{"id":413,"date":"2024-02-14T19:19:51","date_gmt":"2024-02-14T19:19:51","guid":{"rendered":"https:\/\/www.merckvaccines.com\/capvaxive\/?page_id=413"},"modified":"2026-03-26T15:21:17","modified_gmt":"2026-03-26T15:21:17","slug":"home","status":"publish","type":"page","link":"https:\/\/www.merckvaccines.com\/capvaxive\/","title":{"rendered":"CAPVAXIVE\u00ae (Pneumococcal 21-valent Conjugate Vaccine) for Health Care Professionals"},"content":{"rendered":"<link rel='stylesheet' id='vivid360-spacer-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/spacer\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--tablet-spacer:2px;--mobile-spacer:4px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-hero-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/hero\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-hero ml-0 mr-0\"><div class=\"vivid360-hero-container align-left align-top ratio-50-50 horizontal desktop text-align-left has-primary-color is-split-style split-image-right mobile-is-split-style mobile-split-image-bottom mobile-uses-custom-styles\" style=\"border-width:0;border-style:solid;border-top-left-radius:24px;border-top-right-radius:24px;border-bottom-right-radius:24px;border-bottom-left-radius:24px;background-color:#dcf1f1;--minHeight:230px;--mobileMinHeight:407px\"><div class=\"wide_screens hidden\" data-value=\"stretch\"><\/div><picture><source media=\"(max-width: 767px)\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/home_banner_latest.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width:1024px)\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/home_banner.png?w=1024\"\/><source media=\"(min-width: 1025px) and (max-width:1440px)\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/home_banner.png?w=1440\"\/><img decoding=\"async\" width=\"1104\" height=\"418\" loading=\"lazy\" data-src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/home_banner.png?w=1488\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/home_banner.png?w=1488\" alt=\"\" class=\"hero-image\" style=\"--desktop-focal-x:0%;--desktop-focal-y:43%;--mobile-focal-x:26%;--mobile-focal-y:51%;--tablet-focal-x:0%;--tablet-focal-y:43%\"\/><div class=\"capoverlay-container-desktop right-bottom show    label\" style=\"--top-margin:;--bottom-margin:;--left-margin:;--right-margin:\"><div class=\"overlay-caption-schema\">Actor Portrayal<\/div><\/div><\/picture><div class=\"hero-wrapper\"><div class=\"hero-content\" style=\"background-color:#dcf1f1\"><h1 style=\"--headlineFontSize:24px;--headlineFontSizeTablet:36px;--headlineFontSizeMobile:24px;--headlineLineHeight:30px;--headlineLineHeightTablet:45px;--headlineLineHeightMobile:30px\" class=\"hero-title fontWeightRegular\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\"><strong>A PCV specifically designed for adults that helps protect against the serotypes responsible for the most cases of adult IPD<\/strong><sup><strong>1,2,a<\/strong><\/sup><br><br><strong>THAT&#8217;S BRILLIANT DESIGN<\/strong><\/mark><\/h1><p class=\"hero-description\"><\/p><div class=\"hero-btn-group\"><\/div><div class=\"hero-caption\"><\/div><\/div><\/div><\/div><div class=\"hero-caption-2desktop\"><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:36px;--tablet-spacer:36px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-row-module-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/row\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width regular-bg-width\"><div class=\"cropped\" id=\"row93dc00ab-4b38-467c-8eb4-3407d90fbe54\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color wp-elements-f98d773897c727dd6b34376c95d034ff\" style=\"font-size:24px\"><div class=\"paragraph-wrapper\"><div class=\"_88a4e363-4d9b-4404-aa29-db4a66e9575e \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color has-link-color\" style=\"font-size:24px\"><strong>Percentage of IPD cases caused by serotypes covered by CAPVAXIVE vs PCV20 among adults aged 50+ years at a national level<sup>1,2,a,b<\/sup><\/strong><\/p><\/div><\/div><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column