Age: 65.0
Sex: F
Vaccine: PNC13
Symptoms: Sinus disorder
Clinical narrative: She was given the 2nd time of pneumonia vaccine; Prevnar13/ It was the 2nd time. The doctor made a mistake and gave it to her twice.; hashimoto; right eye which was starting to get badly infected; a very bad sinus; right side was hurting/ it was in her back; right jaw was hurting; her right ear was hurting; she has nodules on her right side; This is a spontaneous report from a contactable consumer (patient) via Pfizer-sponsored program. A 65-year-old female patient received a second dose of pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13, Batch/Lot number was not reported), via an unspecified route of administration on Sep2019 (received at the age of 65-years-old) as SINGLE DOSE for immunization. Medical history included diabetic, sinus surgery, eye surgery (eye surgery was for cataracts), cataracts, extreme sinus (she had sinus surgery and she got better with her sinus but with the reaction from the pneumonia 13 in 2019 her sinus came back again like she never had the operation). Concomitant medications were not reported. The patient previously received flu vaccines; shingles vaccine; the first dose of pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13, Batch/Lot number was not reported), on an unspecified date for immunization and didn't have any reactions. The patient stated that in 2019, she was given the 2nd time of pneumonia vaccine; Prevnar13. It was the 2nd time. The doctor made a mistake and gave it to her twice. She reacted to the 2nd dose. It affected her jaw, trouble to her ear, her eye, the right side. She got very bad. The patient stated she has hashimoto. They told her she could have gone blind in the right eye. Now, she is still concerned about the Pfizer covid 19 vaccine and it may clash with Prevnar 13. She wants to make sure; she doesn't know what ingredients are in Prevnar 13 and Pfizer covid vaccine. She took pneumonia 13 the first time and didn't have any reactions. The second time she had a bad doctor and the reporter had informed the provider that she already took pneumonia 13 and the provider didn't bother to look at the reporter's chart and the provider said it was a different kind but it was pneumonia 13. This was back in 2019 but she is doing the call now because she wants to get the COVID 19 and she was concerned about what happened with the pneumonia 13 and if there is something left in her body that can cause an effect with the COVID 19. The night that she had come home after the second Pneumonia 13, in Sep2019, at first her right jaw was hurting and then it travelled into her right ear and her right ear was hurting and then it travelled to her right eye which was starting to get badly infected. She was concerned but she thought it would go away. This all happened on the same night that she had the pneumonia 13 and she thought that it would go away but it didn't go away. The 2nd day was worse and the 3rd day, on Sunday, was really bad. She went to the pharmacy and they said to go immediately to the emergency room. She went there and they said that if she wouldn't of came in that she could of gone blind in her right eye. The reporter mentioned that she is a Hashimoto patient and she has nodules on her right side too and she also has a very bad sinus and she had surgery in her two eyes. Her last eye surgery was for cataracts and it was successful. She had extreme sinus and she had sinus surgery and she got better with her sinus but with the reaction from the pneumonia 13 in 2019 her sinus came back again like she never had the operation. She has been struggling health wise because of the pneumonia 13.  She wishes that someone would do something because what the doctor did was so wrong, she was careless. The medical board gave the patient a number and put that on the form. The doctor worked at (withheld). The doctor was really bad because the patient's right side was hurting and the doctor said that the patient was going to need a hip replacement and that's not true because it was in her back and not a hip replacement concern. Also, the doctor had tried to push her into taking high pressure medications. When her blood pressure was taken it was normal, it was not high enough to get medications. It was 140 or something like that. For her second appointment there, they didn't take her blood pressure at all and when the doctor walked in, she had said that the patient's blood pressure was high and the patient said that no one took it. The doctor then put a pillow under the patient's right arm, and it was 121 and so the patient doesn't think that she needs medications, but the doctor walked in with them. There aren't any quality doctors in (withheld). When the patient had complained to the clinic they tried to cover up for the doctor. She decided to leave and go somewhere else and she isn't happy with her present doctor either. As for the event details, the patient stated that the events occurred in Sep2019. When probed for if this ended, she stated that she feels like she is still experiencing the effects to today because her eye keeps getting infected but it is not as bad as it was when she had went to the emergency room. Her sinus came back as she explained and the doctor that did that was good, and she told the doctor about what happened and how it had brought her sinus back. She stopped seeing this doctor because of COVID 19 and her not having the immunization in case the Pneumonia 13 left a residue inside of her body that can affect the COVID vaccine. Otherwise, she is good with vaccines. She takes every flu vaccine. When she went for her flu vaccine the doctor said that she could give something different and said that it was for pneumonia and the patient said that she already had the pneumonia shot because she takes the one that she can get every 5 years and she has already had the once in a life-time one, which is pneumonia 13. The doctor said that this was different, and the patient had thought that it was a 3rd kind and she believed her since she was a doctor. Then when she came home, she was suffering from the reaction that she had already shared about. The patient lso had the shingles vaccine and she was fine, she reacted a little bit but it went away. She had the shingles vaccine before what happened with the pneumonia 13 the second time. She was okay with the shingles vaccine and every year she has the flu vaccine except last year since corona came in, so she stopped getting any vaccine. No further details provided for the shingles vaccine. As for history and investigations: The patient stated that  she had went to the emergency room and they gave her antibiotics and she followed up only with the eye doctor who kept giving her the antibiotics to put in her eye and then she had changed doctors and went to see another doctor instead. She did share with Dr.(withheld) what happened, and the doctor didn't care, and she didn't do a follow up or do any of that. Her concern is about what are the ingredients and if she takes the COVID 19 vaccine will it clash, and will it affect her and should she take the COVID 19 vaccine. She wants to. When she asked her doctor about this before the COVID vaccine came through the doctor said that the COVID vaccine is going to come up and the doctor said that the patient can be one of the first to get it because she is a diabetic and the patient said that she wants to be the last one to get it and explained what happened with the pneumonia 13. That's why she went to Pfizer to inquire this. Outcome of eye infection was recovering; outcome of a very bad sinus was recovered on an unspecified date; outcome of the other events was unknown.   Information on batch number has been requested.