Received Jul 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC13 | PNEUMO (PREVNAR13) | PFIZER\WYETH | UNK | — | — |
leukemia; This is a spontaneous report received from a Consumer or other non HCP. An 83-year-old male patient received pneumococcal 13-val conj vac (dipht CRM197 protein) (PREVNAR 13), in 2015 as dose number unknown, single (Batch/Lot number: unknown), in arm for immunisation. The patient had no relevant medical history. The patient took concomitant medications. The following information was reported: LEUKAEMIA (death, hospitalization, medically significant), 1 month after the suspect product(s) administration, outcome "fatal", described as "leukemia". The patient underwent the following laboratory tests and procedures: complete physical: was fine. Therapeutic measures were taken as a result of leukaemia. The patient date of death was unknown. Reported cause of death: "leukemia". It was not reported if an autopsy was performed. Clinical course: The wife informed that the doctor asked if the patient wanted the Prevnar 13 shot and he said yes he would take it and it threw him into leukemia. In 2015, her husband took Prevnar 13, and it killed him. The patient got leukemia about a month later after the shot. Her husband had been to the hospital and he had a complete physical and was fine. She was just told he was in great shape. They told him that he could get transfusions, and he did for about a month and then they told him after a while it wouldn't do any good and he would have not very long to live so he wanted to quit, and he did quit and was dead within 3 months of the shot. The cause of death was leukemia. The wife wanted to know what the company will do about it. The information on the batch/lot number for pneumococcal 13-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.; Reported Cause(s) of Death: leukemia
Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: Other Conditions: No
Test Name: complete physical; Result Unstructured Data: Test Result:was fine