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This is VAERS ID 842775

Case Details

VAERS ID: 842775 (history)  
Form: Version 2.0  
Sex: Unknown  
Location: Foreign  
Submitted: 0000-00-00
Entered: 2019-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Death, Pneumococcal infection
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: JP0095075131910JPN002214J

Write-up: Invasive pneumococcal infection; Initial information has been received from a physician concerning an adult patient. The patient was vaccinated with pneumococcal vaccine (PNEUMOVAXNP) for prophylaxis (vaccination date and lot number was not reported.) No concomitant medications reported. On an unspecified date, the patient was vaccinated with pneumococcal vaccine (described above). On an unspecified date, invasive pneumococcal disease developed. On an unspecified date, the patient died of invasive pneumococcal disease. Whether an autopsy was performed was unknown. Reporter''s comment: not provided The reporting physician did not assess the relationship of invasive pneumococcal disease to pneumococcal vaccine. Upon internal review, invasive pneumococcal disease was determined to be medically significant.; Reported Cause(s) of Death: Invasive pneumococcal infection

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