Age: 66.0
Sex: F
Vaccine: PPV, VARZOS, FLUX, PPV
Symptoms: Myalgia, Nerve conduction studies normal, Pain, Pain in extremity, Paraesthesia
Clinical narrative: still is stiff with pain up shoulder and down my back; still is stiff with pain up shoulder and down my back; is hard to sleep; I had a feeling in my teeth on the left side like it was a cavity; sometimes has a shooting pain; it feels like locked arm or shoulder with pain attacking my muscle which spirals down my arm and down to tingling in my fingers; it feels like locked arm or shoulder with pain attacking my muscle which spirals down my arm and down to tingling in my fingers; My left arm froze up / it feels like locked arm or shoulder with pain attacking my muscle which spirals down my arm and down to tingling in my fingers; My arm got stiff / my arm was still having limited range of motion; my left arm hurt / my arm still hurts; my arm had red band at least 6 inches wide around injection site; My arm got swelled up; This spontaneous report was received from a 66 year old female patient, who was reporting on herself. The patient's pertinent medical history was not provided. Concurrently, she had hihj cholesterol, stress, was intolerance to egg yolks, lactose and had a drug reaction/allergy to sulfa and codeine. Additionally, was hard to dress herself and she got diarrhea with an unspecified flu vaccine. Concomitant therapies included atorvastatin(ATORVASTATIN), buspirone hydrochloride(BUSPAR), aspirin(ASPIRIN) and trazodone hydrochloride(TRAZODONE HYDROCHLORIDE).     On 11-DEC-2018, the patient was vaccinated with pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) for prophylaxis (also reported as "vaccine") on left arm. On this same date, the patient's arm got stiff (injected limb mobility decreased), swelled up (peripheral swelling) and had a red band of, at least, 6 inches wide aroung injection site (erythema). It felt like her arm muscle was being attacked. The patient used ice and a sling. After called a pharmacist, she was told to take diphenhydramine (BENADRYL), which helped some. However, the patient's left arm frozen up (periarthritis) and hurt (pain in extremity). Thus, she saw her doctor, on an unspecified date, was told to go to physical therapy and she followed the instructions and did that for months. The patient kept exercising her arm but it was still having limited range of motion.  Patient also had a feeling in her teeth, on the left side, like it was a cavity (tooth disorder). She called the dentist and they did an x-ray, on an unspecified date, but it showed no cavity. A Magnetic Resonance Imaging (MRI) was ordered, but patient was unable to do since it was a closed MRI machine. So, a nerve conduction test was ordered and showed no nerve damage.  Something was damaged since the patient's arm still hurt and sometimes had a shooting pain (pain). The patient went to a sports chiropractor, on an unknown date, which helped some, and she had more range of motion than before but still was stiff with pain up shoulder and down the patient's back (back pain).  It was hard to sleep for the patient (insomnia) because of the pain. She felt like her arm/shoulder was locked with the pain attacking her muscle (myalgia) which spiraled down her arm (musculoskeletal pain) and down to tingling in her fingers (paraesthesia).  She added that thankfullys, she was right-handed.  During reporting, the patient reported that some friends took zoster rgE vaccine (mammalian) (SHINGRIX) vaccine, on unknown dates, and they got shingles.   At the reporting time, the patient was not recovered from periarthritis, injected limb mobility decreased, peripheral swelling, erythema, insomnia, back pain, musculoskeletal pain and pain in extremity. The outcome of tooth disorder, myalgia, paraesthesia and pain was unknown.  The causality assessment was not provided.