Age: 59.0
Sex: F
Vaccine: PPV
Symptoms: Upper respiratory tract infection
Clinical narrative: upper respiratory infection, slowly getting worse and worse; Severe outbreak of genital herpes/herpesoutbreak/8-9 genital herpes; The reaction reported as it was not allergy. It was respiratory and central nervous system related; afraid of covid 19 vaccine because herpes goes wild; fatigue; Croupy pneumonia / Upper respiratory tract infection; recevied wrong vaccine / getting too high of a strain for my system; This spontaneous report was reciefed from a 59-year-old female patient via Pfizer. No information regarding the patient's medical history, drug reactions or allergies was provided. Her concomitant medications included echinacea. The patient's concurrent conditions included genital herps (reported as "usually have one lesion when not under vaccination").  On 04-NOV-2014, the patient was vaccinated with the first dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX23) instead of pneumococcal 13v conj vaccine (CRM197) (PREVENAR 13) in the right arm ("rt arm") for "build up her immune system" (prophylaxis)(exact dose, lot #, expiration date and route of administration were not reported).  She stated "feeling great day of shot", "worked at store that day with no problems". The patent also reported "getting too high of a strain for my system", which "could have been bad" and "what dose not kill you makes you stronger". On 07-NOV-2014 (reported as 3 days after shot), she experienced croupy pneumonia (pneumonia) (also reported as the reaction respiratory related), which was described as "croupy" and "damp". On approximately 11-NOV-2014 (reported as 1 week after shot)(also reported as in November 2016), she had severe outbreak of genital herpes reported as 8-9 lesions, which was getting worse and worse. On an unspecified date the patient was hospitalized but no details were provided. It was reported that the patient was home treated (also reported as selfcare). She took echinacea and she was putting camphor, eucalyptus oil and menthol on his chest for a month. She was eating hot chicken soup and she often was going naturopathic. The patient did not go back to doctor. On an unspecified date in December 2014, the patient recovered from pneumonia (reported as it lasted one month). On an unspecified date, the patient had fatigue. On an unknown date, she also experienced upper respiratory infection (also reported as the reaction respiratory related), which was slowly getting worse and worse and on an unspecified date required hospitalization. It was additionally reported that the reaction, which the patient experienced was respiratory related but also central nervous system related (central nervous system disorder). The patient reported that it felt like she had the immune system "panic attack". Her nerves "were worried about her immune system. The patient would like to know if new "mRNA Covid-19 shot" would give her 8-9 herpes lesions also? She was afraid of that as "herpes goes wild" (Fear of disease). The patient also reported that she was on no medications by doctor since November 2016 after than gynecologist gave her acyclovir for herpes outbreak as needed. She believed, she tried to get a refill from gynecologist for acyclovir "to try to mange severe out break" in November 2016. It was reported that on an unspecified date, the patient also recovered from the events of genital herpes and upper respiratory tract infection (reported as "fine now"). The outcome of the events of fatigue, nervou system disroder and fear of disese was unknown.  The causality assessment between the events and the suspect vaccine was not provided.  Upon internal review, the event of pneumonia was determined to be medically significant.; Sender's Comments:  US-PFIZER INC- 2020461144: