Age: 69.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site discharge, Injection site pain, Pain in extremity
Clinical narrative: pain/ the minute she put the shot in, the pain started/ all up on her arm to shoulder to elbows down to her wrist; intense pain from her shoulder to her wrist/all up on her arm to shoulder to elbows down to her wrist; She said that it felt like a pinched nerve; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID.  A 69-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 18May2024 as dose number unknown, single (Batch/Lot number: unknown) at the age of 69 years for immunisation. The patient's relevant medical history included: "Cancer" (unspecified if ongoing). The patient's concomitant medications were not reported. Vaccination history included: Pneumococcal vaccine (DOSE NUMBER UNKNOWN, SINGLE, manufacturer unknown), for Immunisation, reaction(s): "discomfort"; Covid vaccine (DOSE NUMBER UNKNOWN, SINGLE; manufacturer unknown), for Covid-19 immunsation, reaction(s): "discomfort". The following information was reported: NERVE COMPRESSION (non-serious) with onset 18May2024, outcome "recovered" (18Jun2024), described as "She said that it felt like a pinched nerve"; PAIN IN EXTREMITY (non-serious) with onset 18May2024, outcome "recovered" (18Jun2024), described as "intense pain from her shoulder to her wrist/all up on her arm to shoulder to elbows down to her wrist"; VACCINATION SITE PAIN (non-serious) with onset 18May2024, outcome "recovered" (18Jun2024), described as "pain/ the minute she put the shot in, the pain started/ all up on her arm to shoulder to elbows down to her wrist". Therapeutic measures were taken as a result of vaccination site pain, pain in extremity.  Additional information: Caller declined to provide any demographic information. Caller is a 69-year-old female patient who has history of cancer and frequently gets pneumococcal vaccine. She confirmed that she has previously received Prevnar 20 vaccine before and the latest one she has received last May 18th, she has experience intense pain from her shoulder to her wrist. Caller described the pain as she felt like she was "hit by a car". She said that this was the first time that she has experience that kind of pain. She said that the medical assistant was the one who administered the vaccine and described the experience as "the minute she put the shot in, the pain started", she said that it "all up on her arm to shoulder to elbows down to her wrist". She said that it felt like a "pinched nerve". Caller stated that after 3 weeks of pain, caller tried to have it check in another clinic but was not entertained. She was not able to reach her previous HCP as they went away so she is in the process of getting a new one. Caller stated that she experienced the pain for a month, from the day she received it in the morning of May 18th until June 18th. She added that on June 18th she has received her Shingles vaccine (Shingrix) in the same arm in which the Prevnar 20 was administered and said that the pain went away immediately. She wanted to know what specifically happened to her. Caller reiterated that this was the first time she has experience this kind of pain that remained for a month. She said that she has received covid vaccine and pneumococcal vaccines before and there were discomfort but not that severe pain. She said that due to the pain, she could not hold a cup of coffee properly. She also said that she took acetaminophen to manage the pain but it did not help. she had a caller on the line who was the patient who did not want to share her name but stated she got the Prevnar 20 shot and is a senior citizen and at first had normal side effects; stated from the time it was put in the arm, it hurt and got progressively painful from injection site to the wrist to the shoulder and it lasted about 3 days shy of a month and she stated she got the shingles shot on June 18th and everything that was bothering her for one month was gone and she stated she would like to report this question and ask why this happened. It was bad enough it happened and she does not want it to happen again. Her husband was going for the same shot this week and caller states she had gotten it before without problems and she has her own suspicion on what happened and can the medical person tell her if she was on base.  No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.