Age: 76.0
Sex: F
Vaccine: PNC13
Symptoms: Headache, Left atrial enlargement, Musculoskeletal pain, Myalgia, Nasopharyngitis
Clinical narrative: This is a spontaneous report from a contactable nurse, reporting for herself. This 76 year-old female patient received a single dose of PREVNAR 13 via an unspecified route of administration in the right arm on 05Oct2016 for immunisation and atorvastatin calcium tablet oral from 8 years at 40 mg once day for blood cholesterol increased.  Medical history included enlargement of left atrium (that was showed up in an electrocardiogram, but the cardiologist told her to not worry about it and that it was a very slight enlargement), herpes zoster with shingles on her scalp and the back of her neck about 2 years before this report, vaginal itching, allergy, Barrett's oesophagus, blood pressure high, old injuries.  Concomitant medications included losartan ongoing since about 8 years at 25 mg once a day for blood pressure high, omeprazole ongoing since about 15 years for Barrett's esophagus at 20 mg once a day, FLONASE ongoing for allergy at 2 DFs in each nostril, twice a day as needed, PREMARIN ongoing at 0.625 mg, applied about twice a month for vaginal itching, and flu vaccine in her left arm in Sep2016 about 4 weeks prior to receive pneumococcal 13-val conj vac (dipht crm197 protein) for immunisation. The patient also took supplement SuperBeets for about 1 month to try and help with her blood pressure and give her more energy.  It caused her diastolic pressure to drop down to 51 so she stopped using it.  She did mention that it did help lower her cholesterol however, which has always read 240 or more, but after taking supplement it was down to 150. The patient had received for immunization varicella zoster vaccine about 5 years before this report.  It had caused her arm to get red, swollen and hot at the injection site for about 7 to 10 days.  She also reported that the vaccine did not work for her because she had experienced the above mentioned shingles. About 3 days after the vaccination, on 08Oct2016, she developed redness (a big, round, red spot right) and warmth at her injection site on her right arm.  It lasted about 5 days before going away.  On 13Oct2016 she started with other side effects that she believed were related to pneumococcal 13-val conj vac (dipht crm197 protein), headaches, stomach pain, bloating, loss of appetite, pains in legs, wrist, knees, rotator cuffs and feeling feverish. Starting on 13Oct2016 she started with headaches that would come and go.  The headaches then went away but she occasionally felt a pressure in her head.  That same day she also experienced stomach pains and loss of appetite. The stomach pains lasted about 4 days and have since gone away and her loss of appetite was slowly improving, but she has lost 7 pounds.  The pains from her stomach seemed to radiate down her legs and she experienced muscle pains in either the front muscles of her legs or her feet.  The pains in her legs and feet were mostly fine, but still come and go.  She also reported that it seemed like the pains were attacking old injuries of hers.  She had pain in her shoulders from where she had rotator cuff injuries and pains in her knees and wrist that come and go, mostly at night.  She had ongoing pain in her wrist, but it was very slight. Due to pains in her legs and joints she was visited by a physician. Around that time she also felt feverish, but she took her temperature and did not have a fever.  That feeling went away completely after about 2 to 3 days. When her symptoms first started she was initially diagnosed with costochondritis. She was given NAPROSYN and told to alternate with TYLENOL for the pains she was having. She first assumed that her symptoms were due to her use of the statin, atorvastatin, so she stopped taking that, without her doctor's knowledge, on 13Oct2016.  She would not restart it until she was certain that it was not responsible for the symptoms she was experiencing, but she stated that she believed that her symptoms were due to the the vaccine since she has been using atorvastatin for over 8 years without any problems. On 15Oct2016 she started with cold symptoms and cough.  Her cold was still going on, but has improved because she has been using Zicam and ROBITUSSIN HD for the cough. Pfizer is a marketing authorization holder of atorvastatin calcium in the reporter's country. This may be a duplicate report if another marketing authorization holder of atorvastatin calcium has submitted the same report to the regulatory authorities.