Age: 54.0
Sex: M
Vaccine: PNC20, PNC20
Symptoms: Differential white blood cell count, Dyspnoea, Fatigue, Full blood count, Headache
Clinical narrative: Drank something cold or put something cold in his mouth he would have pain in his mouth; Pain goesif he drinks something cold, pain goes up to his head and right side of his lung; Pain goes up to his head and right side of his lung; Breathing issues; The pain in his back is behind his right shoulder blade; It feels like a bubbling type feeling in the right upper part of his chest when the pain is going away; He had chest pain in the middle and right upper area after receiving Prevnar 20; This is a spontaneous report received from a Consumer or other non HCP from medical information team.  A 54-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 20Dec2023 as dose number unknown, single (Batch/Lot number: unknown) at the age of 54 years, in left arm for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: CHEST PAIN (non-serious) with onset 20Dec2023, outcome "not recovered", described as "He had chest pain in the middle and right upper area after receiving Prevnar 20"; ORAL PAIN (non-serious), outcome "not recovered", described as "Drank something cold or put something cold in his mouth he would have pain in his mouth"; COLD-STIMULUS HEADACHE (non-serious), outcome "not recovered", described as "Pain goesif he drinks something cold, pain goes up to his head and right side of his lung"; PULMONARY PAIN (non-serious), outcome "not recovered", described as "Pain goes up to his head and right side of his lung"; DYSPNOEA (non-serious), outcome "unknown", described as "Breathing issues"; BACK PAIN (non-serious), outcome "unknown", described as "The pain in his back is behind his right shoulder blade"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "It feels like a bubbling type feeling in the right upper part of his chest when the pain is going away". Therapeutic measures were taken as a result of chest pain, oral pain, cold-stimulus headache, pulmonary pain. Additional information included: He had chest pain in the middle and right upper area after receiving Prevnar 20 and is still occurring. If he drank something cold or put something cold in his mouth he would have pain in his mouth that would go to the top of his head and would also go to the right side of his lung. This started about a week after receiving the Prevnar 20 vaccination and is still happening. The patient took Prevnar 20 a few months ago and has pain and had a lot of symptoms and side effects. He clarified that he had pain in his chest area after taking Prevnar 20. The pain in his chest started the day her received the Prevnar 20, 20Dec2023. He went home and about an hour later he had pain in in the middle of his chest and in the right upper part of his chest. Then he had breathing issues and said that the every 3 days it would go away and then it would come back. The doctor prescribed him prednisone for pain and inflammation. the pain is not as bad, but it is still there. He was able to do crunches previously. The pain comes back when he does crunches now and is in the right upper side of his chest and in his back. He said that it will last about a week and then will ease up, but never goes completely away. It feels like a bubbling type feeling in the right upper part of his chest when the pain is going away. The pain in his back is behind his right shoulder blade.   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.