admitted to the hospital over night because of the side effects, effecting my oxygen levels as well; fallen twice because my legs given out; right knee and hip and my back, sometimes are still in pain; right knee and hip and my back, sometimes are still in pain; Pain in my leg; not able to find a comfortable way to sleep,I am having difficulty; had my A1C in last 2 days and it was 6.1. It was just a little slight pump; not able to walk properly; I used to be taller but gravity is talking to me, you know I am ageing, so I am shorter now.; substernal pain; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 68-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), as dose number unknown, single (Batch/Lot number: unknown), in left arm for immunisation; methocarbamol, paracetamol (ROBAXACET), (Lot number: EM1130, Expiration Date: Nov2023). The patient's relevant medical history included: "Blood pressure low" (unspecified if ongoing); "Congestive heart failure" (unspecified if ongoing); "Low thyroid" (unspecified if ongoing); "Cholesterol" (unspecified if ongoing); "heart condition" (unspecified if ongoing); "Anxiety" (unspecified if ongoing); "Depression" (unspecified if ongoing). Concomitant medication(s) included: LEVOTHYROXINE; ELIQUIS taken for cardiac failure congestive; ENTRESTO; JARDIANCE; ATORVASTATIN taken for blood cholesterol; CARVEDILOL; ASPIRIN [ACETYLSALICYLIC ACID] taken for cardiac disorder; VENLAFAXINE taken for depression, anxiety. Vaccination history included: I had prevnar 13 shot in 2019, administration date: 2019, when the patient was 64 years old, for Immunization. The following information was reported: OXYGEN SATURATION ABNORMAL (hospitalization), outcome "unknown", described as "admitted to the hospital over night because of the side effects, effecting my oxygen levels as well"; FALL (hospitalization), outcome "unknown", described as "fallen twice because my legs given out"; GLYCOSYLATED HAEMOGLOBIN INCREASED (Non serious), outcome "unknown", described as "had my A1C in last 2 days and it was 6.1. It was just a little slight pump"; ARTHRALGIA (Medically significant), BACK PAIN (Medically significant), outcome "unknown" and all described as "right knee and hip and my back, sometimes are still in pain"; PAIN IN EXTREMITY (Medically significant), outcome "unknown", described as "Pain in my leg"; INSOMNIA (non-serious), outcome "unknown", described as "not able to find a comfortable way to sleep,I am having difficulty"; GAIT DISTURBANCE (non-serious), outcome "unknown", described as "not able to walk properly"; BODY HEIGHT DECREASED (non-serious), outcome "unknown", described as "I used to be taller but gravity is talking to me, you know I am ageing, so I am shorter now."; CHEST PAIN (non-serious), outcome "unknown", described as "substernal pain". The event "substernal pain" required physician office visit. The event "fallen twice because my legs given out" required emergency room visit. The patient underwent the following laboratory tests and procedures: Blood pressure measurement: 100, notes: low blood pressure. It almost strikes 100; Body height: Decreased; Glycosylated haemoglobin: 6.1. The action taken for methocarbamol, paracetamol was unknown. Therapeutic measures were taken as a result of arthralgia, back pain, pain in extremity, gait disturbance, chest pain.  Clinical course details: The patient had a nasty reaction and still not able to walk properly because of the right knee and hip and back, sometimes were still in pain, such pain that patient was not able to find a comfortable way to sleep and so having difficulty with and also spent overnight and was admitted to the hospital over night because of the side effects, effecting the oxygen levels as well. Patient had some substernal pain and the cardiologist, who had seen, whom patient saw today and the GP, who had seen yesterday feel that was related to the Pneumonia shot (Prevnar 20). The worst part was this, the day the patient have fallen twice because the legs given out and went to emergency on Friday and was admitted later on in evening and was discharged Saturday afternoon. The patient had acetaminophen for the pain and Methocarbamol for the muscle relaxant, but it did not make any difference.  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.