Age: 65.0
Sex: M
Vaccine: PNC13
Symptoms: Injected limb mobility decreased, Injection site pain, Insomnia, Joint stiffness, Pain
Clinical narrative: This is a spontaneous report from a contactable consumer reporting for himself. This 65-year-old male patient received on 16Oct2017 9:45 PREVNAR 13 at single dose in the left deltoid due to recommendation of the doctor because he was 65-year-old. Medical history included mild asthma. In the first week of Sep2017 the patient received influenza vaccine for immunization and no reaction occurred. Concomitant medications were not reported. On 16Oct2017, the patient had tightness and pain in shoulder, limited rotation and movement (described as cannot lift arm and point it straight out and cannot open a door knob or take off a bottle cap), trouble sleeping because he cannot sleep on his left side, pain at injection site, cannot put pressure on his left arm/hand to go from a sitting position to a standing position to get up, couldn't lift arm straight out and still can't without significant pain. Outcome was not recovered. Course of the event was reported as follows: He received the vaccine that day at approximately 9:45 AM. He had some tightness and pain in his shoulder. He went out for a walk in the neighborhood. He was swaying his arm back and forth and by midafternoon, his arm was painful and he lost rotating motion. It was painful at the injection site and all over the upper arm. He took 2 over the counter naproxen at approximately 3 in the afternoon and couldn't lift arm straight out and still can't without significant pain. It has been almost 48 hours since he received the vaccine. By 5pm the day of the injection, he had taken a VICODIN and by 7pm, he called the nurse line and talked to the nurse. The nurse thought maybe they hit a nerve. He woke up about 4 AM and took another hydrocodone/paracetamol. Clarified that he didn't really wake up because he never really slept. The nurse called back yesterday morning because he was really worried about him. They offered to have him come in but he declined. Mentioned that he didn't sleep at all 17Oct2017. On 17Oct2017 evening he was watching tv and saw a commercial with pneumococcal 13-val conj vac (dipht crm197 protein) and saw the disclaimer and 2 of them mentioned were pain in the injection site area and limited movement of the shoulder and he wrote those down. He called the nurse back on 17Oct2017 evening after hearing these and asked why he didn't have this information and why wasn't he told about them. As of 18Oct2017, he was not doing a whole lot better, didn't sleep well as can't roll on that side, can't open the cap to a pill bottle and can't hold the pill bottle. Extreme pain in the whole upper arm. Holding elbow to his torso because if he lets his arm swing out he has pain. He was upset because he wasn't given this information about the side effects at his doctor office so he was worried he had a torn ligament and he was going to need physical therapy and everything, that is how bad the pain was. He has continued pain in the area of the injection and decreased movement in the area of the arm. He was relieved to know these were side effects because he thought it could have been something else. I took an additional naproxen on 17Oct2017 morning. He stated it was only 10% better.