mb-0 is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><link rel='stylesheet' id='vivid360-image-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/image\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container mt-0 mr-0 mb-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"654\" height=\"216\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/Group-957.svg\" alt=\"~54% Covered by PCV20 vs ~82% Covered by CAPVAXIVE\" class=\"wp-image-2050  style-noshadow deskHeightAuto deskWidthAuto \" title=\"\" style=\"height:216px;width:654px\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/\/2026\/03\/Group-957.svg 654w, https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/\/2026\/03\/Group-957.svg?resize=300,99 300w\" sizes=\"auto, (max-width: 654px) 100vw, 654px\" \/><\/figure><\/div><\/div>\n\n\n\n<p class=\"has-text-align-center has-primary-color has-text-color\" style=\"font-size:17px\"><div class=\"paragraph-wrapper\"><div class=\"_df90f972-9295-4d52-9ab1-527c05dfa495 \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color\" style=\"font-size:17px\">% of IPD cases in adults 50+ <strong>covered by vaccine serotypes<\/strong><\/p><\/div><\/div><\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width wide-bg-width\"><div class=\"cropped\" id=\"row42e9f488-5d13-4088-be44-788d7dee2160\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<div style=\"background-color:transparent;--desktop-spacer:40px;--tablet-spacer:40px;--mobile-spacer:12px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_d894655a-3adb-484b-8858-de3148ec222e \" id=\"\"><p style=\"font-size:20px\">CAPVAXIVE is the only FDA-approved pneumococcal conjugate vaccine that helps protect against <strong><mark><a aria-label=\"#\" href=\"https:\/\/www.merckvaccines.com\/capvaxive\/ipd-case-coverage\/\">serotypes<\/a><\/mark><\/strong> responsible for&nbsp;<strong>~82%<\/strong>&nbsp;of invasive pneumococcal disease cases in adults 50 years or older, compared to&nbsp;<strong>~54%<\/strong>&nbsp;by PCV20 on a national level.<sup>1,2,a<\/sup><strong><a aria-label=\"#\" href=\"https:\/\/www.merckvaccines.com\/capvaxive\/ipd-case-coverage\/\"> Learn more &gt;&gt;<\/a><\/strong><\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:20px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:48px;--tablet-spacer:48px;--mobile-spacer:36px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p><\/p>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:24px;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width has-color-alternate-primary-light-background-color full-page-width\"><div class=\"cropped\" id=\"row623e65fc-d7ff-468c-a7c1-f301b1d0b247\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:12px;padding-left:12px\" class=\"row-content wide-width hcp-wide-width\">\n<div style=\"background-color:transparent;--desktop-spacer:26px;--tablet-spacer:26px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-heading-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/heading\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid360-heading\" id=\"a205d8e72-5c01-4419-98cc-ce6052cbb054\"><h3 class=\"has-primary-color has-text-align-center content-width fontWeightRegular\" style=\"--desktopFontSize:24px;--tabletFontSize:var(--h3FontSizeDesktop);--mobileFontSize:20px;--desktopLineHeightSize:36px;--tabletLineHeightSize:var(--h3LineHeightDesktop);--mobileLineHeightSize:;--tabletAlign:center;--mobileAlign:center\" id=\"\"><strong>Intentional serotype selection<\/strong><sup><strong>1,2,b<\/strong><\/sup><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:12px;--tablet-spacer:12px;--mobile-spacer:12px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper wp-elements-f36d42336f1b6ebf5ef0ed4cc77bfcf0\"><div class=\"_fd737757-84b7-4b15-a4eb-bec80843f77f \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-large-font-size\">CAPVAXIVE is specifically designed to help protect against the serotypes responsible for the most cases of adult IPD.