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* 1. Which of the following is the most common adverse effect associated with pneumococcal vaccination?

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* 2. All of the following patient factors will increase the risk of serious pneumococcal disease in adults except:

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* 3. According to ACIP, which of the following is recommended for a 52-year-old man with type 2 diabetes mellitus and no prior history of pneumococcal vaccination?

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* 4. According to ACIP, which of the following is recommended for a 70-year-old woman who received PPSV23 three years ago and no other history of pneumococcal vaccination?

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