The vaccine is designed to provide protection only against those specific serotypes in the vaccine for the specific organism. When a non-vaccine preventable illness is reported (e.g., the flu), the vaccine did not “fail” to protect the individual from this virus, as it is not designed to protect against this organism. Consequently, we do not code a lack of effect term, and only code the reported disease/illness. Similarly, when an illness/disease is reported for a non-vaccine serotype (i.e pneumonia due to Serotype-33F), this also is not a Lack of Effect as the vaccine does not protect against all serotypes of a particular bacteria. In this situation (non-vaccine serotype reported diseases) only code the reported illness/disease. Since the vaccine has a limited range of activity (protection against specific organism, and specific serotypes of that organism), we can “expect” that individuals can and will become ill from other non-vaccine preventable organisms, and those non-vaccine illnesses are not associated or related in any way to the vaccine. Considering this and the fact that our product labels describe the range of protection in the label, we assess these non-vaccine preventable illnesses, and non-vaccine serotype illnesses as “EXPECTED/LISTED” events.