<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:24px;--tablet-spacer:24px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-center mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<div class=\"paragraph-wrapper\"><div class=\"_3c013b01-e7f2-43e8-9334-c25d99ee922e \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color\" style=\"font-size:20px\"><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b85860\" class=\"has-inline-color\"><strong>11 serotypes in CAPVAXIVE<\/strong><\/mark> <br>that are not covered by PCV20 cause <br><mark style=\"background-color:rgba(0, 0, 0, 0);color:#b85860\" class=\"has-inline-color\"><strong>~37% of IPD cases<\/strong><\/mark> <br>in adults 50 years or older at a national level.<\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:1%\">\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container mt-0 mr-0 mb-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/vertical_line-1.png\" alt=\"\" class=\"wp-image-2164  style-noshadow   \" width=\"1\" height=\"121\" style=\"height:121px;width:1px\"\/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/Line-17-1.png\" alt=\"\" class=\"wp-image-2165  style-noshadow mobile-image   \" width=\"293\" height=\"1\" title=\"\" style=\"height:1px;width:293px\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/Line-17-1.png 293w, https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/Line-17-1.png?resize=150,1 150w\" sizes=\"auto, (max-width: 293px) 100vw, 293px\" \/><\/figure><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:48%\">\n<div class=\"paragraph-wrapper wp-elements-7f91f7a6992ba87b2e9282358f72112c\"><div class=\"_86703051-1a3d-4e06-aaa9-33a77563b362 \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color has-link-color\" style=\"font-size:20px\"><strong>9 serotypes in PCV20<\/strong><br>that are not covered by CAPVAXIVE cause<br><strong>~8% of IPD cases<\/strong><br>in the same age group.<\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:26px;--tablet-spacer:26px;--mobile-spacer:24px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:42px;--tablet-spacer:42px;--mobile-spacer:34px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"paragraph-wrapper\"><div class=\"_f10058e7-4b8e-4b6d-8dd8-08fb836618dd \" id=\"\"><p class=\"has-large-font-size\">These values are based on CDC epidemiologic data and do not reflect the efficacy of the respective vaccines.<sup>2<\/sup>&nbsp;There are currently no studies comparing the efficacy of CAPVAXIVE and PCV20.<\/p><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:22px;--tablet-spacer:22px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size wp-elements-d7739fac19b5d0d79592f5f1ac3067f1\"><div class=\"paragraph-wrapper\"><div class=\"_1769f8b8-46cb-4d64-9553-2d0a9f2a75f9 \" id=\"\"><p class=\"has-text-align-center has-primary-color has-text-color has-link-color has-medium-font-size\"><strong>Quick links:<\/strong><\/p><\/div><\/div><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:16px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-columns are-vertically-aligned-top is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-card-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/card\/css\/style.min.css?ver=1773241827' media='all' \/>\n\n<div id=\"\" class=\"wp-block-vivid360-card a92921046-9bf8-41a5-b1ee-9d1e4527b633 vivid360-block-card has-text-align-left hasBoxShadow card-basic has-white-color has-primary-background-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:24px\"><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>CDC recommendations<\/strong><\/h3><div class=\"card-desc disablebutton has-regular-font-size\">\n\n<p class=\"has-white-color has-text-color has-link-color wp-elements-ae8e3a9f65442557f335745b9448c2ff\" style=\"font-size:20px\"><div class=\"paragraph-wrapper\"><div class=\"_b17190f2-6183-416d-8bac-cb99461fa68b \" id=\"\"><p class=\"has-white-color has-text-color has-link-color\" style=\"font-size:20px\">Recommended for adults aged 50 or older<sup>3<\/sup><\/p><\/div><\/div><\/p>\n\n<\/div><p class=\"card-link entire-card left\"><a