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Adult immunization in older adult with diabetes — ABIM Board MCQ

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EasyGeneral Internal MedicineAdult immunization in older adult with diabetesABIM Board

A 66-year-old man with diabetes asks which adult vaccines he needs. He received influenza vaccine this season and completed COVID-19 vaccination per current recommendations. He has never received pneumococcal or zoster vaccine. Which of the following would you recommend?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Pneumococcal vaccination and recombinant zoster vaccine series

Adults 50 years and older should receive recombinant zoster vaccine, and adults 65 years and older need pneumococcal vaccination according to current schedules and prior vaccine history. Diabetes also supports appropriate pneumococcal protection.

Reference: CDC Adult Immunization Schedule 2025-2026