Age: 72.0
Sex: F
Vaccine: PNC13, PNC13, PNC13
Symptoms: Blood magnesium, Differential white blood cell count, Full blood count, Glomerular filtration rate, Heart rate increased
Clinical narrative: the final diagnosis was hypokalemia as well; her energy level is not there; she was either really lethargic; she was really frustrated; she was unable to drive there/could not open and shut her window/if she needed to empty the dishwasher she could only take the dishes out a few at a time; she was scared; HTN; she didn't feel well; she was having trouble breathing; by 02:30PM she was in dire distress; she still had pain in her left upper shoulder where the shot was given; reduced strength in that arm/her left arm was weak/limited strength in the arm/her strength was compromised; The initial case was missing the following minimum criteria: unspecified adverse event. Upon receipt of follow-up information on 08Aug2019, this case now contains all required information to be considered valid.   This is a spontaneous report from a contactable consumer report for herself. A 72-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), via an unspecified route of administration at upper left shoulder on 09May2019 at 11:00 at single dose for immunization. The patient received injection at doctor's office. Medical history and concomitant medications were none. The patient's husband passed away. The patient previously took one pneumococcal vaccine at age of 65 and she wasn't sure what the name of it was, but it was not the newest and the greatest evidently. The patient's medical history and concomitant drugs were none. The patient had a severe reaction to pneumococcal 13-val conj vac (dipht crm197 protein). It happened on Thursday, 09May2019 at approximately 11:00 AM, and she still had residual effects in that she still had pain in her left upper shoulder where the shot was given and reduced strength in that arm. The patient said that she had no problem before getting the shot. The patient said that every once in a while she had sharp pains around the site in the general upper left shoulder area, but not all the time. The patient specified that she received the shot in her upper shoulder and not in her arm like normally is done. The patient said that the shot was not given by Dr. Name but by a nurse technician name (name). The patient said that she was a little sore after she got it around 11:00AM. The patient said that over time it got more sore and then she was having trouble breathing and by 02:30PM she was in dire distress and called Dr. Name who said to come back to the office to get checked out, so her neighbor took her since she was unable to drive there. The patient said that the doctor's office called (Phone number) and had her taken to the (Name) Emergency Room. The patient clarified that after she got the shot she went home to ice a birthday cake and by 02:30PM she called Dr. (Name) office in severe distress because she had no idea what was going on and she thought she was having a heart attack or a stroke. The patient said that she was scared and had no idea what the heck was going on. The patient said she was fine before she had the shot, but while she was at the hospital they took bloodwork. The patient said that she was really hurting a lot, and that she did not pay that much attention to what treatments they were giving her. The patient said that they put her on an IV and while she was there they gave her a amlodipine besilate (NORVASC)  tablet, 5mg orally. The patient said that the final diagnosis at the hospital that was (name) and is now (name) was hypertension (HTN). The patient said that she didn't know what that meant. The patient said that the final diagnosis was hypokalemia as well. The patient said that when she left a few hours later to go they had her with an ice pack on her shoulder. She was not admitted overnight to the hospital, and that her son brought her home after several hours. The patient clarified that the whole reason she got the shot that day was because she had had high blood pressure at her dentist appointment where they check that at time of the report, and he said she should have that checked out. The patient said that she figured she didn't need a stroke and she should get checked out since she was almost 73. The patient said she decided to get it checked because maybe something was going on. The patient said her appointment was on 09May2019 for a general check up, and they asked her had she had the new pneumococcal vaccine. The patient said that she got the shot that Thursday on 09May2019 and the day after on 10May2019 and she didn't feel well. The patient said that on 11May2019 she ran errands and could not use the directional because her left arm was weak. The patient said that she could not open and shut her window, which was not a crank window, because she couldn't use the controls. The patient said that something happened to her. The patient said that she had limited strength in the arm, and if she needed to empty the dishwasher she could only take the dishes out a few at a time. The patient said that she could do more before, and that her strength was compromised. The patient said she is not 40 anymore, and she knew she couldn't do all of the same stuff she did before when she was younger, but emptying the dishwasher is a problem?  The patient said that she was not aware of them before she got the shot. The patient said that she was still having pain as of Aug2019, not every single moment, but something happened. The patient said that her doctors told her she was not allergic to the shot, just that she had a reaction. The patient said that they said it over and over that she was not an allergic reaction, but she was not letting it go. The patient said that if she got pneumonia after all of this than she really would be ticked off. The patient said that she had been her late husband's caretaker for years before he passed. The patient said that she was trying to cross her Ts and dot her Is, and that was what she was doing for herself like she used to do for her husband in healthcare. The patient said that she was trying to keep up with her health, that was what she was trying to do. The patient said that this had kind of put a crimp on that since she is not sure if it is because it is just a really muggy summer. The patient said that her energy level was not there, and she was either really lethargic. The patient said that she was not really complaining. The patient said that this was what had happened after her husband passed away sadly, and she should be more independent right now, but she was really not. The patient said that she guesses this was why she was really frustrated. The adverse events 'hypokalemia , having trouble breathing and a lot of pain in her left upper shoulder and HTN ' require a visit to emergency room and physician office. The outcome of the events was unknown.