Sex: F
Vaccine: PNC20, PNC20
Symptoms: Vaccination site movement impairment, Vaccination site pain
Clinical narrative: having some pain/left arm was pain; her left arm swelled up; she had different colors like red, going down her arms, almost to her elbows which went away; she had different colors like red, going down her arms, almost to her elbows which went away; now she can barely lift her arm above her head or do anything with it. Is for her left arm; stated that her muscle was weak and does not work; stated that her muscle was weak and does not work; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 15Mar2022 as dose 1, single (Batch/Lot number: unknown), in left arm for immunisation. The patient's relevant medical history included: "diabetic" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: VACCINATION SITE SWELLING (non-serious) with onset 15Mar2022, outcome "recovered" (2022), described as "her left arm swelled up"; ERYTHEMA (non-serious), SKIN DISCOLOURATION (non-serious) all with onset 15Mar2022, outcome "recovered" (2022) and all described as "she had different colors like red, going down her arms, almost to her elbows which went away"; VACCINATION SITE PAIN (non-serious) with onset 02Apr2022, outcome "not recovered", described as "having some pain/left arm was pain"; VACCINATION SITE MOVEMENT IMPAIRMENT (non-serious) with onset 2022, outcome "unknown", described as "now she can barely lift her arm above her head or do anything with it. Is for her left arm"; MUSCULAR WEAKNESS (non-serious), MUSCLE DISORDER (non-serious) all with onset 2022, outcome "unknown" and all described as "stated that her muscle was weak and does not work". Therapeutic measures were taken as a result of vaccination site pain. Additional information: Patient was told at the pharmacy that her insurance suggested that she get an injection called Prevnar 20 and had injection on 15Mar2022 for left arm. She stated that for the first couple days that her arm swelled up and was different colors. Stated that it was red going down her arm almost to her elbows. Stated that has gone away. Stated that now she can barely lift her arm above head or do anything with it. Stated that she was trying to figure out if this was one of the side effects. Stated that she never had problem before. Stated that she never ever gets the shot. Stated that she is diabetic and was that before the shot. Stated that with her health issues that it was recommended that she get the shot since her insurance covers it. Stated that she started having real bad pains the day before yesterday and found some lidocaine and used it. Stated that the pain did not go away after she used it. Stated that she woke up and her left arm was pain. Stated that her muscle was weak and does not work and she cannot lift her arm above her head. Is for her left arm.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.