Age: 98.0
Sex: F
Vaccine: PPV
Symptoms: Pneumonia aspiration, Pyrexia, Rhinorrhoea, Vomiting
Clinical narrative: In April 2000, the pt developed a cold. Additionally, it was noted that she kept a fever, had difficulty swallowing, difficulty drinking fluids, runny nose, continuous vomiting and coughing of mucous. It was reported that three months post vax, the pt became worse and her doctor prescribed her cefadroxil. She felt better and her cold symptoms disappeared for approximately one month. It was noted that subsequently her condition turned for the worse and that on 4/1/00 the pt was taken to the hospital because of feet were infected. The pt reportedly had no skin on her feet and had an infection of the bones. Additionally, on 8/1/00 the pt was dx with pneumonia. On 8/22/00, the pt died. The cause of death was aspiration pneumonia. The follow up received on 11/14/00 states that "they suctioned from her throat, a whole bottle of milky white fluid." Follow up info from a consumer (son of pt) reported that the primary care physiican reviewed his mother's records and there was no record of pneumococcal vaccine 23 polyvalent for the pt. He also felt that his mother's experience were disabling, life threatening and had prolonged her hospitalization. Follow up info from the physician indicated that the pt entered his practice in September 1998 and received the influenza vaccine in fall of 1999. He was emphatic that the pt did not receive pneumococcal vaccine 23 polyvalent at any time from his practice but acknowledged that she could have received the product elsewhere. He also noted that the pt's son was advised to transfer his mother to a nursing home when she became confined to bed, but that the son indicateed that he 'could and would' provide proper care to his mother. Additionally, the physician stated that the pt developed decubitus ulcers which subsequently became infected and then she develoepd osteomyelitis. She was then admitted to a nursing home for 6 weeks of parenteral antibiotic treatment. The pt had a DNR request authorizing IV antibiotics and other supportive treatment but nothing heroic. It was noted that the pt developed terminal pneumonia during this period. The physician also stated that he was not aware of any autopsy report for the pt. Follow up info from the pt's son indicated that in November 1998 the pt had pneumonia and because of this should have never received the vaccine. No further info is available. A 15-day follow up report received 6/27/2002 adds: Follow-up info was received from the pt's son who stated that his mother died in August after she was given the (pneumococcal vaccine 23 polyvalent) shot. He reported that the cause of death was a very bad foot infection caused by pressure ulcers. No further info is available.  Follow up on 12/27/2002: "Follow up information from a consuer (son of patient) reported that the PCP reviewed his mother's records and there was no record of pneumococcal vaccine 23 polyvalent for the patient.  He also felt that his mother's experiences were disabling, life threatening and had prolonged her hospitalization.  Follow up information from the physician indicated that the patient entered his practice in 09/1998 and received the influenza vaccine in fall of 1999.  He was emphatic that the patient did not receive pneumococcal vaccine 23 polyvalent at any time from his practice but acknowledged that she could have received the product elsewhere.  He also noted that the patient's son was advised to transfer his mother to a nursing home when she became confined to bed, but that the son indicated that he "could and would" provide proper care to his mother.  Additionally, the physician stated that the patient developed decubitus ulcers which subsequently became infected and then she developed osteomyelitis.  She was then admitted to a nursing home for 6 weeks of parenteral antibiotic treatment.  The patient had a DNA request authorizing IV antibiotics and other supportive treatment but nothing heroic.  It was noted that the patient developed terminal pneumonia during this period.  The physician also stated that he was not aware of any autopsy report for the patient.  Follow up information from the patient's son indicated that in November of 1998 the patient had pneumonia and because of this hsould have never received the vaccine.  Follow up information was received from the patient's son who stated that his mother died in August after she was given the (pneumococcal vaccine 23 polyvalent) shot.  He reported that the cause of death was a very bad foot infection caused by pressure ulcers.  This is an amended report.  The primary reporter now reads physician instead of consumer.  No further information is available.  This is a corrected report as amended."