class=\"\" href=\"#cdcrecommendations\" role=\"button\" style=\"border-radius:4px\" title=\"CDC recommendations\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"CDC recommendations\" data-design-module=\"element\">CDC recommendations<\/a><\/p><\/div><div class=\"has-white-color\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-down\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a1447f508-efa4-4c5a-b633-3c6441d3b898 vivid360-block-card has-text-align-left hasBoxShadow card-basic has-white-color has-primary-background-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:24px\"><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>Dosing and administration<\/strong><\/h3><div class=\"card-desc disablebutton has-regular-font-size\">\n\n<p class=\"has-white-color has-text-color has-link-color wp-elements-aa3fab79e19d077a957d7bcea5411635\" style=\"font-size:20px\"><div class=\"paragraph-wrapper\"><div class=\"_1de1f0d2-0443-4552-bc78-c021bcc9c418 \" id=\"\"><p class=\"has-white-color has-text-color has-link-color\" style=\"font-size:20px\">1 dose for all your appropriate adult patients<\/p><\/div><\/div><\/p>\n\n<\/div><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/capvaxive\/dosage-and-administration\/\" role=\"button\" style=\"border-radius:4px\" title=\"Dosing and administration\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"Dosing and administration\" data-design-module=\"element\">Dosing and administration<\/a><\/p><\/div><div class=\"has-white-color\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card ab0093e98-ca6a-4e25-884c-e2616c380610 vivid360-block-card has-text-align-left hasBoxShadow card-basic has-white-color has-primary-background-color full-page-width\" style=\"border-width:0px;border-style:;border-radius:24px\"><div class=\"card-content\"><div class=\"card-content-wrap\"><h3 class=\"card-header fontWeightRegular\"><strong>Reimbursement<\/strong><\/h3><div class=\"card-desc disablebutton has-regular-font-size\">\n\n<p class=\"has-white-color has-text-color has-link-color wp-elements-30c1336be6117c5ba77f45f25e1b5ae1\" style=\"font-size:20px\"><div class=\"paragraph-wrapper\"><div class=\"_9480fd7d-2ccf-4400-a0a3-6c2a888b7d65 \" id=\"\"><p class=\"has-white-color has-text-color has-link-color\" style=\"font-size:20px\">Covered for ~99% of commercial medical lives<sup>4<\/sup><\/p><\/div><\/div><\/p>\n\n<\/div><p class=\"card-link entire-card left\"><a class=\"\" href=\"https:\/\/www.merckvaccines.com\/capvaxive\/reimbursement-information\/\" role=\"button\" style=\"border-radius:4px\" title=\"Reimbursement\" target=\"_self\" rel=\"noopener\" data-design-category=\"link\" data-design-label=\"Reimbursement\" data-design-module=\"element\">Reimbursement<\/a><\/p><\/div><div class=\"has-white-color\"><div class=\"card-icon-right\"><i role=\"link\" aria-label=\"\" aria-hidden=\"true\" class=\"icon-arrow-right\"><\/i><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:42px;--tablet-spacer:42px;--mobile-spacer:2px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width regular-bg-width\"><div class=\"cropped\" id=\"row798afd11-4d8d-4515-982b-e56b7b16a16d\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<p class=\"has-text-align-center has-primary-color has-text-color\" style=\"font-size:24px\"><div class=\"paragraph-wrapper\"><div class=\"_71933d97-69a7-4b66-bad6-46806c874d9e \" id=\"cdcrecommendations\"><p class=\"has-text-align-center has-primary-color has-text-color\" style=\"font-size:24px\"><strong>CDC recommendations: <mark style=\"background-color:rgba(0, 0, 0, 0);color:#b85860\" class=\"has-inline-color\">updated October 2024<sup>3<\/sup><\/mark><\/strong><\/p><\/div><\/div><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:32px;--tablet-spacer:32px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:8px;--tablet-spacer:8px;--mobile-spacer:0px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"wp-block-vivid360-image\"><div class=\"img-container mt-0 mb-0 mr-0 ml-0\"><figure class=\"wp-block-vivid360-image is-style-default has-mobile-image aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/capvaxive_homepage_cdc-recommendations_desktop.svg\" alt=\"CAPVAXIVE PCV Recommendations From the CDC for Vaccine Na\u00efve and Previously Vaccinated Adults Ages 19-49 and 50+\" class=\"wp-image-2051  style-noshadow deskHeightAuto  \" width=\"930\" title=\"\" style=\"height:596px;width:930px\" srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/\/2026\/03\/capvaxive_homepage_cdc-recommendations_desktop.svg 898w, https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/\/2026\/03\/capvaxive_homepage_cdc-recommendations_desktop.svg?resize=300,199 300w, https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/\/2026\/03\/capvaxive_homepage_cdc-recommendations_desktop.svg?resize=768,510 768w\" sizes=\"(max-width: 898px) 100vw, 898px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/capvaxive_homepage_cdc-recommendations_mobile-1.svg\" alt=\"CAPVAXIVE PCV Recommendations From the CDC for Vaccine Na\u00efve and Previously Vaccinated Adults Ages 19-49 and 50+\" class=\"wp-image-2169  style-noshadow mobile-image  mobWidthAuto \" width=\"1024\" height=\"313\" title=\"\" style=\"height:313px;width:1024px\"\/><\/figure><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width regular-bg-width\"><div class=\"cropped\" id=\"rowb4262271-11e0-4fc4-8260-55440b80cc28\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<div style=\"background-color:transparent;--desktop-spacer:12px;--tablet-spacer:12px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color has-small-font-size\">&nbsp;<sup>*<\/sup>Routine if PCV13 was administered at any age and PPSV23 was administered before age 65 with the last pneumococcal vaccine being at least 5 years prior. Shared clinical decision-making if PCV13 was administered at any age and PPSV23 was administered at or after the age of 65 and the last pneumococcal vaccine was at least 5 years prior.<sup>3<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color has-small-font-size\">&nbsp;<sup>\u2020<\/sup>Certain chronic medical conditions (eg, diabetes, chronic heart disease, chronic lung disease, or chronic liver disease) or behavioral risk factors (eg, smoking or alcoholism).<sup>3<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color has-small-font-size\">&nbsp;<sup>\u2021<\/sup>See ACIP recommendations for full list of immunocompromising conditions, including HIV.<sup>3<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-8\"><\/div>\n\n\n\n<p class=\"has-primary-color has-text-color has-small-font-size\">&nbsp;<sup>\u00a7<\/sup>Also applies to patients with certain immunocompromising conditions who have received PCV13 followed by 2 doses of PPSV23.<sup>3<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:64px;--tablet-spacer:64px;--mobile-spacer:32px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div style=\"border-width:0px;border-style:;border-radius:0;background-color: !important\" class=\"wp-block-vivid360-row vivid360-row hcp-wide-bg-width full-page-width\"><div class=\"cropped\" id=\"row36c76dd6-d83b-4910-8081-d4b35b62b79c\"><div style=\"padding-top:0px;padding-bottom:0px;padding-right:0px;padding-left:0px\" class=\"row-content wide-width hcp-wide-width\">\n<div class=\"wp-block-columns are-vertically-aligned-top mb-0 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\">\n<div id=\"\" class=\"wp-block-vivid360-card a1352376b-2a34-41c4-aa2f-994d84a587e5 vivid360-block-card has-text-align-left card-horizontal has-primary-border-color has-color-alternate-primary-light-background-color full-page-width mt-0\" style=\"border-width:0px;border-style:;border-radius:24px;color:#111 !important\"><div class=\"card-media width-specific-display\"><figure class=\"ratio-4-3 ratio-1-1-mobile\"><picture><source media=\"(max-width: 767px)\" data-srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/icon1_mobile_new-1.png?w=767\"\/><source media=\"(min-width: 768px) and (max-width: 1440px)\" data-srcset=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/icon1.png?w=1440\"\/><img decoding=\"async\" width=\"90\" height=\"90\" data-src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/icon1.png\" loading=\"lazy\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/uploads\/sites\/153\/2026\/03\/icon1.png\" alt=\"\"\/><\/picture><\/figure><\/div><div class=\"card-content\"><div class=\"card-content-wrap\"><h2 class=\"card-header fontWeightBold\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-primary-color\">Are my adult patients at risk?