Initial and follow-up information has been received from a 76 year old, male physician with no reported drug reactions or allergies, who reportedly may have received 1 or 2 doses of Pneumovax 23  in the past, who prior to vaccination with Pneumovax 23 was hospitalized for 10 days with pneumonia and was recovering. Upon discharge from the hospital, on 22-MAR-2007, the patient was vaccinated intramuscularly, into the left arm with Pneumovax 23. Concomitant therapy included vancomycin, levofloxacin (LEVAQUIN) and an antibiotic similar to amoxicillin (+) clavulanate potassium (AUGMENTIN) (specific name unknown). The physician reported that on 22-MAR-2007, he experienced swelling and pain at the injection site, high fever, and chills. The physician reported that due to these side effects he was hospitalized for an additional 48 hours. The physician was treated with cortisone and more triple intravenous (IV) antibiotics. He had a complete blood (CBC) count (results not reported). The physician sought unspecified medical attention. The physician was recovering at the time of the report, but still had a slightly sore arm. The physician considered swelling and pain at the injection site, high fever, and chills to be disabling and other important medical events. In follow-up it was reported by the consumer a 76 year old, male physician, whose reported weight was 195 pounds and his reported weight was 73 inches who was vaccinated with Pneumovax 23 on 22-MAR-2007. The physician stated that he had "every immunization known to man" in the past. He also reported that the only medical history was a "yellow fever allergy" about 30 years ago. The physician reported that he completely recovered from the injection site swelling, chills, and pyrexia after vaccination. The physician did not know the Lot number (#) of the vaccine that was given to him. The physician stated that he had definitely received at least one other with Pneumovax 23 in the past could have possibly received two. Additional information has been requested. This is in follow-up to report(s) previously submitted on 7/30/2007. Initial and follow-up information has been received from a 76 year old male physician with no reported drug reactions or allergies who reportedly may have received 1 or 2 doses of PNEUMOVAX vaccine in the past who prior to vaccination with PNEUMOVAX was hospitalized for 10 days with pneumonia and was recovering. Upon discharge from the hospital on 22-MAR-2007, the patient was vaccinated intramuscularly, into the left arm with PNEUMOVAX. Concomitant therapy included LEVAQUIN and an antibiotic similar to AUGMENTIN (specific name unknown). The physician reported that on 22-MAR-2007, he experienced swelling and pain at the injection site, high fever, and chills. The physician reported that due to these side effects he was hospitalized for an additional 48 hours. The physician was treated with cortisone and more triple intravenous (IV) antibiotics. He had a complete blood (CBC) count (results not reported). The physician sought unspecified medical attention. The physician was recovering at the time of the report but still had a slightly sore arm. The physician considered swelling and pain at the injection site, high fever, and chills to be disabling and other important medical events. In follow-up it was reported by the consumer a 76 year old male physician, whose reported weight was 195 pounds and his reported height was 73 inches who was vaccinated with PNEUMOVAX on 22-MAR-2007. The physician stated that he had "every immunization known to man" in the past. He also reported that the only medical history was a "yellow fever allergy" about 30 years ago. The physician reported that he completely recovered from the injection site swelling, chills and pyrexia after vaccination. The physician did not know the Lot number of the vaccine that was given to him. The physician stated that he had definitely received at least one other PNEUMOVAX in the past but could have possibly received two. In follow-up it was reported by the consumer a 76 year old male pediatrician whose reported weight was 190 pounds and his reported weight was 72 inches who was vaccinated with PNEUMOVAX on 22-MAR-2007. The physician reported that at the time of vaccination he was recovering from viral pneumonia. The physician reported that he developed swelling of arm, chills, fever to 102 degrees. Celsius and be developed a painful arm, which required hospitalization for two days. Additional information has been requested.