Age: 67.0
Sex: F
Vaccine: PNC20
Symptoms: Muscular weakness, Peripheral swelling, Rash, Swelling, Wheelchair user
Clinical narrative: body weakness/I started severe weakness in my legs, my arms, my hands; chills; headache; muscle spasms; rashes/rash everywhere on my arm; swelling on the hand/arm and body; swelling on the hand/arm and body; she cannot barely breathe/ I do couple steps and out of the breathing; the vaccine upside down life basically/ won't be able to work anymore.; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID.  A 67-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 19Apr2024 as dose number unknown, single (Batch/Lot number: unknown) at the age of 67 years, in left hand for immunisation. The patient's relevant medical history was not reported. Patient's weight was reported as like 108 or 107. The patient took concomitant medications which included vitamins. The following information was reported: DYSPNOEA (disability) with onset Apr2024, outcome "unknown", described as "she cannot barely breathe/ I do couple steps and out of the breathing"; SWELLING (non-serious) with onset Apr2024, outcome "not recovered", PERIPHERAL SWELLING (non-serious) with onset 19Apr2024, outcome "not recovered" and all described as "swelling on the hand/arm and body"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (disability) with onset Apr2024, outcome "not recovered", described as "the vaccine upside down life basically/ won't be able to work anymore."; RASH (non-serious) with onset 19Apr2024, outcome "not recovered", described as "rashes/rash everywhere on my arm"; ASTHENIA (disability) with onset 21Apr2024, outcome "not recovered", described as "body weakness/I started severe weakness in my legs, my arms, my hands"; CHILLS (non-serious) with onset 21Apr2024, outcome "not recovered"; HEADACHE (non-serious) with onset 21Apr2024, outcome "not recovered"; MUSCLE SPASMS (non-serious) with onset 21Apr2024, outcome "not recovered". Patient received the vaccine on 19Apr2024 at her work the morning/midday at work; she started to see on her arm a little swelling. It was not that bad and little rash and next day there was extreme swelling and the rash everywhere on patient's arm. The patient went to pharmacy right away to show and then was told that she was going to be fine. Sometimes the side effect this couple of days, the patient should be okay. After next side effect like after two days (21Apr2024) started body weakness, weakness on legs, in arms, even hands, headache and the muscles spams, chills was still extreme and after a few day of that more the extraordinary weakness and she stopped walking. That was it from the patient from job; her boss said no, and the patient had to call her son right now and take her and have her seen a doctor as there's something happened. She stopped because she can barely walk, she was disabled. The patient also reported that after getting the shot, she started experiencing swelling on the hand/arm and body. The patient was in a bed right now, she did couple steps and out of the breathing that's how it was bad with the patient right now. So, whatever Pfizer can help the patient, maybe Pfizer know different state doctors or any treatment, what should the patient do to get better anything. She needed help. The patient was extremely sick and disable. Patient was actually disabled and right now she had disability. The patient lost her insurance because she did not work, they took all insurance. Patient lost everything. So, right now, she needed help whatever she can get. Patient just want to get better. Patient was a very healthy person before she took the vaccine and the vaccine upside down life basically. She was worried that she was going to be disabled and won't be able to work anymore. She said that when she came in to see her doctor, she was on a wheelchair. She can only do a couple of steps and walk to bed and she cannot barely breathe. Her doctors were not able to come to a diagnosis and they do not know what is going on. She said she needs real help and she is "very very worried" for herself. She was "100% sure that it is the vaccine." She said that this is a "very serious and very unusual case". The events "body weakness/i started severe weakness in my legs, my arms, my hands", "she cannot barely breathe/ i do couple steps and out of the breathing", "the vaccine upside down life basically/ won't be able to work anymore.", "swelling on the hand/arm and body", "rashes/rash everywhere on my arm", "chills", "headache" and "muscle spasms" required physician office visit. The patient underwent the following laboratory tests and procedures: Blood test: (unspecified date) Negative; lab test: (Jul2024) Negative; Magnetic resonance imaging head: (unspecified date) Negative; Magnetic resonance imaging neck: (unspecified date) Negative; Magnetic resonance imaging: (unspecified date) Negative; Lab test for muscle: (unspecified date) Negative. The patient went to see two different doctors so far and she had been dealing with the MRI for the brain to neck to lower back everything, everything was negative. They did so much different test from the blood, everything was negative because she was trying to see what happened to her. There was lab test before two weeks, yes, little bit before. There was lot for muscle if there was any damage, everything they did, everything came negative which was good but from doctor's they had no idea what going on with the patient. They were trying to help but no diagnosis. So, nobody, no doctor can diagnose. Therapeutic measures were taken as a result of asthenia, dyspnoea, loss of personal independence in daily activities, peripheral swelling, swelling, rash, chills, headache, muscle spasms which included steroids. The only thing her doctor that gave her was steroids and said let them do this, maybe that will help the patient with the side-effect. So, she said okay and that will help the patient. The patient took the steroid that was beginning when they did MRI for her brain. Also maybe, they will get the patient's strength back, steroids, nothing, zero. There was no other medication whatsoever, no medication because there was no diagnosis so how can take medication if there was no diagnosis.  The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.