Age: 56.0
Sex: F
Vaccine: COVID19, PNC20, COVID19
Symptoms: Burning sensation, Erythema, Fatigue, Limb discomfort, Pain in extremity
Clinical narrative: Next day arm swelled; Next day low grade fever at times; Next day, redness spread down arm; Arm was burning hot next day/Arm began to get hot/arm extremely hot/burning hit (radiating heat); became red below injection site; arm started feeling heavy/arm felt heavy; felt fatigued; Arm starting hurting night of injection and began to get hot/arm pain increased; This is a spontaneous report received from an Other HCP.  A 56-year-old female patient (not pregnant) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 01Oct2024 at 09:30 as dose number unknown, single (Lot number: LC128l1) at the age of 56 years, in left arm for immunisation; BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 01Oct2024 as dose 1, single (Batch/Lot number: unknown) at the age of 56 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "Hypothyroidism" (unspecified if ongoing); "Bandaid adhesive allergies" (unspecified if ongoing); "Allergies to dust on rare occasions" (unspecified if ongoing). Concomitant medication(s) included: METFORMIN; COENZYME Q10 [UBIDECARENONE]; MULTIVITAMIN FOR WOMEN; METAMUCIL [PLANTAGO OVATA]. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset 01Oct2024, outcome "recovering", described as "Arm starting hurting night of injection and began to get hot/arm pain increased"; BURNING SENSATION (non-serious) with onset 01Oct2024 at 15:00, outcome "recovering", described as "Arm was burning hot next day/Arm began to get hot/arm extremely hot/burning hit (radiating heat)"; LIMB DISCOMFORT (non-serious) with onset 01Oct2024 at 15:00, outcome "recovering", described as "arm started feeling heavy/arm felt heavy"; VACCINATION SITE ERYTHEMA (non-serious) with onset 01Oct2024 at 15:00, outcome "recovering", described as "became red below injection site"; FATIGUE (non-serious) with onset 01Oct2024 at 15:00, outcome "recovering", described as "felt fatigued"; PERIPHERAL SWELLING (non-serious) with onset 02Oct2024, outcome "recovering", described as "Next day arm swelled"; PYREXIA (non-serious) with onset 02Oct2024, outcome "recovering", described as "Next day low grade fever at times"; ERYTHEMA (non-serious) with onset 02Oct2024, outcome "recovering", described as "Next day, redness spread down arm". Therapeutic measures were taken as a result of burning sensation, pain in extremity, vaccination site erythema, limb discomfort, fatigue, peripheral swelling, pyrexia, erythema.  Additional information: Patient arm started hurting night of injection and began to get hot. Her arm was burning hot next day, became red below injection site, arm started feeling heavy, and she felt fatigued. Next day, redness spread down arm, arm extremely hot (low grade fever at times, arm swelled, arm pain increased and burning hit (radiating heat, arm felt heavy). The doctor put her on antibiotic treatment as precaution. The patient did not receive any other vaccines within 4 weeks prior to the vaccine.