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are an important first step in calculating the cost effectiveness of rotavirus vaccine. Pneumococcal conjugate vaccine (PCV) effectiveness against radiographic pneumonia in South Asia is unknown. Bangladesh introduced PCV10 in 2015 using a three dose primary series (3+. We sought to measure PCV10 effectiveness for two or more vaccine doses on radiographic pneumonia among vaccine-eligible children in rural Bangladesh. We conducted a matched case-control study over two years from 2015 to 2017 using clinic and community controls in three