An immunogenic composition having 13 distinct polysaccharide-protein
conjugates and optionally, an aluminum-based adjuvant, is described. Each
conjugate contains a capsular polysaccharide prepared from a different
serotype of Streptococcus pneumoniae (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14,
18C, 19A, 19F and 23F) conjugated to a carrier protein. The immunogenic
composition, formulated as a vaccine, increases coverage against
pneumococcal disease in infants and young children globally, and provides
coverage for serotypes 6A and 19A that is not dependent on the
limitations of serogroup cross-protection. Also described is a method for
making an immunogenic conjugate comprising Streptococcus pneumoniae
serotype 3 polysaccharide covalently linked to a carrier protein, the
method including periodic acid oxidation of the polysaccharide in the
presence of bivalent cations.