Age: 65.0
Sex: F
Vaccine: PNC13, PPV
Symptoms: Injection site warmth, Intraocular lens implant
Clinical narrative: cataract surgery on her right eye on 09Jun2020 and on the left eye on 14Jul2020; site reaction/did not have a reaction to it other than a site reaction; Where the shot was it was a little red.; she forget words that she doesn't use often; she  got a site reaction where it got red and warm; vaccination site warm; This past year she has lost two and a half inches; This spontaneous report as received from a consumer refers to a currently 72-year-old female patient. The patient's concurrent conditions included pressure headaches from storms, melanoma (found in December 2003), thyroid disorder and diabetes. Concomitant therapies included levothyroxine sodium (SYNTHROID), colesevelam hydrochloride and metformin hydrochloride. She was divorced. The patient was allergic to pollen from every tree except cottonwood, to every pain medication in the world (codeine, morphine, ibuprofen, naproxen (reported as "naproysyn"), acetaminophen, sulindac (CLINORIL), tramadol, anaphylaxis to opioids; she was able take aspirin - she limited herself to 6 tablets per year), also allergic to fluoride, synthetic tetanus, band aid adhesive and sulfa drugs, to night shade family (tomatoes, eggplant, potatoes and bell peppers; bell pepper and egg plant caused anaphylaxis to her; she could walk into the produce department and the oil got in the air from a bell pepper and she would start having a reaction), tobacco, ants, bees and wasps and insect bites (she got anaphylaxis if she got stung by ants, bees, wasp and insect bites), carbon paper, cleaning chemicals, dust, eucalyptus (the scent of it in the air caused her eyes to start swelling; she has not been able to wear make up), mold, pesticides, smoke, synthetic fabrics (like polyester) and synthetic perfumes, tree sap (the saps from Evergreen and tropical varieties of plants, like palm trees, caused rashing). She could eat eggs and was not allergic to eggs. She could eat tree nuts like pecans and walnuts, yet she was allergic to the pollen from the tree. On an unknown date in September 1967 (reported as in the fall of 1967), she received her first flu vaccine. She had the flu vaccine again the next year in 1968. She had a big goose egg, rashing, and problems breathing. She had a reaction again. She has never had another flu vaccine and has not had the flu either. On an unknown date in approximately 2012 (8 years ago, also reported as the last time), she had an opioid, which was from a dentist. He said she would not be allergic to it. She believed him and took it. In less than 15 minutes, she was projectile vomiting into the toilet. Those are some of her symptoms.   On an unknown date in approximately 2013 (reported as "when she turned 65 years"), the patient was vaccinated with the first dose of pneumococcal vaccine, polyvalent (manufacturer unknown) (strength, dose, route of administration, lot number and expiry date were not reported) for prophylaxis.  On an unknown date, the patient experienced a site reaction to the vaccine. Additionally, where the shot was given, the site was a little red. She stated it was not a big reaction.  On an unknown date in approximately 2014 (reported as 6 years ago, when she was 66 years old), the patient was vaccinated with pneumococcal 13v conj vaccine (CRM197) (PREVNAR 13). On an unknown date in October 2019, the patient was vaccinated with the second dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23).  On an unspecified date, the patient experienced forgetting words that she did not use very often. The pharmacist made a lot of calls (not further clarified) and told them that she had a reaction to pneumococcal 13v conj vaccine (CRM197) (PREVNAR 13) and they did not think she would have a reaction to pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). Additionally, the patient experienced a site reaction, where it got red and warm. It did not swell above the skin. Since an unknown date in approximately 2019 (reported as last year), the patient started to loose her heigh. The entire time she was in high school and she was 5 foot 7 inches. This past year she was down to 5 foot 4.5 inches. Last year, caller was down to 5 foot 5.5 inches and this year, she was 5 foot 4.5 inches. She has lost two and a half inches. On an unknown date, the patient experienced cataract. On 09-JUN-2020, she had cataract surgery on her right eye and on 14-JUL-2020, she had cataract surgery on her left arm performed. She had far vision implants put in both eyes. The outcome of the events was not reported.  The event of vaccination site reaction was considered to be related to pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). The relatedness between other events and the suspect vaccines was not reported.  Upon internal review, the event of cataract was determined to be medically significant.  This is one of two reports regarding the same patient.; Sender's Comments:  US-009507513-2012USA007459: