disease, looks like immunizing with PCV13 would be a good idea. Any recommendations on this? I find the pneumococcal recommendations somewhat confusing as well.