<\/mark><\/h2><div class=\"card-desc has-regular-font-size\">\n<p class=\"has-black-color has-text-color has-link-color has-regular-font-size wp-elements-f4ecce69702f3690d041cf8781ce8e30\">Learn about the burden of disease and how your patients might be affected.<\/p>\n\n\n\n<div class=\"wp-block-vivid360-button-parent btn-block-container content-width button-justify-left\"><link rel='stylesheet' id='vivid360-button-block-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button\/css\/style.min.css?ver=1766071753' media='all' \/>\n<link rel='stylesheet' id='vivid360-button-parent-block-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/button-parent\/css\/style.min.css?ver=6.8.5' media='all' \/>\n\n<div class=\"vivid360-button-block fullWidth-mobile\"><a class=\"btn primary primary-regular has-primary-background-color has-white-color\" role=\"button\" style=\"font-size:14px;letter-spacing:0.86px;border-radius:4px;border-style:solid;justify-content:center;text-align:center;width:100%\" href=\"https:\/\/www.merckvaccines.com\/capvaxive\/burden-of-pneumococcal-pneumonia\/\" title=\"Read about the burden\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Read about the burden\" data-design-module=\"element\" data-event-name=\"element_click\">Read about the burden<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:12px;--tablet-spacer:12px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n<\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-vertically-aligned-top is-layout-flow wp-block-column-is-layout-flow\"><link rel='stylesheet' id='vivid360-columns-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/columns\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-columns vivid360-columns not-stacked-on-tablet\" style=\"--desktopPadding:;--tabletPadding:;--mobilePadding:;--gutterWidth:1rem;--mobGutterWidth:1rem;border-style:;border-radius:24px;border-width:0;background-color:#f1f1f1\"><link rel='stylesheet' id='vivid360-column-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/column\/css\/style.min.css?ver=1766071753' media='all' \/>\n\n<div class=\"wp-block-vivid360-column vivid360-column\" style=\"--tabletColumnWidth:100%;--mobileColumnWidth:100%;--tabletColumnOrder:;--mobileColumnOrder:;--colDeskPadding:;--colTabPadding:;--colMobPadding:;flex-basis:100%;border-style:;border-radius:24px;border-width:0;border-color:#f1f1f1\">\n<div style=\"background-color:transparent;--desktop-spacer:21px;--mobile-spacer:2px;--tablet-spacer:21px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-copy-url-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/copy-url\/css\/style.min.css?ver=1766071753' media='all' \/>\n<script type=\"text\/javascript\" src=\"https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/copy-url\/js\/frontend.js?ver=1766071753\" id=\"vivid360-copy-url-frontend-js-js\"><\/script>\n\n<div class=\"wp-block-vivid360-copy-url container-copy-url block-align-center\"><div class=\"v360-copy-url-block text-align-center\"><h3 id=\"copylinkheader\" class=\"v360-copy-url-block-header has-primary-color\">Share with health care professionals<\/h3><p class=\"v360-copy-url-block-preview-link\" data-collapsed-text=\"\" data-expanded-text=\"\"><\/p><div class=\"v360-copy-url-block-copy-container\"><div class=\"v360-copy-url-block-copy-text div\"><\/div><textarea readonly rows=\"1\" aria-label=\"link address to copy\" class=\"v360-copy-url-block-copy-text textarea\"><\/textarea><button type=\"button\" aria-live=\"polite\" data-event-name=\"copy_link_click\" data-design-module=\"copy_link\" data-design-category=\"copy_link\" data-design-label=\"\" data-copied-text=\"Link