New recommendations from the CDC in the U.S. for immunocompromised patients, like with CLL, is that we should have BOTH pneumococcal disease shots, PCV13 and PPSV23.
'In 2010, 50% of the invasive pneumococcal disease cases in immunocompromised adults were caused by serotypes found in PCV13 and another 21% were caused by serotypes found only in PPSV23.'
So we need to discuss this with our doctors...