• The CDC recommends the 21-valent pneumococcal conjugate vaccine (PCV21) for adults, particularly those at higher risk of pneumococcal disease, to broaden protection against invasive strains.
• Clinical trials demonstrate PCV21's non-inferior immunogenicity compared to existing vaccines like PCV15, PCV20, and PPSV23, with statistically significant improvements against unique serotypes.
• Safety data from trials indicate that PCV21 has a similar safety profile to comparator vaccines, with mostly mild to moderate adverse events like injection site pain and fatigue.
• Economic models suggest PCV21's cost-effectiveness varies, potentially being cost-saving compared to PCV20 in high-risk groups, but less favorable for universal vaccination in younger adults.