Age: 69.0
Sex: F
Vaccine: PNC13
Symptoms: Contusion, Erythema, Pain, Pruritus, Skin warm
Clinical narrative: she got a red spot on her arm the size of a hard ball/now it is almost looking like a cellulitis; last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; she was sore, red, itchy, and a little swollen for 1-2 days / last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; she was sore, red, itchy, and a little swollen for 1-2 days / last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; she was sore, red, itchy, and a little swollen for 1-2 days / last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; she was sore, red, itchy, and a little swollen for 1-2 days / last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; she was sore, red, itchy, and a little swollen for 1-2 days / last night it looked more like hives, and was hot, red, and itchy / red spot on her arm; still has a bruise on it from a week ago; This is a spontaneous report from a contactable nurse (patient). A 69-year-old female patient received first dose of pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13, lot number and expiration date were unknown) on left deltoid via unspecified route of administration on 24Jun2020 at single dose for routine vaccination. Medical history included allergic to sulfa, penicillin and IVP dye. No concomitant medication. She used to take iodine and allergic to Iodine. Patient got the pneumococcal 13-val conj vac (dipht crm197 protein) 8 days prior to the time of the report (24Jun2020). The day she got it (24Jun2020), she was sore red and itchy and a little swollen for 1-2 days. She noticed last night (01Jul2020) around 4pm she got a red spot on her arm the size of a hard ball (4pm last night it started itching and said that she looked in the mirror that it was all red again). She said that it almost looks like it was getting bigger. She said that she was doing some running around and noticed it looked like it was getting bigger. This seems odd that it would pop up like this a week later, unless the girl that gave it did not put it in the muscle good. Caller said that now it is almost looking like a cellulitis (01Jul2020). She said that last night (01Jul2020), it looked more like hives and was hot, red, and itchy. Caller said that she tried to call her physician's office and they were at lunch. The caller said that she also called shop and they told her to put cortisone cream and diphenhydramine hydrochloride (BENADRYL) on the affected area and to follow up with her physician. Caller said that she still has a bruise on it from a week ago (Jun2020). Caller said that this was the first time that she received the vaccine and she was supposed to get the other one next year. Caller asked if the pneumococcal 13-val conj vac (dipht crm197 protein) had Sulfa in it because she was allergic to Sulfa. The caller said that she is also allergic to Penicillin, IVP dye, and Iodine. Caller asked if the medication would have antibiotics in it like Penicillin. Caller asked if the 23 shot was different. Outcome of the events was unknown. The event she was sore, red, itchy, and a little swollen for 1-2 days/ still has a bruise on it from a week ago/ it is almost looking like a cellulitis/ last night it looked more like hives, and was hot, red, and itchy was reported as non-serious.  Information on the lot/batch number has been requested.