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Side effects of the 23-valent pneumococcal polysaccharide vaccine (PPV23) are regarded as mild and uncommon in adults. In our clinical experience, however, protracted fever with a cellulitis-like reaction after PPV23 vaccination is not rare in pediatric patients. We reviewed the records of 17 children with those clinical findings after PPV23 vaccination.
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Huang et al. (2008) studied this question.
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