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Our data showed that despite recommendations from various medical groups throughout the world for all patients with autoimmune diseases like RA and SLE, nearly 1 out of 3 of these patients <65 years of age did not report receiving a pneumonia vaccination. Those most likely to get the vaccinations are >65 years of age, for all diagnoses including OA, and have a presence of lung disease, for RA and SLE patients. SLE patients who used prednisone were also more likely to get the pneumonia vaccination.