Pneumococcal disease is caused by Streptococcus pneumoniae bacteria and is a leading cause of vaccine-preventable illness and death in the U.S. Anyone can get pneumococcal disease, but some people are at greater risk than others including those 65 years and older, the very young, people with certain health problems and/or a weakened immune system, and smokers. It can lead to serious infections of the lungs, blood, and covering of the brain. Pneumococcal polysaccharide vaccine protects against 23 types of pneumococcal  bacteria, including those most likely to cause serious disease. Vaccination is recommended every 5-6 years.

Shingles is a painful skin rash, often with blisters. Its main symptom is pain, which can be quite severe. Other symptoms can include fever, headache, chills and upset stomach. Very rarely, a shingles infection can lead to pneumonia, hearing problems, blindness, brain inflammation or death. Only someone who has had chickenpox -  or rarely, has gotten chickenpox vaccine – can get shingles. The virus stays in your body, and can cause shingles many years later. You cannot catch shingles from another person with shingles. However, a person who has never had chickenpox (or chickenpox vaccine) could get chickenpox from someone with shingles. This is not very common. Shingles is far more common in people 50 years of age and older than in younger people. It is also more common in people whose immune systems are weakened because of a disease such as cancer, or drugs such as steroids or chemotherapy. For prevention, a single dose of shingles vaccine (Zostavax) is recommended for adults 60 years of age and older. 

Varicella (chickenpox) is a common childhood disease. It is usually mild, but it can be serious, especially in young infants and adults. People 13 years of age and older who have never had chickenpox or received chickenpox vaccine, should get two doses of varicella, at least 28 days apart. 

Rabies is a serious disease caused by a virus. It is mainly a disease of animals, but humans can get rabies when they are bitten by infected animals. Weeks, and even months after a bite, rabies can cause pain, fatigue, headaches, fever, and irritability. These are followed by seizures, hallucinations, and paralysis. Human rabies is almost always fatal. Pre-exposure rabies vaccine is given to people at high risk of rabies to protect them if they are exposed. The vaccine is made from killed rabies virus, so cannot cause rabies. Vaccination consist of 3 doses, 0, 7, 21 or 28.