copied\" class=\"btn icon-right v360-copy-url-block-copy-button\">Copy link <i class=\"icon-social-link\"><\/i><\/button><\/div><\/div><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:21px;--mobile-spacer:12px;--tablet-spacer:21px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-mobile vivid360-spacer-tablet\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:16px;--tablet-spacer:16px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color has-small-font-size\"><sup>a<\/sup>Based on CDC ABC surveillance data from the years 2019\u20132023, representing ~35 million persons and 10 states across the US. Regional variations may exist.<sup>2,3,5-9<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color has-small-font-size\"><sup>b<\/sup>PCV20 serotypes for IPD case coverage: 1, 3, 4, 5, 6A, 6B, 7F, 8, 9V, 10A, 11A, 12F, 14, 15B, 18C, 19A, 19F, 22F, 23F, and 33F.<sup>10<\/sup><\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color has-small-font-size\">CAPVAXIVE serotypes for IPD case coverage:&nbsp;3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15B, 15C, 16F, 17F, 19A, 20A, 22F, 23A, 23B, 24F, 31, 33F, and 35B.<\/p>\n\n\n\n<div style=\"background-color:transparent;height:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer spacer-16\"><\/div>\n\n\n\n<p class=\"has-black-color has-text-color has-small-font-size\">ABC, Active Bacterial Core; ACIP, Advisory Committee on Immunization Practices;&nbsp;CDC, Centers for Disease Control and Prevention; CSF, cerebrospinal fluid; FDA, Food and Drug Administration; HIV, human immunodeficiency virus; IPD, invasive pneumococcal disease; PCV, pneumococcal conjugate vaccine; PCV13, 13-valent pneumococcal conjugate vaccine; PCV15, 15-valent pneumococcal conjugate vaccine; PCV20, 20-valent pneumococcal conjugate vaccine; PPSV23, 23-valent pneumococcal polysaccharide vaccine;&nbsp;US, United States.<\/p>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:12px;--tablet-spacer:12px;--mobile-spacer:16px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n\n<div class=\"vivid360-heading\" id=\"a8e128d26-f0fc-4677-b356-aceb5735dbf9\"><h3 class=\"has-black-color content-width fontWeightRegular\" style=\"--desktopFontSize:14px;--tabletFontSize:14px;--mobileFontSize:14px;--desktopLineHeightSize:21px;--tabletLineHeightSize:21px;--mobileLineHeightSize:\" id=\"\"><strong>References:<\/strong><\/h3><\/div>\n\n\n\n<div style=\"background-color:transparent;--desktop-spacer:2px;--tablet-spacer:2px;--mobile-spacer:8px\" class=\"wp-block-vivid360-spacer vivid360-spacer-desktop vivid360-spacer-tablet vivid360-spacer-mobile\"><\/div>\n\n\n<link rel='stylesheet' id='vivid360-list-parent-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/list-parent\/css\/style.css?ver=1766071753' media='all' \/>\n\n<div class=\"vivid-block-list2 content-width isBold \">\n<ol style=\"--listBulletColor:#333\" class=\"list-bullet-color has-black-color has-text-color\">\n<li class=\"has-small-font-size\">ABCs bact facts interactive data dashboard. SPN serotypes 1998-2023. Centers for Disease Control and Prevention. August 21, 2025. Accessed August 27, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/abcs\/bact-facts\/data-dashboard.html<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">1998-2023 serotype data for invasive pneumococcal disease cases by age group from Active Bacterial Core surveillance. Centers for Disease Control and Prevention. Updated November 14, 2025. Accessed November 20, 2025. <span class=\"word-break\">https:\/\/data.cdc.gov\/Public-Health-Surveillance\/1998-2023-Serotype-Data-for-Invasive-Pneumococcal-\/qvzb-qs6p\/about_data<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Kobayashi M, Leidner AJ, Gierke R, et al. Expanded recommendations for use of pneumococcal conjugate vaccines among adults aged \u226550 years: recommendations of the Advisory Committee on Immunization Practices \u2014 United States, 2024. <em>MMWR Morb Mortal Wkly Rep.