joint pain; rashes on his body; The one on his left leg was very painful on the shin and it looks like a bruise, bright red.; The one on his left leg was very painful on the shin and it looks like a bruise, bright red.; his left leg was very painful; Hives; Husband had Prevnar 20 administered twice back to back.; He did have some high fever and one fever was 102.3 right after it happened/feverish/He has had fever every day, low grade; he is not feeling well; Achy/body aches; he was coming down with something like the flu; chills; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 68-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 07Jun2023 as dose 2, single (Batch/Lot number: unknown) at the age of 68 years, in left arm for immunisation. The patient's relevant medical history was not reported. Concomitant medication(s) included: ATORVASTATIN; MONTELUKAST; OMEPRAZOLE; LEVOTHYROXINE. Vaccination history included: prevnar 20 (Dose 1, Single, Received Prevnar 20 in left upper shoulder), administration date: 04Apr2023, when the patient was 68-year-old, for Immunization. The following information was reported: EXTRA DOSE ADMINISTERED (non-serious) with onset 07Jun2023, outcome "unknown", described as "Husband had Prevnar 20 administered twice back to back."; URTICARIA (non-serious) with onset 10Jun2023, outcome "not recovered", described as "Hives"; ERYTHEMA (non-serious), CONTUSION (non-serious) all with onset 10Jun2023, outcome "not recovered" and all described as "The one on his left leg was very painful on the shin and it looks like a bruise, bright red."; PAIN IN EXTREMITY (non-serious) with onset 10Jun2023, outcome "not recovered", described as "his left leg was very painful"; ARTHRALGIA (non-serious) with onset 10Jun2023, outcome "not recovered", described as "joint pain"; RASH (non-serious) with onset 10Jun2023, outcome "not recovered", described as "rashes on his body"; PAIN (non-serious) with onset Jun2023, outcome "not recovered", described as "Achy/body aches"; PYREXIA (non-serious) with onset Jun2023, outcome "not recovered", described as "He did have some high fever and one fever was 102.3 right after it happened/feverish/He has had fever every day, low grade"; CHILLS (non-serious) with onset Jun2023, outcome "not recovered"; MALAISE (non-serious) with onset Jun2023, outcome "not recovered", described as "he is not feeling well"; INFLUENZA LIKE ILLNESS (non-serious) with onset Jun2023, outcome "not recovered", described as "he was coming down with something like the flu". The events "he did have some high fever and one fever was 102.3 right after it happened/feverish/he has had fever every day, low grade", "he is not feeling well", "achy/body aches" and "he was coming down with something like the flu" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: The caller is reporting that her husband had Prevnar 20 administered twice, back to back. The first administration was on 04Apr2023 and the second on 07Jun2023. The caller asks for information on this administration. On 28Jun2023, it was reported that her primary reason for calling was to find out if anything like this has been reported before and what the possible side effects would be. The caller doesn't know if what her husband (patient) is experiencing was from this and is not sure if this would cause a problem. The vaccines were given at two different locations. Had it in a pharmacy in April, and instead of stopping and finding out from the pharmacy, the doctor's office went ahead and did it. The caller stated that the patient started having symptoms within a couple of days, by 08Jun2023 or 09Jun2023. Started having symptoms. Achy, feverish, and thought that he was coming down with something like flu. He went back to the doctor because he thought that it was from the second shot and said that it was not normal. Tested for flu and did Lyme Panel, all came back negative. The patient was tested for COVID-19 twice, both also came back negative. Symptoms really came on three days after shot was given, so on 10Jun2023. Then he came to realize the first shot was the pneumonia shot and went back to the pharmacy and that was confirmed. He has had fever every day, low grade. He did have some high fever and one fever was 102.3 right after it happened. The symptom not feeling well is still ongoing. There is more of what he is experiencing: body aches, chills, fever, joint pain, and rashes on his body. The rash look like hives but is not itchy. The rash comes and goes on his leg and arms and trunk and face. The one on his left leg was very painful on the shin and it looks like a bruise, bright red. Received Prevnar 20 in left upper shoulder both times.   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.