Sex: F
Vaccine: PNC20
Symptoms: SARS-CoV-2 test negative, Skin warm
Clinical narrative: headache; dizziness; chest and head congestion; chest and head congestion; cough; arms swelled up and hot and red; arms swelled up and hot and red; arms swelled up and hot and red; worry; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 23Apr2025 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "hard of hearing" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Pneumococcal vaccine (Dose number unknown, single; Manufacturer unknown), for Immunization, reaction(s): "never had side effects". The following information was reported: PERIPHERAL SWELLING (non-serious), FEELING HOT (non-serious), ERYTHEMA (non-serious) all with onset 25Apr2025, outcome "not recovered" and all described as "arms swelled up and hot and red"; RESPIRATORY TRACT CONGESTION (non-serious), UPPER RESPIRATORY TRACT CONGESTION (non-serious) all with onset 25Apr2025, outcome "not recovered" and all described as "chest and head congestion"; COUGH (non-serious) with onset 25Apr2025, outcome "not recovered"; DIZZINESS (non-serious) with onset 25Apr2025, outcome "not recovered"; HEADACHE (non-serious) with onset 25Apr2025, outcome "not recovered"; ANXIETY (non-serious) with onset 25Apr2025, outcome "unknown", described as "worry". The events "headache", "dizziness", "chest and head congestion", "cough" and "arms swelled up and hot and red" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of headache, dizziness, respiratory tract congestion, upper respiratory tract congestion, cough, peripheral swelling, feeling hot, erythema. Additional information: while on the phone, the patient was having a hard time understanding due to hard of hearing but cannot wear a hearing aid while on the phone. Prevnar 20 was administered on 23Apr2025. Patient developed side effects: headache, dizziness, chest and head congestion, cough, arms swelled up and hot and red. Dizziness was the worst. Patient wants to know how to get rid of it and out of her system. She had taken other shots for pneumonia but have never had side effects. When she called the doctor, they told her she will have to take antihistamine and steroids long term. She does not typically take these at all. She had to take steroids this time because they were trying to get rid of what is in her system. She has had 2 chest x-rays and been on 2 different kinds of antibiotics, but nothing worked. Both RSV and COVID tests were negative, so it had to be the Prevnar 20 shot causing her side effects. She went in feeling ok on 23Apr2025 and got sick on 25Apr2025 (2 days after the shot) and still sick ever since. Patient had planned surgery with anesthesia the week after the shot, but surgery was cancelled since she was sick. She had developed pain and suffering and worry because of this.  At time of report, she still had adverse reactions. She contacted the CDC and reported she was "allergic" to the vaccine.  No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.