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Key Clinical Message  We report a 13‐month‐old immune‐competent male child who was diagnosed with pneumococcal serotype 19A meningitis despite having received three  PCV 13 injections. Clinicians are reminded that bacterial meningitis can still occur, even in correctly vaccinated children. Investigations should include immune system screening along with abdominal ultrasound to exclude asplenia.

Streptococcus pneumoniae serotype 19A meningitis in well‐vaccinated immunocompetent 13‐month‐old child: a case of PCV 13 failure