Age: 70.0
Sex: F
Vaccine: COVID19, PNC20
Symptoms: Bone pain, Gait disturbance, Movement disorder
Clinical narrative: bone pain; Could barely walk; could barely move around; This is a spontaneous report received from a Nurse.  A 70-year-old female patient received pneumococcal 20-valent conjugate vaccine (diphtheria CRM197 protein) (PREVNAR 20), on 08Mar2024 as dose number unknown, single (Batch/Lot number: unknown) at the age of 70 years, in right deltoid for immunisation; elasomeran (MODERNA COVID-19 VACCINE), on 08Mar2024 as dose number unknown, single), in right deltoid for covid-19 immunisation. The patient's relevant medical history included: "Aortic aneurysm" (unspecified if ongoing); "Diabetes" (unspecified if ongoing); "Lung mass" (unspecified if ongoing); "severe arthritis" (unspecified if ongoing); "cardiac issues" (unspecified if ongoing); "extreme anxiety" (unspecified if ongoing); "Triglycerides" (unspecified if ongoing); "Depression" (unspecified if ongoing); "Hypertension" (unspecified if ongoing); "cholesterol" (unspecified if ongoing); "Psoriatic arthritis" (unspecified if ongoing); "spina bifida, L4, L5" (unspecified if ongoing). Concomitant medication(s) included: LOSARTAN taken for hypertension (ongoing); ROSUVASTATIN taken for blood triglycerides (ongoing); LORAZEPAM taken for anxiety; VASCEPA taken for blood triglycerides, blood cholesterol. Vaccination history included: Moderna covid-19 vaccine (DOSE NUMBER UNKNOWN), for COVID-19 immunisation; Pfizer covid-19 vaccine (DOSE NUMBER UNKNOWN), for COVID-19 immunisation, reaction(s): "sick/ felt like she had the flu"; Pneumovax (DOSE NUMBER UNKNOWN), administration date: 2007, for immunisation. The following information was reported: GAIT DISTURBANCE (non-serious) with onset 10Mar2024, outcome "recovered" (12Mar2024), described as "Could barely walk"; BONE PAIN (non-serious) with onset 10Mar2024, outcome "recovered" (12Mar2024); MOVEMENT DISORDER (non-serious) with onset 10Mar2024, outcome "recovered" (12Mar2024), described as "could barely move around". The events "bone pain", "could barely walk" and "could barely move around" required physician office visit. Therapeutic measures were not taken as a result of bone pain, gait disturbance, movement disorder.  Additional information: The patient reported she had been receiving Moderna products. And never got sick with Moderna, not once. She was high risk patient, also had a handicap son who lived with her. The patient wore diabetic sensor. The pharmacist gave her both injections in same arm, the Moderna COVID vaccine and the Prevnar 20. On 09Mar2024, the patient was okay. On 10Mar2024, thought every bone in her body was broken. She could barely walk, could barely move around, never had such pain in her life. It was in her thighs, calves, feet, back, hips, arms, she reported never felt such bone pain in her entire life. She did not really know what to make of it so just kind of took her cane, thought maybe it would wear out the following day; it was more centralized in hip area. First noticed the bone pain when she went to get out bed. Went to stand up, everything, hurt so much, could not even stand it. Clarified, bone pain in lower feet, lower back, arms, all bones. The following day, on 11Mar2024, it was gone, only thing left was in hip areas, hip joints. On 12Mar2024, she was finally good, she pretty much recovered completely from it, took it easy, it did not come back.  She did not know if it was because they gave both those injections too close together, physically, both in same arm. She reported not taking treatment, not a lot she could had taken since she did not know what it was. Normally, she did not even get 1 headache a year. Only thing she had in medicine cabinet was aspirin, paracetamol, caffeine (EXTRA STRENGTH EXCEDRIN), acetaminophen (TYLENOL) and naproxen sodium (ALEVE), she was tempted to take naproxen sodium, but didn't know what was going to happen.  The information on the batch/lot number for pneumococcal 20-valent conjugate vaccine (diphtheriaCRM197 protein) will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202400066588 same drug, different patient and event;US-PFIZER INC-202400066589 same patient, different drug and event;US-PFIZER INC-202400067044 same patient, different drug and event;