Age: 75.0
Sex: F
Vaccine: PNC13
Symptoms: Axillary pain, Injected limb mobility decreased, Injection site pain, Injection site reaction, Injection site warmth
Clinical narrative: This is a spontaneous report from a contactable consumer (reporting for herself).  A 75-year-old female patient received PREVNAR 13, (NDC 00005-1071-02), via an unspecified route of administration in the left arm 14Jun2016 at 0.5 ml single dose for immunization. Medical history included high blood pressure ongoing from an unknown date in 2012 and ongoing osteopenia from an unknown date, and had a penicillin allergy (caused red rash) and codeine allergy (caused red rash) on unknown dates. Concomitant medications included VALSARTAN/HCTZ, orally, ongoing from 2012 at 1 dose form (DF) daily for high blood pressure and raloxifene, orally ongoing from 2000 at 60 mg tablet once a day for ostopenia.  The patient previously took EVISTA, on an unknown date in Jan2001. The patient also previously took FOSAMAX, from an unknown date in Jan2002 to an unknown date in Jan2002 and developed a lower GI bleed and had to get 2 pints of blood. The patient previously received polio shots for immunization on unknown dates and previously received the flu vaccine on an unknown date in 2015 and experienced pain at injection and hot at injection site; sometimes patient took TYLENOL, if it was painful or hurt. In Jun2016, the patient experienced limited use of left arm, pain in left arm; muscle and thought nerve involvement, hurting at site of injection, site of injection was a little warmer than the rest of the skin and pain in shoulder and armpit on left side. The clinical course was as follows: while receiving the injection, the patient experienced pain at the injection site. Her skin was warm at the injection site while receiving the injection, and resolved within a couple of days. Initially, when it was hurting due to pain in left arm, the pain would wake her up at night.  The patient took as treatment for pain in left arm, muscle and thought nerve involvement TYLENOL at bedtime, probably two EXTRA STRENGTH TYLENOL at 500mg capsules by mouth and was able to sleep better. No treatment for the other events except spasm muscle that was unknown.  The patient was not taking the paracetamol now.  It still hurts at the injection site, if pushed on. The patient did not receive treatment for the event of site of injection being little a little warmer than the rest of the skin. Within days after vaccination injection, the patient experienced pain in left arm; muscle and nerve involvement.  At that time, she also experienced limited use of left arm.  She used to be able to put both arms behind her to hook her bra.  She could not put her arms behind her due to limited use of left arm. Now, she could put her arms behind her at her waist.  She could not reach above up in cupboard, because she would have extreme pain in shoulder and armpit on left side.  She could not twist her arm.  The patient reported that it is 90% better than what it was; the pain depends on what she does. The patient talked to a pharmacist who said it was rare reaction and it would improve. The patient has not told her doctor, because he will probably want her to come into the office and run some tests.  In the past, she had gotten polio shots.  She gets flu shots every year and nothing has ever hurt her arm like the pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein). Pain decreased over time currently nearly normal use of arm. The patient experienced also occasional spasm in upper arm muscle (2016), that was recovered on unspecified date in 2016. The outcome for the events pain in left arm; muscle and thinks nerve involvement was recovering. The outcome for hurting at site of injection was not recovered. The other events recovered in 2016, expect site of injection was a little warmer than the rest of the skin that recovered in Jun2016. Follow-up (07Oct2016): New information received from the same contactable consumer includes: product details, outcome.