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- W1963933166 abstract "To the Editor.— Although universal immunization against pneumococcal disease is desirable, the calls for blanket immunization presented in the September 5 issue 1 do not adequately address two concerns. Notwithstanding unfounded concerns about adverse reaction, the 1990 Physicians' Desk Reference continues to state, Re-vaccination of adults is contraindicated... since an increased incidence and severity of adverse reactions among healthy adults receiving such re-injections have been noted. When faced with uncertainty as to whether a patient has had previous vaccination, and with such a dire warning, it is not surprising that many physicians will demur. It is unreasonable to expect the medical community to ignore this risk in today's litigious society. Because many patients are unable to give a reliable history of prior vaccination, more thought should be given to a foolproof system of documenting immunization. Use of a harmless dye in the vaccine, together with a convention that immunization always" @default.
- W1963933166 created "2016-06-24" @default.
- W1963933166 creator A5084060557 @default.
- W1963933166 date "1991-01-09" @default.
- W1963933166 modified "2023-09-26" @default.
- W1963933166 title "Pneumococcal Vaccination: When in Doubt, Go Ahead" @default.
- W1963933166 cites W2016486619 @default.
- W1963933166 doi "https://doi.org/10.1001/jama.1991.03460020065018" @default.
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