Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site swelling, Rash pruritic
Clinical narrative: bruising at the site; rash at the site/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm; redness at the site/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm; sore/the site got bigger on my arm and sore probably because I was working the muscle and injured it/rectangle going across caller's arm; sore/the site got bigger on my arm and sore probably because I was working the muscle and injured it; there was line of blood going down caller's elbow when given the shot, started purple; red swollen area/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 65-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 25Mar2025 as dose number unknown, 0.5ml single (Batch/Lot number: unknown) at the age of 65 years intramuscular for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: VACCINATION SITE BRUISING (non-serious) with onset 25Mar2025, outcome "not recovered", described as "bruising at the site"; VACCINATION SITE RASH (non-serious) with onset 25Mar2025, outcome "not recovered", described as "rash at the site/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm"; VACCINATION SITE SWELLING (non-serious) with onset 25Mar2025, outcome "unknown", described as "red swollen area/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm"; VACCINATION SITE ERYTHEMA (non-serious) with onset 25Mar2025, outcome "not recovered", described as "redness at the site/is like a rash, but a rash is itchy, and this is just a red swollen area, a rectangle, going across caller's arm"; VACCINATION SITE MASS (non-serious) with onset 25Mar2025, outcome "unknown", described as "sore/the site got bigger on my arm and sore probably because I was working the muscle and injured it"; MYALGIA (non-serious) with onset 25Mar2025, outcome "unknown", described as "sore/the site got bigger on my arm and sore probably because I was working the muscle and injured it/rectangle going across caller's arm"; VACCINATION SITE HAEMORRHAGE (non-serious) with onset 25Mar2025, outcome "recovering", described as "there was line of blood going down caller's elbow when given the shot, started purple". Therapeutic measures were taken as a result of myalgia, vaccination site mass. Additional information: Patient is putting ice on it, and has a steroid cream because has a skin condition which may or may not be part of this. When gets bit by a mosquito gets swelling in the area, it takes a week to two weeks for it to go away so has a steroid cream (a tube of triamcinolone acetonide ointment 0.5) that stops that and makes go down. Patient is also icing it and taking NSAID.  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.