Age: 87.0
Sex: M
Vaccine: PNC20
Symptoms: Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Drug ineffective, Full blood count decreased, Laboratory test abnormal
Clinical narrative: blood count is low; white dots in his lungs; double pneumonia; double pneumonia; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID.  An 88-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), in Oct2023 as dose 1, single (Batch/Lot number: unknown) at the age of 87 years, in arm for immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing); "COPD" (ongoing); "Asthma" (ongoing); "Blood thinner" (unspecified if ongoing); "Cough", start date: Feb2023 (ongoing). Concomitant medication(s) included: METOPROLOL; ELIQUIS taken for anticoagulant therapy; AMLODIPINE taken for hypertension. The following information was reported: PNEUMONIA (medically significant), DRUG INEFFECTIVE (medically significant) all with onset 2024, outcome "unknown" and all described as "double pneumonia"; FULL BLOOD COUNT DECREASED (non-serious), outcome "unknown", described as "blood count is low"; LUNG DISORDER (non-serious), outcome "not recovered", described as "white dots in his lungs". The patient underwent the following laboratory tests and procedures: Computerised tomogram: white dots in his lungs, notes: recently had a cat scan; Full blood count: low; Markers for Prevnar: low. Clinical course: he had a cough that started one year ago in Feb2023. He was given 'all kinds of antibiotics' (names not provided) but it didnt do much and the cough came back. The cough was long story because the cough started a year ago Feb2023 and every time he would get it, it would be really severe coughing. You have to cough so hard you felt like your stomach was going to come out. That was the way it was and all the antibiotics and steroids, they gave him would slow it down and finally it would subside and a couple of months later came back, he had that 5 the last time it developed in the double pneumonia and that was about 6 weeks ago. His 'markers' for pcv 20 were low as per his pulmonologist. Stated the vaccine didn't work. His pulmonologist suggested he get another pcv 20 shot given his markers were low however he was told by his pharmacy that pcv 20 was administered as a one time shot. His allergist found that his blood count was low and he wanted to take another shot however he was stuck in the middle because his doctor was also uncertain about his decision. He had 'other lung problems' that are not solved such as COPD/Asthma. He recently had a cat scan which showed  white dots in his lungs. He had the cat scan in the last 9 months. He was prescribed a puffer by his pulmonologist (unclear if patient was taking the puffer). The patient though the "test" was done in May2024 ("about 3 weeks ago"). Treatment included an inhaler and it was generic says budesonide and formula says Formate dihydrate inhalation aerosol.   The information on the batch/lot number for [Pneumococcal 20-Val Conj Vac (Dipht Crm197 Protein)] will be requested and submitted if and when received.