Age: 81.0
Sex: F
Vaccine: PNC20
Symptoms: Musculoskeletal stiffness, Nausea, Vomiting
Clinical narrative: vomiting; diarrhea; stomach flu; nausea; had a big lump on the injection site; stiffness on the area/ stiffness around it; visible red patch on the skin; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team, Program ID. The reporter is the patient.  An 81-year-old female patient received pneumococcal 20-val conj vac (dipht crm197 protein) (PREVNAR 20), on 27Nov2023 as dose number unknown (0.5 ml), single (Batch/Lot number: unknown) at the age of 81 years for immunisation. The patient's relevant medical history included: "sulfa allergy" (unspecified if ongoing), notes: allergic to Bactrim and it was the sulfa in it. The patient took concomitant medications. Vaccination history included: rsv vaccine, administration date: 13Nov2023, for Immunization, reaction(s): "had no issues"; Pneumonia vaccine (about 10-12 years ago), for immunization; Covid vaccine (Dose 1, manufacturer unknown), for Covid-19 immunization; Covid vaccine (Dose 2, manufacturer unknown), for Covid-19 immunization; Covid vaccine (Dose 3, manufacturer unknown), for Covid-19 immunization; Covid vaccine (Dose 4, manufacturer unknown), for Covid-19 immunization; Covid vaccine (Dose 5, manufacturer unknown), for Covid-19 immunization; Covid vaccine (Dose 6, manufacturer unknown), for Covid-19 immunization. The following information was reported: VACCINATION SITE MASS (non-serious) with onset Nov2023, outcome "recovering", described as "had a big lump on the injection site"; VACCINATION SITE REACTION (non-serious) with onset Nov2023, outcome "unknown", described as "stiffness on the area/ stiffness around it"; VACCINATION SITE ERYTHEMA (non-serious) with onset Nov2023, outcome "unknown", described as "visible red patch on the skin"; NAUSEA (non-serious) with onset 27Nov2023, outcome "recovered"; GASTROENTERITIS VIRAL (non-serious) with onset 27Nov2023, outcome "recovered", described as "stomach flu"; DIARRHOEA (non-serious) with onset 28Nov2023, outcome "recovered", described as "diarrhea"; VOMITING (non-serious) with onset 28Nov2023, outcome "recovered". Therapeutic measures were taken as a result of vaccination site mass, vaccination site reaction, vaccination site erythema.  Additional information: Caller received Prevnar 20 two days ago (27Nov2023) and had a big lump on the injection site, caller also experience stiffness on the area and had a visible red patch on the skin. The pharmacist told her to put a lukewarm cloth, caller states the warm cloth and icepacks did not work. Caller states the pink lump is still there, it is still pink but not as big/hot/bright red as it was, but the lump is tiny compared to previously. Caller states she started to have nausea on Monday night (27Nov2023), and the next day on Tuesday (28Nov2023) she came down with vomiting, nausea, and diarrhea. Caller thought it was the stomach flu which she had never had in her lifetime, caller states it went away within 24 hours. Patient does not take any other medications except vitamins. Caller states she was in the doctors office this morning but the doctor was not there yet, so she was asked to return in the afternoon. Caller states she thinks she will lay off the vaccines and will not take anymore vaccines.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.