Right arm pain and mark like an inch long oblong; 1/8th of an inch circle that is dark red and on top of that is dry skin; 1/8th of an inch circle that is dark red and on top of that is dry skin; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 68-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 23Nov2022 as 0.5 ml, single (Lot number: FW2328) at the age of 68 years intramuscular, in right deltoid for immunisation. The patient's relevant medical history included: "Allergy to Sulfa drugs" (unspecified if ongoing); "Sepsis" (unspecified if ongoing). Concomitant medication(s) included: FLU VACCINE VII, on 23Nov2022 as 0.7 ml, single(high dose quadrivalent). Vaccination history included: Moderna vaccine, for Covid-19, reaction(s): "immunization". The following information was reported: DRY SKIN (non-serious), SKIN REACTION (non-serious) all with onset 23Nov2022, outcome "not recovered" and all described as "1/8th of an inch circle that is dark red and on top of that is dry skin"; PAIN IN EXTREMITY (non-serious) with onset 23Nov2022, outcome "not recovered", described as "Right arm pain and mark like an inch long oblong". Therapeutic measures were taken as a result of pain in extremity, dry skin, skin reaction.  Additional information; As per agent and confirmed by caller, he received this product on 23Nov2022 and reports ongoing pain at injection site and an oblong 1 inch round mark where he received injection. States he can't sleep on that side. Asking how long it will continue and when will it go away. Provides additional details: reports an 1/8th of an inch circle that is dark red and on top of that is dry skin. States the pain doesn't hurt him during the day; it is only at night when he sleeps on that side. States once he puts pressure on it, it hurts. States he takes Advil at night for the pain.States he called his hcp office to set up an appt. At first he thought it may be a rotator cuff problem but he was checked out and its not. States it feels like someone punched him in the arm. Caller mentioned he took Moderna vaccine (unclear when and if same arm). Also reports he has an allergy to Sulfa drugs (antibiotics). States when he had sepsis previously, he took Sulfa and had a reaction; he was quickly taken off the product. States he is 68 yrs of age. Used allergy checker for sulfonamides 'provided the following "PREVNAR 20 TM pneumococcal 20-valent conjugate vaccine does not contain Sulfonamides. Received call from consumer regarding Pneumococcal vaccine Prevnar 20. Got it back on 23Nov2022. Arm still hurting and has a mark like a circle about an inch round like oblong. Cannot sleep on his side that it was injected in. Just wondering how long it will continue or when it will go away. He also received the Flu vaccine on the same date, but got it on the opposite arm as the Prevnar 20. The manufacturer was [Withheld] and it was the Fluzone High dose Quadrivalent, Lot UJ924AD, expiration is unknown. NDC 49281-122-88, Dose 0.7ml intramuscular to left deltoid on 23 Nov2022. That is the only medication he takes is the Gabapentin. Medical Treatment: He thought it was rotator cuff and then saw that mark on the arm. Went to doctor for him to examine his rotator cuff and the doctor said it was good. Said he could do an MRI, but that has not been done. Vaccine Supplemental form Time: 13:00 4.Prior Vaccinations (within 4 weeks): He also received the Flu vaccine on the same date, but got it on the opposite arm as the Prevnar 20. The manufacturer was Sanofi Pasteur and it was the Fluzone High dose Quadrivalent, Lot UJ924AD, expiration is unknown. NDC 49281-122-88, Dose 0.7ml intramuscular to left deltoid on 23Nov2022. Vaccination Facility Address: Facility .