Age: 58.0
Sex: F
Vaccine: PNC13
Symptoms: Injection site swelling, Loss of personal independence in daily activities, Musculoskeletal pain, Paraesthesia, Peripheral swelling
Clinical narrative: This is a spontaneous report from a contactable consumer. A 58-year-old female patient received the first dose of PREVNAR 13, intramuscular in the left upper arm on 02Dec2015 between 3:30pm to 4pm at a single dose for prevention of pneumonia because of her heart disease, at the physician's office.  Medical history included osteoarthritis from an unknown date reported as 2 years ago, severe heart failure from Oct2012 and ongoing and had to wait five days before she could have heart surgery in 2012. The patient had gone on disability because of it and had compromised immune. Medical history also included gout from an unknown date and unknown if ongoing, heart disease, depression, anxiety and cholesterol. The patient had COPD diagnosed in 2013 when she started going to lung doctor-she was recommended to see Lung specialist doctor, because she was to have valve replacement, she was having difficulty breathing, was going to him to have a lung test. The patient had no relevant family medical history. Concomitant medication included metoprolol from 31Oct2012 and ongoing for heart, lisinopril from 2012 and ongoing taken to prevent heart rate from going fast and to help with heart failure, WELLBUTRIN from an unspecified date 7 years ago and ongoing taken for depression, LEXAPRO from 4 or 5 years ago until 2016 for depression, LASIX from 2012 and ongoing taken to keep fluid from building up around heart and lungs, clonazepam from 2013 and ongoing taken for anxiety and to help when she got frustrated, pravastatin from 2012 and ongoing taken for cholesterol, tramadol as pain pills, for her knees from the osteoarthritis and cortisone shots for gout. The patient had received flu shot for 15 years, the last given flu shot was in Oct2015 in right arm for immunization and allopurinol to prevent flare-ups of gout. The patient received pneumococcal 13-valent conjugate vaccine (diphtheria CRM197 protein) on 02Dec2015. She had never received it before. The injection hurt as soon as the nurse put the needle in. The patient had burning all the way up to fingers and neck on 02Dec2015. She never had a shot to hurt like this before. Received injection on 02Dec2015, as the evening went on, she could not move her arm. Within 2 hours after getting shot, around 6 or 7, swelling down her back, in chest around breast. She was not able to finish cooking, had to put ice on her arm and rest. Sometimes the swelling was worse in her arms, chest and back and face. When she had swelling in her throat and face, could not breathe. Arm was tingling, had swelling at injection site and pain 10 minutes after injection. Swelling injection site/arm, felt like a knot started 1 hour after injection, she could not pick arm up. On the same day of 02Dec2015, the patient experienced painful arm/pain in arm, chest, back, neck and shoulder. Redness in neck started about 6 o'clock, 2 hours after injection then on 03Dec2015 the patient's whole arm, neck, down back and around to breast was red and hot. Burning in fingers, started when having swelling started at 5pm. The adverse events did not require a visit to the emergency room. She was experiencing limited use in arm, swelling in neck and back and face was swollen. Had them when she went to doctor the next day. The patient went to a physician's office on 03Dec2015 and was given prednisone 20 mg to start with and was tapered off. She was still having the effects from it. She also cannot pick up her arm all the way half the time. She was not having difficulty breathing at the time of adverse events, except when she was in pain and blood pressure was high. Events have been occurring ever since she had injection. She had spoken with regular doctor. Was told it takes a while to go away, but the side effects were still occurring. Lung specialist doctor had shrugged her off like it was not a severe reaction. It hurts all the time, it is more severe today, she had been crying in pain, just like it was when she had shot in her arm. Having pain in arm, chest, back and neck. She knew of the swelling pain at injection site and limited movement was a side effect. Had xrays of shoulder by Arthritis doctor to make sure there was no more arthritis occurring. Was told will be hurting for a while and sometimes takes 6 months for actual pain to go away. It has been 2 years, she just cannot believe she was still hurting. Outcome of the events of 'swelling injection site', 'whole arm, neck, down back and around to breast was red and hot', 'could not use or pick up arm', 'swelling in back, arm, chest and neck up to ears', 'painful arm/pain in arm, check, back and neck' was not recovered while unknown for the other events.