Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|PPV: PNEUMO (NO BRAND NAME) / UNKNOWN MANUFACTURER||- / 4||- / OT|
Administered by: Unknown Purchased by: ??
Symptoms: Death, Septic shock
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': CO0095075131910COL000470
Write-up: septic shock; Information has been received from a regulatory authority and refers to a 2-year-old male patient. His medical history, concurrent conditions and concomitant medications were not provided. On an unknown date, the patient was vaccinated with the fourth dose of pneumococcal vaccine, polyvalent (23-valent)(manufacturer unknown)(exact dose, route of administration, lot# and expiration date were not reported) for prophylaxis. On an unknown date, the patient developed septic shock. On an unknown date, the patient died due to septic shock. It was unknown if an autopsy was performed. The causality assessment was not provided.; Reported Cause(s) of Death: SEPTIC SHOCK
Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166