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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER||- / UNK||- / -|
Administered by: Unknown Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type': CO0095075131909COL010005
Write-up: DEATH; This spontaneous report was received from a regulatory authority refers to a 2-month-old female patient. There was no information about the patient''s concurrent conditions, concomitant therapies or medical history provided. On an unknown date, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) (lot #, expiry date, exact dose, anatomical location and route of administration were not reported) for prophylaxis. On an unknown date the, patient died. The cause of death was not reported. It was unknown whether autopsy was performed. The causality assessment was not reported. The agency considered this report to be serious.
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