Age: 93.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Injection site reaction, Pruritus, Rash, Rash erythematous, Rash pruritic
Clinical narrative: not sure if it was allergic or infection; breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash/ It was itchy and painful; breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash; Days later his entire left arm from the top where the injection was down to his elbow broke out in an intense red rash/developed an intense rash from the point of the injection down to elbow; not sure if it was allergic or infection; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 93-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 19Aug2024 as dose number unknown, single (Batch/Lot number: unknown) at the age of 93 years, in left arm for immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: VACCINATION SITE RASH (non-serious) with onset 20Aug2024, outcome "unknown", described as "Days later his entire left arm from the top where the injection was down to his elbow broke out in an intense red rash/developed an intense rash from the point of the injection down to elbow"; RASH ERYTHEMATOUS (non-serious) with onset 20Aug2024, outcome "unknown", described as "breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash"; RASH PRURITIC (non-serious) with onset 20Aug2024, outcome "unknown", described as "breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash/ It was itchy and painful"; INFECTION (non-serious), HYPERSENSITIVITY (non-serious) all with onset 20Aug2024, outcome "unknown" and all described as "not sure if it was allergic or infection". The events "not sure if it was allergic or infection", "breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash/ it was itchy and painful", "breakout of red itchy marks at the body such as the torso and arms/ down to his elbow broke out in an intense red rash" and "days later his entire left arm from the top where the injection was down to his elbow broke out in an intense red rash/developed an intense rash from the point of the injection down to elbow" required physician office visit. Therapeutic measures were taken as a result of infection, rash pruritic, rash erythematous, vaccination site rash, hypersensitivity.  Additional information: Caller reported that he had a breakout of red itchy marks at the body such as the torso and arms, Caller is asking if these are side effects of Prevnar 20. Caller was vaccinated last 19Aug2024. Days later his entire left arm from the top where the injection was down to his elbow broke out in an intense red rash. He went to the dermatologist for that. The dermatologist was not sure if it was allergic or infection. The dermatologist cannot determine that and put the caller on doxycycline for a week. After that up to today the caller continues to get red marks all over his body. It was itchy and painful. The caller is asking if these are side effects of the injection.  On 19Aug2024 caller received Prevnar 20 at doctor's office, received the shot or vaccination of Prevnar 20, a day or two later developed an intense rash from the point of the injection down to elbow, was concerned. Went to dermatologist, said it could be an allergic reaction, but probably was an infection, put caller on antibiotic, doxycycline, and cleared up in about a week. After that, and up to today, caller has been getting break outs of red itchy marks over body, basically torso and arm. Has gone back to an allergist and two dermatologists and none have come up with an answer. Caller thought caller would reach out to Pfizer and see if possibly a side effect of the original injection since started after that injection and after the rash.  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.