Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Bronchial disorder, Cough, Upper-airway cough syndrome
Clinical narrative: picked up a cold; tightness on his bronchial tubes; cough due to postnasal drip going down his throat; getting a lot of postnasal drip, and it got more pronounced through the evening; This is a spontaneous report from a contactable consumer who reported for himself, a 65-year-old male patient who received pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) (PREVNAR 13, lot number and expiration date unknown), via an unspecified route of administration on 04Feb2020 at a single dose for routine vaccination. The patient's medical history was not reported. Concomitant medications included levothyroxine tablet (manufacturer: Sandoz) which was started from 10-15 years ago, and fluticasone propionate (KIRKLAND'S ALLER-FLO, NDC Number: 63981001- 01, Lot Number: 8KV2241 Expiration Date: Jul2020). The patient previously took influenza vaccine (AFLURIA) on Dec2019 for immunization. The patient reported about symptoms that developed 24 hours after getting the pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein). The patient has not contacted his healthcare provider yet with regard to the symptoms. Caller was asking if any other reports were out there with the pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein), and if other interactions have been reported. Reported symptoms started yesterday afternoon, saying he went for a wellness check on Tuesday, 04Feb2020, and received the pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) that afternoon. On 05Feb2020, around midday, he started getting postnasal drip, said a lot of postnasal drip. He decided to let it alone, then it got more pronounced through the evening of 05Feb2020. He said last night, the postnasal drip got worse, clarified it was clear postnasal drip. He said he took lozenges (UPC Number: 1483201041, Lot Number: 6183LA1, Expiration Date: Jun2019) and this morning (06Feb2020) felt better, but now was feeling tightness in his bronchial tubes, said he doesn't feel any raspiness yet. He was afraid it could lead to lung inflammation. He said he has a cough and clarified it was due to all the postnasal drip going down his throat, said usually when that happens the postnasal drip ends up into the bronchial tubes and that ends up in the lungs as inflammation. It has been 48 hours now since getting the pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) vaccine administered. Patient stated that the lozenges were expired, they were lemon flavored lemon drops. Patient was wondering if he was the only one who ever had the symptoms he reported happen after getting a pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) or if he just maybe came across someone and picked up a cold. Caller stated about a week ago he had watched a ball game with a group of men, saying he had a burger, and one of the men in attendance was on medication and getting over walking pneumonia or bronchitis. That was about 7-10 days. The patient asked if it was possible that the previous dose of AFLURIA with pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein) 1 month later could have caused the symptoms experienced. The patient was also asking for interactions between pneumococcal 13-valent conjugate vaccine (diphtheria crm197 protein), fluticasone propionate, levothyroxine and sulfa derivatives. The outcome of "getting a lot of postnasal drip, and it got more pronounced through the evening" was recovered, of "cough due to postnasal drip going down his throat" was not recovered, while of the remaining events was unknown.  Information on the batch number has been requested.