Age: 84.0
Sex: F
Vaccine: PNC20
Symptoms: Discomfort, Erythema, Inflammation, Magnetic resonance imaging, Pain
Clinical narrative: swelling in the second toe (index)/The top part of foot was starting to swell; toe is swollen and it hurts/painful to walk; it sometimes spreads to the top of her foot; toe next to big toe on right foot is inflamed; discomfort; she is just injured; It was kind of a dark pink; This is a spontaneous report received from a Nurse from medical information team.  An 84-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 25Feb2025 as dose number unknown, 0.5 ml single (Lot number: LC9348, Expiration Date: 30Jan2026) at the age of 84 years intramuscular for immunisation. The patient's relevant medical history included: "Broken hip", start date: Apr2024 (unspecified if ongoing), notes: Broken hip Right hip, all healed up now; "clot" (unspecified if ongoing); "flu" (unspecified if ongoing); "lungs were damaged" (unspecified if ongoing), notes: in an accident 20 years ago. Concomitant medication(s) included: XARELTO taken for thrombosis (ongoing). The following information was reported: ERYTHEMA (non-serious) with onset 26Feb2025, outcome "unknown", described as "It was kind of a dark pink"; DISCOMFORT (non-serious) with onset 26Feb2025, outcome "unknown"; PAIN (non-serious) with onset 26Feb2025, outcome "not recovered", described as "it sometimes spreads to the top of her foot"; INJURY (non-serious) with onset 26Feb2025, outcome "unknown", described as "she is just injured"; PERIPHERAL SWELLING (non-serious) with onset 26Feb2025, outcome "not recovered", described as "swelling in the second toe (index)/The top part of foot was starting to swell"; PAIN IN EXTREMITY (non-serious) with onset 26Feb2025, outcome "not recovered", described as "toe is swollen and it hurts/painful to walk"; INFLAMMATION (non-serious) with onset 26Feb2025, outcome "unknown", described as "toe next to big toe on right foot is inflamed". The events "swelling in the second toe (index)/the top part of foot was starting to swell", "toe is swollen and it hurts/painful to walk", "it sometimes spreads to the top of her foot", "toe next to big toe on right foot is inflamed", "discomfort", "she is just injured" and "it was kind of a dark pink" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of peripheral swelling, pain in extremity.  Additional information: Caller mentioned her toe was swollen and it hurts. It's painful to walk and it doesn't go away. She has tried using Epsom salts and it just helps her for 30 minutes. She has also noticed that it sometimes spreads to the top of her foot. Neither her foot doctor nor her primary doctor know what to do about it. Caller was called in regard to the Prevnar 20 vaccine. On 25Feb2025, received it, arm was fine but toe next to big toe was inflamed. Clarified as on the right foot. It was swollen and very sore. It was kind of a dark pink. Used Epsom salt, stated she was a retired nurse. It occurred the day after got the vaccine. Went to a foot doctor and she didn't quite know and now caller was kind of stuck. Calling to report it and ask has anyone reporting has a reaction like this. It was very painful. She has never had anything like this happen. She would guess she was pretty healthy; she was just injured. Started as very little discomfort, as days went by it got more uncomfortable and started swelling. It was the toe next to the big toe, usually was tall and skinny, looks more like a thumb now. It has gotten a little worse. The top part of foot was starting to swell. Noticed because wears open toe sandals, they are marking the foot now. No interventions besides seeing the foot doctor.