Report #2836922

Received Apr 20, 2025

Life-threateningOffice visit

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Overview

Sex: Male
Age: 65 yrs
State: MI
Recovered: Recovered
Vaccinated: Mar 16, 2015
Onset: Apr 16, 2015
Days to onset: 31
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
PPV	PNEUMO (PNEUMOVAX)	MERCK & CO. INC.	1	K008409	IM / RA

Symptoms (8)

Blood testChromaturiaDiagnostic procedureHaematocrit decreasedHaemoglobin decreasedHaemolytic anaemiaHaptoglobin decreasedJaundice

Symptom narrative

hemolytic anemia (symptoms included jaundice, dark urine, undetectable haptoglobin, low hematocrit and low hemoglobin), treated with Prednisone (60 mg/day for 3 wks, then 40 mg/day for 2 wks, then 30 mg/day for 2 wks, then 20 mg/day for 2 wks, then 15 mg/day for 2 wks, then 10 mg/day for 2 wks, then 5 mg/day for 3 wks, then 5 mg/on alternate days for 4 wks), resulting in restoration within 1 month and subsequent maintenance of normal hemoglobin levels - no recurrence over past 10 years

Current illness

none

Medical history

hyperlipidemia

Other medications

Zocor (20 mg/day), aspirin (81 mg/day), Zovirax (800 mg 5/day)

Allergies

sulfa (rash)

Lab data

Many diagnostic tests were performed initially, followed by periodic blood tests; consult offices listed in items 14 and 15 above for details.