Report #2894566

Overview

Sex

Male

Age

Age unknown

State

WA

Recovered

Unknown

Vaccinated

—

Onset

—

Days to onset

—

Hospital days

—

Symptoms (2)

Symptom narrative

Pneumonia; This spontaneous report has been downloaded from Diseases Surveillance System (DSS) referring to an adolescent male patient. The patient's medical history, concurrent conditions, concomitant therapies, previous drugs reactions and allergies were not reported. On an unknown date, the patient was vaccinated with 1 dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX 23) administered as prophylaxis (strength, lot #, expiration date, dose number, exact dose quantity volume, route, anatomical location of administration and vaccination scheme frequency were not provided). On an unknown date, the patient was vaccinated with 2 doses of or pneumococcal 15-valent conjugate vaccine (manufacturer unknown) administered as prophylaxis (strength, lot #, expiration date, dose number, exact dose quantity volume, route, anatomical location of administration and vaccination scheme frequency were not provided). On 2024, the patient experienced Pneumonia (Streptococcus pneumoniae pneumonia). On an unknown date, Serotype showed 19F. The outcome for the event was not provided. The causal relationship between the event and Pneumococcal Vaccine, Polyvalent (23-valent) was not provided. The causal relationship between the event and Pneumococcal 15-valent Conjugate Vaccine was not provided. Upon internal review, the event of Streptococcus pneumoniae pneumonia was determined to be medically significant.; Sender's Comments: Priority : 2 , Is case serious : Yes , Index user : , Index date : 2026-04-20 , MNSC number : , CLIC number : , ESTAR number : , IRMS number : V110-C/294 , Central date : 2026-04-15 , Classification : DMC, Attachment description : Minimal Data Entry , Safety case number :

Lab data

Test Name: Serotype; Result Unstructured Data: 19F