Received Oct 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
very severe reaction; This spontaneous report was received from a health professional via company employee and refers to a male patient of unknown age. The patient's medical history was not reported. The patient's concurrent conditions were not reported. Concomitant therapies were not reported. On an unknown date, the patient was vaccinated with Pneumococcal 21-valent Conjugate Vaccine (manufacturer unknown), administered at a pharmacy for prophylaxis (strength, dose, route, lot #, and expiration date were not reported). On an unknown date, the patient experienced a very severe reaction (Immunisation reaction), and it was really bad. At the reporting time, the outcome of very severe reaction was unknown. The reporter considered the event of very severe reaction to be related to Pneumococcal 21-valent Conjugate Vaccine (manufacturer unknown). Lot# is being requested and will be submitted if received.