Age: 72.0
Sex: M
Vaccine: PNC13
Symptoms: Injection site pain, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: This is a spontaneous report from a contactable consumer reporting on behalf of her husband. A 72-year-old male patient received PREVNAR 13 on an unspecified date in the middle of Aug2016, probably around 14:00, 0.5 ml single, in right arm, for immunisation. No other vaccines were given on the same day or within 4 weeks. Medical history included bypass surgery on 28Aug2014, stones in the bladder from an unknown date (in late 2013 or in early 2014) to an unknown date in 2014, after his bladder surgery done in 2014 to remove the stones. Relevant family medical history was none. Events following prior vaccinations were none. Concomitant medication included oral acetylsalicylic acid (COATED ASPIRIN) 325 mg tablet, daily, since 2014 and ongoing for heart, oral metoprolol, 25 mg tablet, 2x/day, since 2014 and ongoing for heart, oral atorvastatin, 40 mg tablet, daily, since 2014 and ongoing to maintain cholesterol level, oral tamsulosin, at 0.4 mg capsule, daily, since 2014 and ongoing, to make his stream better and to empty his bladder better. The patient experienced pain in the right arm at the injection site in Aug2016 with outcome of not recovered (reported as worsened), pain went up into his right shoulder and started to freeze this shoulder in Feb2017 with outcome of recovering, swelling at the injection site of the right arm in 2016 with outcome of not recovered, the top of his right hand and three fingers of the right hand were swollen in Feb2017 with outcome of not recovered, lump of the right arm, at the injection site in Aug2016 with outcome of not recovered, back pain in Jan2017 with outcome of recovering, pain in his left knee and left leg in Mar2017 with outcome of not recovered, the product had attacked his joints like an allergic reaction, which were his back right shoulder, right hand, left leg and knee on an unspecified date in 2016 with outcome of not recovered, could barely walk from the left knee and left leg pain in Mar2017 with outcome of not recovered. The events required a physician office visit. The events did not require a ER visit. Therapeutic measures were taken as a result of all the events. Relevant test: none. Clinical course of the events included the following information: the patient experienced pain at the injection site immediately after he received the injection and swelling at the injection site about one week after he received the injection. His experiences after receiving the product had progressively worsened since Jan2017. Starting at the end of Feb2017, the pain went up into his right shoulder and started to freeze the right shoulder. His doctor recommended the patient to see an orthopedic surgeon regarding these issues. This doctor prescribed physical therapy for his right shoulder. His therapy started in the first part of Mar2017. He currently still had therapy. Starting sometime in Mar2017, these issues had improved and his right shoulder started to loosen up a little bit after he started to receive physical therapy in Mar2017. The swelling went down into his right hand. Starting at the end of Feb2017, the doctor noticed that the top of his right hand and three fingers of the right hand were swollen. When he went to bed at night, the swelling went down, but the swelling immediately came back each day. His hand had swollen twice the size and he had not gotten any better regarding this experience. This situation had caused his back pain as well. This back pain started Jan2017. Currently, his back pain had improved since he started to receive physical therapy in Mar2017. Now he had pain in his left knee and left leg stating in Mar2017. His doctor stated that the patient had experienced a reaction like an allergic reaction which was evidenced by the fact that the product had attacked his back, right shoulder, right hand, left leg and knee, which were the joints that the caller referred to as the product attacking his joints.