<\/em> 2025;74(1):1-8. doi:10.15585\/mmwr.mm7401a1<\/li>\n\n\n\n<li class=\"has-small-font-size\">Data available on request from Merck National Service Center via email at daprequests@merck.com. Please specify information package US-PVV-01008.<\/li>\n\n\n\n<li class=\"has-small-font-size\">Active Bacterial Core surveillance (ABCs) report, Emerging Infections Program network, <em>Streptococcus pneumoniae<\/em>, 2019. Centers for Disease Control and Prevention. Updated June 16, 2021. Accessed August 1, 2025. h<span class=\"word-break\">ttps:\/\/www.cdc.gov\/abcs\/downloads\/SPN_Surveillance_Report_2019.pdf<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Active Bacterial Core surveillance (ABCs) report, Emerging Infections Program network, <em>Streptococcus pneumoniae<\/em>, 2020. Centers for Disease Control and Prevention. Updated September 20, 2022. Accessed August 1, 2025. <span class=\"word-break\">https:\/\/stacks.cdc.gov\/view\/cdc\/140328<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Active Bacterial Core surveillance (ABCs) report, Emerging Infections Program network, <em>Streptococcus pneumoniae<\/em>, 2021. Centers for Disease Control and Prevention. Updated June 2, 2023. Accessed August 4, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/abcs\/downloads\/SPN_Surveillance_Report_2021.pdf<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Active Bacterial Core surveillance (ABCs) report, Emerging Infections Program network, <em>Streptococcus pneumoniae<\/em>, 2022. Centers for Disease Control and Prevention. Updated July 5, 2024. Accessed August 1, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/abcs\/downloads\/SPN_Surveillance_Report_2022.pdf<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Active Bacterial Core surveillance (ABCs) report, Emerging Infections Program network, <em>Streptococcus pneumoniae<\/em>, 2023. Centers for Disease Control and Prevention. Updated March 20, 2025. Accessed July 28, 2025. <span class=\"word-break\">https:\/\/www.cdc.gov\/abcs\/downloads\/SPN_Surveillance_Report_2023.pdf<\/span><\/li>\n\n\n\n<li class=\"has-small-font-size\">Prevnar 20. Prescribing Information. Pfizer Inc; 2023.<\/li>\n<\/ol>\n<\/div>\n<\/div><\/div><\/div>\n\n\n<link rel='stylesheet' id='vivid360-modal-css-css' href='https:\/\/www.merckvaccines.com\/capvaxive\/wp-content\/themes\/cex-wpvip-mhh-merck-vivid360-theme-1-12\/blocks\/modal\/css\/style.min.css?ver=1770643873' media='all' \/>\n\n<div class=\"wp-block-vivid360-modal\"><div><div class=\"vivid360-modal-block-container is-style-passive-modal-two-btn\"><div class=\"vivid360-modal-trigger-container\"><span id=\"inlineTrigger\" role=\"link\" data-design-module=\"modal\" data-design-category=\"link\" class=\"vivid360-modal-trigger vivid360-modal-trigger-hide\">patientSite<\/span><\/div><div class=\"vivid360-modal-container null\"><div class=\"vivid360-modal\" style=\"color:#00857c\"><div class=\"vivid360-modal-content-area\"><a class=\"vivid360-modal-close-modal-span\" role=\"button\" aria-label=\"modal popup close\"><i class=\"icon-close\"><\/i><\/a><div class=\"modal-flex-container\"><div class=\"vivid360-modal-label-container  title-left\" style=\"--titleColor:#00857c\"><h2><\/h2><\/div><div class=\"vivid360-modal-content-container has-regular-font-size\">\n\n<p style=\"font-size:24px\"><div class=\"paragraph-wrapper\"><div class=\"_7db82f8c-2109-4588-8328-7dbb56df9aaf \" id=\"\"><p style=\"font-size:24px\"><strong>By clicking on this link, you will be leaving Merck Vaccines.<\/strong><\/p><\/div><\/div><\/p>\n\n<\/div><div class=\"vivid360-modal-button-container desktop-container\"><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular btn-confirm has-white-background-color vivid360-modal-dismiss-button\" role=\"button\" style=\"font-size:14px;border-style:solid;border-color:#00857c;color:#00857c\" href=\"#!\" title=\"Cancel\" target=\"_self\" rel=\"noopener\" data-design-category=\"button\" data-design-label=\"Cancel\" data-design-module=\"element\">Cancel<\/a><\/div><div class=\"vivid360-button-block\"><a class=\"btn primary primary-regular 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