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From the 6/11/2021 release of VAERS data:

This is VAERS ID 26067



Case Details

VAERS ID: 26067 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia
SMQs:, Lack of efficacy/effect (narrow), Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


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