My daughter is 9 years old. Is the PPSV23 and PVC143 vaccinations typically given at those ages you had mentioned? Or is it something that must be asked for? I don't have a copy of her immunization record in front of me. We see the pediatrician for a weight check today and was wondering if it were something I should mention. Alyssa is on a daily inhaler and also has a rescue inhaler. She has a small right lung and quarter of the left one. She has also had Pneumonia in the past.

We are also talking about the flu shot. Is the mist just as effective or should we stick with the injection? Is it important that she does get the flu shot as well?