Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: burning and redness at the site of injection and down the arm to the elbow a week after injection/tender, burning redness, spreading from site of injection, down in front of arms, to elbow.; burning and redness at the site of injection and down the arm to the elbow a week after injection/tender, burning redness, spreading from site of injection, down in front of arms, to elbow.; burning and redness at the site of injection and down the arm to the elbow a week after injection/tender, burning redness, spreading from site of injection, down in front of arms, to elbow.; burning and redness at the site of injection and down the arm to the elbow a week after injection/tender, burning redness, spreading from site of injection, down in front of arms, to elbow.; This is a spontaneous report received from a Pharmacist from medical information team, Program ID.  A 65-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 21Jan2025 as dose number unknown 0.5 ml, single (Lot number: LJ5281, Expiration Date: 01May2026) at the age of 65 years intramuscular, in left deltoid for immunisation. The patient's relevant medical history was not reported. There were no concomitant medications. The following information was reported: PAIN IN EXTREMITY (non-serious), VACCINATION SITE PAIN (non-serious), VACCINATION SITE ERYTHEMA (non-serious), ERYTHEMA (non-serious) all with onset Jan2025, outcome "not recovered" and all described as "burning and redness at the site of injection and down the arm to the elbow a week after injection/tender, burning redness, spreading from site of injection, down in front of arms, to elbow.". Therapeutic measures were not taken as a result of pain in extremity, vaccination site pain, vaccination site erythema, erythema.  Additional information: Pharmacist asked if a patient experiencing burning and redness at the site of injection after administration and down the arm to the elbow a week after injection. HCP stated, she's more concerned, it's spreading everyday, it's spreading further and further a week later. it was not a reaction we generally see. Patient experienced side effect they were not familiar with, calling to see if they can get some guidance on it. Events started just a couple days ago when clarified side effect that occurred, pharmacist stated, patient said, it was tender, burning redness, spreading from site of injection, down in front of arms, to elbow. Clarified, specific site of injection as, left arm deltoid muscle. Clarified, the burning and redness spreading from that left arm, down in front of left arm and left elbow. Generally, something like this will go away after a day or 2. Patient concerned so, pharmacist wanted to follow up, to see if there was any advice or information available on what they might be experiencing. Unknown when the burning and redness was first experienced by patient, pharmacist was made aware of this, yesterday, 27Jan2025. Patient said, it was getting worse. No treatment as of right now. it was annoying, not life threatening or anything, just an annoyance, really. Patient did not administer additional vaccines on same date of the Pfizer Suspect. No AE required to visit Emergency Room or Physician Office. Patient did not receive any other vaccinations within four weeks prior to the first administration date of the suspect vaccine.