Age: 54.0
Sex: F
Vaccine: PPV, PPV, PPV
Symptoms: Activities of daily living impaired, Chills, Drug administered at inappropriate site, Injected limb mobility decreased, Injection site pain
Clinical narrative: This spontaneous report was received from a 54 year old female patient regarding herself. The patient's current condition includes breast cancer since 2003. The patient had drug allergy to sulfa, CECLOR (reported as seclor), AMOXYL and LEVAQUIN. Medical history included lumpectomy and radiation in 2009, for the treatment of breast cancer. About 10 years ago approximately in 2005, the patient received her first dose of PNEUMOVAX 23. The patient was a cancer survivor which was why she initially got the vaccine before she turned 50 years. The patient received her booster dose of PNEUMOVAX 23 (lot # K022885, expiry: 09-JUN-2016) on 02-JUN-2015 (dose and frequency not reported) in the upper left arm, one inch down from the top of the shoulder. The patient believed that it went into the bursa or tendon and the reaction was due to the vaccine being incorrectly administered. Concomitant therapies included PEPCID, PROZAC, trazodone hydrochloride, SINGULAIR and vitamins (unspecified) and tomoxacin. On 02-JUN-2015, about 2 hours after vaccination the patient felt extreme pain in the left shoulder. It was so painful that she thought it had been dislocated. She went home and treated herself with ice and MOTRIN. The pain continued to worsen until it was about a 9 out of 10. She could not move the arm at all. There was no swelling and redness at the injection site. The next day on 03-JUN-2015, she stayed at home due to pain. In June 2015, she broke out in a full body rash. The rash kept changing from "small dots to big clots and big dots to solid big areas and back to small dots". She also had chills but did not check herself for a fever. There was no swelling but the rash persisted. The patient sought medical attention and visited the physician on 04-JUN-2015 and they did not believe how extreme of the side effects were. The patient reported that the pain was about 7 out of 10 that day. The physician prescribed Methylprednisolone (manufacturer unknown) 4 milligram (mg) which helped to relieve the pain and the rash within 1 hour. No lab tests were performed. At the time of reporting, the patient had pain of only 2 out of 10, when she attempted to move her arm. The outcome of the adverse events was reported as recovering. Causality assessment was not provided by the reporter. The reporter considered the events "extreme pain in the left shoulder" and "She could not move the arm at all" to be serious due to disability. Additional information has been requested.    This spontaneous report was received from a 54 year old female patient regarding herself. The patient's current condition includes breast cancer since 2003. The patient had drug allergy to sulfa, CECLOR (reported as seclor), AMOXIL, and LEVAQUIN. Medical history included lumpectomy and radiation in 2009. About 10 years ago approximately in 2005, the patient received her first dose of PNEUMOVAX23. The patient was a cancer survivor which was why she initially got the vaccine before she turned 50 years. The patient received her booster dose of PNEUMOVAX23 (lot# K022885, expiry: 09-JUN-2016) on 02-JUN-2015 (dose and frequency not reported) in the upper left arm, one inch down from the top of the shoulder. The patient believed that it went into the bursa or tendon and the reaction was due to the vaccine being incorrectly administered. Concomitant therapies included PEPCID, PROAZAC, trazodone hydrochloride, SINGULAIR and vitamins (unspecified) and Tomoxacin. On 02-JUN-2015, about 2 hours after vaccination the patient felt extreme pain in the left shoulder. It was so painful that she thought it had been dislocated. She went home and treated herself with ice and MOTRIN. The pain continued to worsen until it was about a 9 out of 10. She could not move the arm at all. There was no swelling and redness at the injection site. The next day on 03-JUN-2015, she stayed at home due to pain. In June 2015, she broke out in a full body rash. The rash kept changing from "small dots to big dots and big dots to solid big areas and back to small dots". She also had chills but did not check herself for a fever. There was no swelling but the rash persisted. The patient sought medical attention and visited the physician on 04-JUN-2015 and they did not believe how extreme of the side effects were. The patient reported that the pain was about 7 out of 10 that day. The physician prescribed Methylprednisolone (manufacturer unknown) 4 milligram (mg) which helped to relieve the pain and the rash within 1 hour. No lab tests were performed. At the time of reporting, the patient had pain of only 2 out of 10, when she attempted to move her arm. The outcome of the adverse events was reported as recovering. Causality assessment was not provided by the reporter. The reporter considered the events "extreme pain in the left shoulder" and "She could not move the arm at all" to be serious due to disability. Additional information has been requested.