His company muster rolls following his hospitalization records him as a Private. I suggest that once known of his long term illness, his position as 5th Sergeant was awarded another and he was reduced to the ranks. His medical records continued to report his rank when first hospitalized.
I note that one card indicates he served as a Hospital Steward, June 19 to July 15, 1862. That’s a pretty high rank and usually held by Med. School students or Pharmacists. His census record show his occupation as a Farmer. Perhaps a CMSR error.