"A physician's MA reported that a 17 month old male received injections of Prevnar (3rd dose), Tripedia, Comvax and IPV on 5/29/01. Almost 1 year, had elapsed since the pt's 2nd Prevnar dose (6/6/00). He  was noted to have an ear infection at the time of vaccination on 5/29/01. On 6/6/01 (18 months of age), the pt began to experience fever (99.6F), cough and congestion. He was not treated at that time. On 6/9/01, the pt presented to an ER with a fever and cough and was subsequently admitted to the hospital. A maximum body temperature of 104F occurred (date not specified). The pt was dx'd with Streptococcal pneumonia. He remained hospitalized as of the date of this report (6/12/01)." F/U correspondence rec'd it was reported a MA reported in follow up tha ton 1/12/01 the pt had been discharged from the hospital with a dx of streptococcal pneumonia. The MA stated that the child had been well at the time of the vaccination (conflicts with previously reported info), and had returned to the phycician's office on 7/20/01 for an ear infection.At the time of this follow up, the pt was reported to be doing better. This was originally reported by a physician. Additional info has been requested. F/U states: an 18 month old male with a reactive airway disease and a history of multiple ear infections and 2 dose of haemophilus b conjugate vaccine + Hep-B vaccine recombinant (yeast) in the past, with no adverse events to report, on 6/6/00 (previously reported as 5/29/01), was vaccinated with a 3rd dose of HIB + Hep-B, IM, in the right thigh (lot 637875/1525K); a 3rd injection of Prevnar, IM in the left thigh (lot 473351; 1st injection on 4/11/00, 2nd on 6/6/00 (lots 471215 and 471209), Infanrix-IPV-Hib IM in the left thigh (lot T0485) and Tripedia IM in the right thigh (lot 40357AA). At the time of the vaccination, the pt was noted to have an ear infection. On 6/6/00 (previously reported as 6/6/01), the pt developed a fever (ii.5F), cough and congestion but was not treated at that time. On 6/9/00, the pt presented to an ER with a fever and cough and was hospitalized on that date. The pt's temperature rose to a maximum of 104.0F. The pt was subsequently dx'd with Streptococcal pneumonia. An MA reported in follow-up, that on 6/12/00, the pt had been discharged from the hospital with a dx of streptococcal pneumonia. The MA stated that the child had been well at the time of the vaccination (conflicts with previously reported information), and had returned to the physician's office on 7/20/00 for an ear infection. Subsequently, the pt recovered. This was originally reported by a physician. The streptococcal pnemonia was considered to be life-threatening. F/U correspondence received on 10/29/01 reported, "This pt had pneumonia and pneumococcal bacteremia, 10 days after receiving his 3rd dose of Prevnar. This was not an adverse vaccine reaction=just a failure of vaccine to prevent bacteremia". From follow-up correspondence received from on 11/26/2001, it was reported "The streptococcal pneumonia was considered to be life threatening. Additional information is not expected". Note to file: there have been date discrepancies in follow-up reports received from other manufacturers. A report from one such company does confirm the date of vaccination as that given by the initial reporter.