Age: 45.0
Sex: M
Vaccine: FLUX, PPV, PNC20
Symptoms: Arthralgia, Chills, Computerised tomogram normal, Confusional state, Dyskinesia
Clinical narrative: Seizures; loss of consciousness; chills; feeling confused; crazy; being emotional; headaches; neck and joint stiffness; neck and joint stiffness; uncontrolled leg movements; nerve twitching; As a result of that, I lost my driving license for a year; pain in his arm; joint pain; muscular pain; sick; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 45-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 10Nov2022 as dose number unknown, single (Batch/Lot number: unknown) at the age of 45 years, in left arm for immunisation, pneumonia. The patient's relevant medical history included: "pneumonia" (unspecified if ongoing), notes: head concussions has had a lot in the past.; "ADD" (unspecified if ongoing). Concomitant medication(s) included: FLU [INFLUENZA VACCINE] taken for immunisation as dose number unknown, single; COVID-19 VACCINE MODERNA taken for covid-19 immunisation as dose number unknown (booster), single. The following information was reported: ILLNESS (non-serious) with onset 12Nov2022, outcome "recovered", described as "sick"; SEIZURE (hospitalization, medically significant), outcome "unknown", described as "Seizures"; LOSS OF CONSCIOUSNESS (medically significant), outcome "unknown"; CHILLS (non-serious), outcome "unknown"; CONFUSIONAL STATE (non-serious), outcome "unknown", described as "feeling confused"; FEELING ABNORMAL (non-serious), outcome "unknown", described as "crazy"; EMOTIONAL DISORDER (non-serious), outcome "unknown", described as "being emotional"; HEADACHE (non-serious), outcome "unknown", described as "headaches"; MUSCULOSKELETAL STIFFNESS (non-serious), JOINT STIFFNESS (non-serious), outcome "unknown" and all described as "neck and joint stiffness"; DYSKINESIA (non-serious), outcome "unknown", described as "uncontrolled leg movements"; NERVE INJURY (non-serious), outcome "unknown", described as "nerve twitching"; LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES (non-serious), outcome "unknown", described as "As a result of that, I lost my driving license for a year"; PAIN IN EXTREMITY (non-serious), outcome "unknown", described as "pain in his arm"; ARTHRALGIA (non-serious), outcome "unknown", described as "joint pain"; MYALGIA (non-serious), outcome "unknown", described as "muscular pain". The patient was hospitalized for seizure (start date: 15Nov2022, discharge date: 18Nov2022, hospitalization duration: 4 day(s)). The event "seizures" required physician office visit and emergency room visit. The patient underwent the following laboratory tests and procedures: Computerised tomogram: (15Nov2022) couldn't find any abnormities; Magnetic resonance imaging: (unspecified date) couldn't find any abnormities.  Clinical information: Reporter would like to know the side effects of Prevnar 20". Patient know that one of the listed side effects is redness. Are there any other side effects I should be concerned about?". Head concussions has had a lot in the past. Last one was in 2020 or around there, might have been 2019. nothing recent. Reporter stated that he got really sick with chills, pain in his arm and was told go home, that he would be fine in few days. Had seizures at home. Went to hospital and was told fine and to go home. Had more seizures and in the ambulance and at the ER and they said nothing was wrong, they couldn't find epilepsy. Said it must be something recently had, and caller can't find anything about other people with seizures. Went in for follow up today. Can't see neurologist until middle of next month. Has anyone reported seizures? States the agent said he didn't have any information. Maybe joint pain which he had now. Muscular pain now and he doesn't know from if from seizures or shot or other things. Agent should know about seizures; the hospital should have reported.How does he get that data to see if others have had seizures. The agent he spoke to did didn't have any reports of seizures. On a commercial on the radio, it says to call for any other side effects than a sore or red arm. He called a number provided on radio and he can't find out about side effects. Primary / Prescribing Healthcare Professional Info: hasn't contacted him yet. Clarifies that he got Prevnar on 10Nov2022. States he got really sick on the 12Nov2022. Was sick really bad on 12Nov2022, 13Nov2022. On 14Nov2022 started feeling a little better. 15Nov2022 in the morning was the first seizure. Went to urgent care on 12Nov2022 and was told it was normal and to go home and relax.He went home and relaxed and felt a little better on 14Nov2022. Went to the hospital on 15Nov2022. At 3am on 16Nov2022 he had 4-6 seizures that went for an unknown amount of time, and he got really confused. He had ambulance people at his bed and he had a seizure in the ambulance and several in the ER. Was admitted to the hospital overnight. Had MRI and CT and was monitored and they couldn't find any abnormities. The scans were 17Nov2022 or 18Nov2022. Thinks he might have had a CT on 15Nov2022 also. Prescribed vitamin B1 and unfortunately the pharmacy is out and so he doesn't have that. Discharged from hospital on 18Nov2022. Suspect Product: got it in his left bicep and someone said don't usually put it exactly where the guy did. Not sure if that makes a difference. Indication: because has had pneumonia several times and one of the last times they said should get pneumonia shot that was out and with Covid he didn't want pneumonia, so he got the shot. Concomitant Medications: has ADD and takes medicines for that. His medications are not readily available right now and they are switching them at the pharmacy. Does not know the names, it's whatever the pharmacy gives him. Investigations: MRI and CT and monitored with 24 cables to his brain and monitored for epilepsy for extended period while in hospital. Got really sick on the 12Nov2022. Was sick really bad on 12Nov2022, 13Nov2022. On 14nov2022 started feeling a little better. 15Nov2022 in the morning was the first seizure. Patient had emergency room and physician room visit. Reporter does not have NDC, lot or expiry to provide for either and does not have name of flu vaccine to provide. AE(s) following prior vaccinations: None. Family Medical History Does not want to report. Relevant Tests: MRI, CT scans and 24 cables to his brain and monitored for epilepsy for extended period.  The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) has been requested and will be submitted if and when received.