Age: 70.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Monoplegia, Muscular weakness, Pain, Ultrasound Doppler normal, X-ray normal
Clinical narrative: leg is very weak; fallen so many times lately, leg is very weak; left leg is halfway paralyzed; so much pain; discomfort; couldn't sleep.; Can barely walk on left foot from the base of leg; hurts the most is inside knee of left leg; This is a spontaneous report received from a Consumer or other non HCP.  A 70-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 16May2024 at 15:19 as dose 1, 0.5 ml single (Lot number: HH9320, Expiration Date: 31May2025, NDC number of Prevnar 20: 00005-2000-10) at the age of 70 years, in left arm for immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "helps with urine" (unspecified if ongoing); "Helps kidneys" (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL oral taken for diabetes mellitus (ongoing); JARDIANCE oral taken for diabetes mellitus (ongoing); JANUVIA [SITAGLIPTIN PHOSPHATE] oral taken for diabetes mellitus (ongoing); FINASTERIDE oral taken for urine abnormality, start date: 1995 (ongoing); METFORMIN oral taken for diabetes mellitus (ongoing); ATORVASTATIN oral taken for renal disorder (ongoing). The following information was reported: GAIT DISTURBANCE (non-serious) with onset May2024, outcome "unknown", described as "Can barely walk on left foot from the base of leg"; INSOMNIA (non-serious) with onset May2024, outcome "unknown", described as "couldn't sleep."; DISCOMFORT (non-serious) with onset May2024, outcome "unknown"; ARTHRALGIA (non-serious) with onset May2024, outcome "unknown", described as "hurts the most is inside knee of left leg"; PAIN (non-serious) with onset May2024, outcome "unknown", described as "so much pain"; MONOPLEGIA (medically significant) with onset 23May2024, outcome "not recovered", described as "left leg is halfway paralyzed"; MUSCULAR WEAKNESS (non-serious), outcome "unknown", described as "leg is very weak"; FALL (non-serious), outcome "unknown", described as "fallen so many times lately, leg is very weak". The events "so much pain", "discomfort" and "couldn't sleep." required emergency room visit. The patient underwent the following laboratory tests and procedures: Pain assessment: (May2024) 10 out of 10, notes: When first started, pain level was a 5 or 6 out of 10, now pain level is 10 out of 10; (May2024) 5 or 6 out of 10, notes: When first started, pain level was a 5 or 6 out of 10, now pain level is 10 out of 10; Ultrasound scan: (May2024) had no blockage, notes: veins are clear, did not see anything; X-ray: (May2024) didn't see anything. Clinical course: Calling about Prevnar 20, went and had that shot, a week later (May2024) left leg is halfway paralyzed. Can barely walk on left foot from the base of leg. The part that hurts the most is inside knee of left leg. Caller has fallen so many times lately, leg is very weak. Left leg is halfway paralyzed. A week after had the shot, had the shot 16May2024. Was having so much pain, discomfort, couldn't sleep. At 9PM one night couldn't take no more, so went to Hospital, was seen in emergency department, confirmed was not admitted to hospital. Test results: Took x-rays, didn't see anything. Then did sonogram to check veins, had no blockage, veins are clear, did not see anything. And then was released, was there from 9PM to 6AM. When first started, pain level was a 5 or 6 out of 10, now pain level is 10 out of 10. For example when getting up on bed, sits on bed, gets right foot up with no problem, then takes both hands to lift left leg onto bed.