text: People who are 65 years of age or older. \nPeople two years of age or older who have a chronic illness such as cardiovascular or pulmonary (lung) diseases, sickle cell disease, diabetes, alcoholism, chronic liver diseases, or cerebrospinal fluid (CSF) leaks. \nPeople with a weakened immune system due to illnesses such as HIV infection, AIDS, chronic renal failure, organ transplantation, Hodgkin's disease, lymphoma, multiple myeloma, and those who have had their spleen removed or whose spleen is dysfunctional due to an illness such as sickle cell disease. \nPersons in environments or settings with increased risk of pneumococcal disease, such as nursing homes or other long-term care facilities or certain Native American or Alaska Native populations.