Sex: M
Vaccine: PNC13
Symptoms: Arrhythmia, Cardiac failure, Cardiac imaging procedure abnormal, Computerised tomogram thorax abnormal, Drug ineffective
Clinical narrative: Caught pneumonia after getting the shot.; cardiac heart failure; pulmonary fibrosis; Myopathy; His weight dropped to 160lbs; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 71-year-old male patient received pneumococcal 13-val conj vac (dipht CRM197 protein) (PREVNAR 13), in Feb2018 as dose number unknown single (Batch/Lot number: unknown) for immunisation. The patient had no relevant medical history. There were no concomitant medications. The following information was reported: DRUG INEFFECTIVE (non-serious) with onset Jan2022, outcome "unknown", described as "Caught pneumonia after getting the shot."; WEIGHT DECREASED (medically significant) with onset 2022, outcome "not recovered", described as "His weight dropped to 160lbs"; MYOPATHY (medically significant) with onset 2022, outcome "not recovered"; CARDIAC FAILURE (medically significant) with onset 2022, outcome "not recovered", described as "cardiac heart failure"; PULMONARY FIBROSIS (medically significant) with onset 2022, outcome "not recovered". The patient underwent the following laboratory tests and procedures: Computerised tomogram: Unknown results, notes: Dates of the tests done including the MRIs and CT were between Feb2022 and Mar2022; Magnetic resonance imaging: Unknown results, notes: Dates of the tests done including the MRIs and CT were between Feb2022 and Mar2022; Weight: 160 lbs, notes: His weight dropped to 160lbs.  Clinical course: Patient had to take Prevnar 13 and Pneumococcal shot and it lasted 1-2 years and caught it again last year" reporter notes that he was waiting for the provider to call him back to further discuss and hopes to get the vaccine this week, Tuesday or Wednesday. Reporter stated he got the Prevnar 13 injection and pneumococcal 2018 late summer and then "caught it." He was under the assumption it was a one time deal and he was finding out that was not the case as he was researching. Bacterial pneumonia was what he got, he would get it yearly and took "amycycline" and doxycycline which was not effective for his illness he notes.  After he got the pneumococcal 23 vaccine he says he was okay for 2 years , he didnt get it Jan2022 he went to the dentist and 2 days later he got it.  3 years after taking Prevnar 13 he contracted pneumococcal and it was terrible for 1.5 months.  3rd year after the injection was when he contracted the illness. 1st and 2nd years he stated he was okay. He was getting pneumonia yearly and every other year x 12 years - since 2010. Almost every other year, he would get bacterial pneumonia he says.  Jan through late Mar, prime time and that was when he would get it. Reporter comments,"was it like your brain stores these strains to identify them when they come into the system?. complicated to understand how the vaccine works Streptococcus was  the one, the killer. When  somebody either coughs or sneezes, it was more like something you are absorbing through the nose and the mouth. He was wearing gloves at the store and spraying kitchen counters.  He stated he knows when he took his granddaughter to store, she was sneezing, 1 foot away and she sneezed in his face, and 2.5 days he got it. Kids were carriers and he had grandkids, He wants to get prevnar 20 in his system, how long does it take to start working, days, weeks, hours, minutes. Reporter also notes that he was terminal anyway - heart and pulmonary fibrosis and they had given him 1 year. He was calling to report he got Prevnar 13 and 3.5 years later did end up getting pneumonia.  Reporter clarified that he received Prevnar 13 in Feb2018 and got Pneumonia in Jan2022. Prevnar 13: Got one shot in Feb2018, and another shot in Aug2018-not sure which shot the second shot was, it was a pneumococcal he thinks, but  was not sure; he thinks it was a combination that he had to get with the Prevnar 13. He was a terminal patient on palliative care, everything happened like last year. After that Prevnar 13 shot he was totally normal, he was 207 lbs; everything was fine in his life until Jan2022. In Jan2022 he went into the dentists and caught bacterial pneumonia 2.5 days later. Since then he went in and saw these doctors. His weight dropped to 160lbs. He found out he had myopathy, cardiac heart failure and pulmonary fibrosis. He had all these other tests, everything seemed to go crazy. He never had issues before that he knew of. The disease that brought all these other issues on. He had MRIs, CT exams, and they said he had cardiac heart failure, and all this weight dropped off him. They told him he is terminal but now that he was terminal he still had the ability to get around every couple of weeks; you know grocery shopping, and he knows you usually catch pneumonia from other people. He wanted to get Prevnar 20; he figured the Prevnar 13 was fading out, and the website says not 100% effective and so he went ok, lets get Prevnar 20. He told agent that; but he was still waiting for the doctor to call back to get an early appointment for the Prevnar 20 shot; especially since all these other issues that can't be fixed. he had heart failure they cant do anything about; there's nothing they can do about the myopathy or pulmonary fibrosis so he was basically just living off of Xarelto, beta blockers and ACE inhibitors. He was with the doctors dealing with him now. The Prevnar 13 worked for like 2 years and normally he gets bacterial pneumonia every other year since 2009 when he lived in (City name); he would dodge the bullet every once in a while but with his grandchildren she sneezed in his face so he got it; he knows normally you catch it from other people.First had to be diagnosed for the pneumonia in Jan2022; then they started doing x-rays thinking medication for it; starting to give him Doxycycline which was not that effective; Amoxicillin knocks it out in 4-5 days; but the doxycycline taken for 2 weeks did not work; him and the doctor got into a confrontation about did not tell the doctor his business; but he was coughing up blood, bleeding; doctor said you're gonna get another 10 days of doxycycline and the pneumonia slowly subsided. Doctor said he was going to send him to a pulmonologist who said he had got issues and needed to see a cardiologist; that his lungs are slowly healing but he's got pulmonary fibrosis; so he sent him to a Cardiologist in Feb2022, 8 weeks later; had CT and MRI diagnosed with Cardiac heart failure and on medication for that. He was losing a bunch of weight for whatever reason; got to the point that they said he was living on meds. Doxycycline: Manufacturers/Lots/NDCs/Expiries: Not provided, not probed over call, unable to perform outbound call as caller declined to provide telephone. The pneumonia treatment alerted them to other conditions that he was had and just went somewhere so he does not wanna catch pneumonia because he cant hardly move and he knows with his conditions he does not want to go to the hospital. The doctors in (State name) don't know much about Prevnar 20; the nurses say it was relatively new, but he is still waiting for an appointment  after calling last Thursday, still waiting for a phone call. Dates of the tests done including the MRIs and CT were between Feb2022 and Mar2022; then they say his cardiac arrhythmia put him out, so they zapped him on his chest, because his heart was out of rhythm. They put his heart back into rhythm, all kind of heart stuff there; sleep studies; MRI; it was just one nightmare after another; everything happened between late Feb2022 and early May2022. He verified there are no further treatments or medical interventions to report. With both the heart condition and lung condition, either one there's nothing they can do about. Patient received Prevnar 13 in Feb2018 and got Pneumonia in Jan2022. He figured the Prevnar 13 was fading out, and the website says not 100% effective. They started to give him Doxycycline which was not that effective; the Doxycycline taken for 2 weeks didn't work; doctor said you're gonna get another 10 days of doxycycline and the pneumonia slowly subsided. Product strength and count size dispensed: Prevnar 13, unknown; Doxycycline: not provided. Prevnar 13: Got one shot in Feb2018, and another shot in Aug2018-not sure which shot the second shot was, it was a pneumococcal he thinks, but isn't sure; he thinks it was a combination that he had to get with the Prevnar 13.   No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.