Age: 67.0
Sex: M
Vaccine: PNC20
Symptoms: Bursitis, Glycosylated haemoglobin normal, Laboratory test normal, Pain in extremity
Clinical narrative: bursitis left elbow; sore arm; This is a spontaneous report received from contactable reporters (Other HCP (dentist) and Physician). The reporter is the patient.  A 67-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 11Mar2022 as dose number unknown, single (Batch/Lot number: unknown) at the age of 67 years, in left arm for immunisation. The patient's relevant medical history included: "diabetes" (unspecified if ongoing), notes: mature onset diabetes. States he doesn't take medication, it is controlled by diet and vitamin supplements. The patient took concomitant medications. Vaccination history included: Moderna (Dose 1), for covid-19 immunization; Moderna (Dose 2), for covid-19 immunization; Moderna (first booster), for covid-19 immunization. The following information was reported: PAIN IN EXTREMITY (non-serious) with onset Mar2022, outcome "recovered", described as "sore arm"; BURSITIS (non-serious) with onset 16Mar2022, outcome "recovering", described as "bursitis left elbow". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of bursitis. Additional information: The patient stated in the early part of March he was at his physician and the physician recommended PREVNAR 20, stated he had a sore arm, nothing significant. The patient went and had his hair trimmed a few weeks later (as reported) and his barber said "what is that on your elbow?" The patient went to his physician that did the PREVNAR 20 and was told it was bursitis. The patient stated he has no pain and the physician has him on naproxen (ALEVE) for a few weeks now. The patient stated that it had gotten smaller now. The patient stated he was a righty and he had no trauma. The patient stated that at the time of the report, the patient was just on anti-inflammatories and the physician didn't feel the need to drain it and it had been shrinking. The patient received the PREVNAR 20 on 11Mar2022 and the bursitis was noted on 16Mar2022. The patient sent his physician a picture on 16Mar2022 of his elbow and didn't think it was a reaction. There was no pain or tenderness. The patient clarified it was his left elbow and he got the vaccine in his left arm. The patient provides that he was a righty and he had no history of trauma or sports related or anything. The patient was on blood pressure medication and calcium channel blockers, there had been no change in his medication or batch of medication. No further details provided. The patient went in 11Mar2022 for his routine medical and had lab testing done. The patient stated his hemoglobin A1c was 6.8 and everything else was within normal.  When queried for seriousness criteria, the patient stated he felt no pain, no temperature around it and it had gotten a little bit smaller. The patient stated nothing to go to the emergency room over and being that his physician recommended anti-inflammatories and it appeared to be smaller.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.