 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  professional before receiving the vaccine. If you have any questions, ask your health care professional. This vaccine is injected into a muscle by a health care professional. It is usually injected into the thigh in infants or into the upper arm in toddlers, children, and adults. The child may receive up to 4 injections. The number of injections that are given depends on the age of the child. Adults only receive 1 injection. If the child is receiving this vaccination before spleen surgery or before receiving cancer chemotherapy or other drugs that decrease the immune system function, it should be given at least 2 weeks before these procedures to be effective. Talk to your health care professional for more information.The side effects of Pneumococcal 15-Val Conj Vaccine-Dip Crm (PF) Intramuscular: Injection site reactions (such as pain, redness, swelling, hard lump), muscle/joint aches, or fever may occur. Ask your health care professional about taking a fever/pain reducer (such as acetaminophen) to help treat these symptoms. Drowsiness, tiredness, headache, irritability, loss of appetite, nausea, or diarrhea may also occur. If any of these effects last or get worse, tell your health care professional </s>