Age: 67.0
Sex: M
Vaccine: PNC13
Symptoms: Blood test normal, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: This is a spontaneous report from a contactable consumer reporting for himself. A 67-year-old male patient received the first single dose of PREVNAR 13 (lot N16562, expiry date 31Oct2017) on an unknown date in the morning in early Nov2016, in left arm, for immunisation. No other vaccines administered on the same date. Medical history included ongoing cholesterol diagnosed 10 or 12 years before the report (she was getting yearly or semi-yearly blood checks and everything was very good, nothing out of zone as far as his numbers for his cholesterol), they discovered a thyroid nodule and removed half of his thyroid in Dec2012 (he was seeing an endocrinologist for it), ongoing blood pressure abnormal diagnosed 10 years before the report, ongoing low testosterone diagnosed 3 years before the report, ongoing folliculitis with ongoing scalp itch (he had tried about a dozen different products, has had it for about five years), allergies to clindamycin phosphate (Manufacturer: Perrigo, topical solution, used the product Plangent to apply clindamycin phosphate, liquid in a swab, round thing about size of jar lid, NDC number: 45802-263-37, probable expiration date Feb2018, additional number near expiration date: 6CT0548) and to other unspecified medicines (he had ongoing breaks out for his allergies, sometimes he got a cream or salve and antibiotics; the break out cleared up and he broke out again; he had tried many different creams and antibiotics that stops itching and breakout rash but it comes back a month later). The patient previously took influenza vaccine in 1973, in right arm, for immunization; then he got about one a year in fall. He got for immunization also tetanus vaccine (last one was six to ten years before the report) that really hurt when getting it. Concomitant medications included oral atorvastatin 20 mg, 1 tablet/day, ongoing since about 10 years before the report or more, for cholesterol, oral L-THYROXINE ongoing at 88 ug, 1 tablet/day, for low thyroid levels because of removal of half of thyroid, oral DIOVAN 80 mg, 1 tablet/day, ongoing since about 10 years before the report, for blood pressure, topical ANDROGEL (strength 20.25 mg) in shoulder and upper arm, 3 pumps of gel per day (explained as a 75 g pump 1.62%), ongoing for low testosterone and montelukast from 13May2017. The patient experienced arm pain (where he received the suspect vaccine) in Nov2016 and limitation of arm movement (moderate) on an unspecified date. He was able to move arm above shoulder but not above head as he had pain when raising the arm above the head. Reaching down and stretching arm to pick something up could send a real sharp pain at point of injection. In the last two months the limitation of movement in his arm had got more bothersome. He went to the doctor for another check-up issue and asked his doctor about his arm. It was like "when you get a sore and hurts for a little while and it gets infected and start to notice it". Right now it felt like "he had the shot yesterday or this morning", he had a constant sore arm. The pain took 1 to 2 minutes to subside. Events had not yet resolved at the time of report.