Age: 78.0
Sex: M
Vaccine: PNC20
Symptoms: Arthritis, Back pain, Chest X-ray abnormal, Chills, Computerised tomogram head
Clinical narrative: lung infection/Coughing; Chills; arthritic knee started to flare; Headache; lost 13 pounds; right sinus became inflamed; the muscles in back are sore; cough is giving pain in right pectoralis major; This is a spontaneous report received from a Consumer or other non HCP.  A 78-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 25Oct2024 as dose 1, single (Batch/Lot number: unknown) at the age of 78 years, in left arm for immunisation. The patient's relevant medical history included: "COPD", start date: 2020 (ongoing), notes: From: 4 years ago; "arthritic knee" (unspecified if ongoing); "Colitis" (unspecified if ongoing); "Neuropathy" (unspecified if ongoing). Concomitant medication(s) included: XELJANZ oral taken for colitis (ongoing); PREGABALIN oral taken for neuropathy peripheral (ongoing); MEDINEX oral taken for neuropathy peripheral (ongoing); COVID-19 VACCINE taken for covid-19 immunisation, in 2024 as dose number unknown (booster), single; FLU [INFLUENZA VACCINE] taken for immunisation, in 2024 as dose number unknown, single. Vaccination history included: Covid-19 vaccine (Primary series completed; unknown manufacturer), for COVID-19 immunization. The following information was reported: MYALGIA (non-serious) with onset 2024, outcome "unknown", described as "cough is giving pain in right pectoralis major"; WEIGHT DECREASED (non-serious) with onset 2024, outcome "unknown", described as "lost 13 pounds"; SINUSITIS (non-serious) with onset 2024, outcome "unknown", described as "right sinus became inflamed"; BACK PAIN (non-serious) with onset 2024, outcome "unknown", described as "the muscles in back are sore"; HEADACHE (non-serious) with onset 25Oct2024, outcome "recovering"; CHILLS (non-serious) with onset 26Oct2024, outcome "not recovered"; ARTHRITIS (non-serious) with onset 26Oct2024, outcome "recovering", described as "arthritic knee started to flare"; PNEUMONIA (medically significant) with onset 26Oct2024, outcome "not recovered", described as "lung infection/Coughing". The patient underwent the following laboratory tests and procedures: Computerised tomogram head: (2024) Unknown results, notes: Nov2024 or Dec2024; Weight: (2024) 163 lbs; (2024) 150 lbs, notes: lost 13 pounds since taking that vaccination; X-ray: (2024) lung infection; (2024) Unknown results, notes: Nov2024 or Dec2024; (10Dec2024) Unknown results. Therapeutic measures were taken as a result of pneumonia. Clinical course: Patient started taking Xeljanz, Pregabalin, and Medinex years ago. Patient took a flu shot and a COVID booster sometime in Oct2024 or Sep2024. Cough reflected the lung infection that was later clarified by a chest X-ray. Patient's right sinus became inflamed, which caused headache on right side of brain. Headache has been everyday since 25Oct2024. Chills has not improved, would say persisted. Coughing was ongoing, keeps patient up every night, coughing so hard, the muscles in back are sore and since started taking this third antibiotic the cough is giving pain in right pectoralis major. After going through two previous antibiotics, this third antibiotic, coughing during this period, it is a Z-pak, azithromycin. Coughing has gotten worse. Arthritic knee started to flare was ongoing, may have improved Headache was ongoing, improved a bit, not quite as painful. Given an x-ray of the lungs earlier Dec2024 or late Nov2024. Had CAT scan of right sinus, that was earlier Dec2024 or late Nov2024. Took follow up x-ray on 10Dec2024.  Batch/lot number is not provided, and it cannot be obtained.