Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The pneumococcal vaccine should not be received by persons with a
prior history of hypersensitivity reactions to the vaccine.
The safety of PPV during the first trimester of pregnancy has not
been evaluated. Pregnant women or those contemplating pregnancy
should consult their doctors for additional information.
How is pneumococcal vaccine administered?
The pneumococcal vaccine is given as one dose for most people.
The vaccine is injected as a liquid solution of 0.5 mL into the
muscle (intramuscular or IM), typically deltoid muscle, or under the
skin (subcutaneous or SC). The area injected is typically sterilized
by rubbing alcohol onto the skin prior to the injection.
Persons vaccinated prior to age 65 should be vaccinated at age 65 if
five or more years have passed since the first dose. For people with
lack of spleen function (such as in sickle cell disease or after
spleen removal), transplant patients, patients with chronic kidney
disease, immunosuppressed or immunodeficient persons, and others at
highest risk of fatal infection, a second dose should be given at
least five years after first dose.
What are side effects of pneumococcal vaccine?
Pneumococcal vaccine uncommonly causes side effects. Reported side
effects include soreness and/or redness at the site of the injection,
fever, rash, and allergic reactions.
What if it is not clear what a person's vaccination history is?
When indicated, vaccine should be administered to patients with
unknown vaccination status. All residents of nursing homes and other
long-term care facilities should have their vaccination status
assessed and documented.
Pneumonia is inflammation of one or both lungs with consolidation. Pneumonia is frequently but not always due to infection. The infection may be bacterial, viral, fungal or parasitic. Symptoms may include fever, chills, cough with sputum production, chest pain, and shortness of breath.
COPD (chronic obstructive pulmonary disease) is a disorder that persistently obstructs bronchial airflow. COPD mainly involves three related conditions, chronic bronchitis, chronic asthma, and emphysema. Symptoms of COPD include chronic cough, shortness of breath, frequent respiratory infections, wheezing, morning headaches, and pulmonary hypertension. Treatment of COPD is focused on the related condition(s).
Chronic bronchitis is a cough that occurs daily with production of sputum that lasts for at least three months, two years in a row. Causes of chronic bronchitis include cigarette smoking, inhaled irritants, and underlying disease processes (such as asthma, or congestive heart failure). Symptoms include cough, shortness of breath, and wheezing. Treatments include bronchodilators and steroids. Complications of chronic bronchitis include COPD and emphysema.
Encephalitis is a brain inflammation that causes sudden fever, vomiting, headache, light sensitivity, stiff neck and back, drowsiness, and irritability. Meningitis is an infection that causes inflammation of the meninges that surround the brain and spinal cord. Symptoms of meningitis include high fever, headache, nausea, vomiting, and stiff neck.
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