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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': CO0095075131909COL011023
Write-up: death; Information has been received from a regulatory authority, on 20-SEP-2019. This spontaneous report refers to male patient of 4 (units not reported). No information was given regarding the patient''s concurrent conditions, concomitant medications or medical history. On an unknown date, the patient started therapy with pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown) (dose, route of administration, frequency, lot number and expiration date were not reported) for prophylaxis. On an unknown date, the patient died and the cause or if an autopsy was performed was not reported. The agency considered the event to be possible related to pneumococcal vaccine, polyvalent (23-valent) (manufacturer unknown).
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