This is a spontaneous report from a contactable consumer (patient's wife). A 70-year-old male patient received a single dose of PREVNAR 13, on 28Mar2016 after 15:00 for immunization on arm right. Medical history included chronic obstructive pulmonary disease (COPD) from 1998 and ongoing, chronic emphysema from 1998 and ongoing, partial lung function caused by COPD, post-traumatic stress disorder (PTSD) since he came home from abroad (not diagnosed until 2002) and ongoing, mental breakdown in 2002, malaria while abroad, blockage in one artery, cholesterol, acid and anxiety depression. Concomitant medication included BABY ASPIRIN tablet stated few years before and ongoing as blood thinner at 88 mg daily oral, citalopram hydrobromide tablet from 2002 and ongoing at 40 mg 1x/day (in the morning) oral, ongoing omeprazole capsule for acid at 20 mg 2x/day oral, ongoing lovastatin tablet for cholesterol at 40 mg, 1x/day (with supper) oral, ongoing cholecalciferol tablet for Vit D 3 at 2000 IU daily oral, ongoing  cyanocobalamin to help energy level at 1000 ug daily oral, ADVAIR from 2015 and ongoing for COPD at 1 puff 2x/day respiratory  inhalation, COMBIVENT RESPIMAT for COPD as needed (one to two puffs every 4 to 6 hours) respiratory inhalation and oxygen 3 l as needed, throughout the day via nasal canula; he also used Continuous positive airway pressure (CPAP) machine. On Jul2016 the patient experienced pneumonia. On 28Mar2016 at 17:00 he was extremely pale, weak and had fatigue. On Mar2016 excruciating pain in joint, leg, bone, all over body, high fever, sweating profusely and increase use of oxygen. On an unspecified date loss of appetite, severe headaches, difficulty sleeping, felt like he is being poisoned, skin cold clammy, memory impaired, could hardly stand up, coughing green and yellow mucus and heart started pumping faster, sickness. On Jun2016 increased wheezing and coughing and bronchitis. Before the shot, the patient was fine.  Events were described as follows: after receiving the vaccine the patient got really sick and had to lay down as soon as he got home. He was extremely pale and weak. He was disabled, but not completely: he has gone from being able to walk and work to now he cannot do things that he could normally do, he did not have the breath or the energy, he has to go to bed and go on oxygen. He felt like he was poisoned. The patient had severe headaches and nothing stopped them. He had fatigue: every once in a while he gets a burst of energy but it does not last long. The fatigue was a tad better. The excruciating pain was noticed within the next day or two of receiving the product. The difficulty sleeping was noticed about a week after the shot. He developed high fever at 103 degrees Fahrenheit: his normal body temperature was 96.0 degrees Fahrenheit. His skin felt cold and clammy (noticed a week after the shot and was present last night). He has had increased wheezing and coughing. The vaccine affected the patient's memory also. Not too bad, part of it is selective. Patient's heart started pumping faster due to the increased movement after the shot. The patient went the emergency room for fatigue, headache, wheezing, coughing and spitting up stuff and bronchitis. In Jun2016 he went to the emergency room because he could hardly stand up and bronchitis was found (X-ray revealed bronchitis in Jun2016). He may have received cortisone, but reporter was not sure. He also took a breathing treatment. He went to the doctor in Jul2016 because he was not getting any better and he was given amoxicillin 500mg for pneumonia. He was prescribed amoxicillin 125mg and it did not touch the congestion and the lungs continued to get worse. On 11Jul2016 he started two more rounds of amoxicillin 500mg. He probably took one tablet in the morning and one tablet at night. The patient was coughing green and yellow mucus. He still has an infection but has improved.  The patient had to increase the amount of time he used his oxygen about a week after he got the vaccination. Before the shot he did not have to use it during the day unless it was really humid or bad weather. At the reporting time he has to use it with any long extended movement and throughout the day. The patient had lab work before receiving the shot and all were fine. Patient was diagnosed with pneumonia and bronchitis. The patient was not hospitalized. The outcome of pneumonia, fatigue and sweating profusely was recovering. The outcome of weak, excruciating pain in joint, leg, bone, all over body pain, high fever, increase use of oxygen, loss of appetite, severe headaches, difficulty sleeping, felt like he is being poisoned, skin cold clammy, increased wheezing and coughing and bronchitis was not recovered. The outcome of extremely pale, memory impaired, could hardly stand up, coughing green and yellow mucus, heart started pumping faster and sickness was unknown.