my arm broke out where the shot was administered to almost my elbow, and it was a rash; Itchy rash on left arm; tested positive for Covid 19; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  A 74-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 03Nov2022 as dose number unknown, single (Lot number: 532601) at the age of 74 years, in left arm for immunisation. The patient's relevant medical history included: "Breast cancer", start date: 2018 (unspecified if ongoing); "Mastectomy", start date: Jan2022 (unspecified if ongoing), notes: Mastectomy Just right breast; "High cholesterol" (unspecified if ongoing); "Essential tremor" (unspecified if ongoing); "Staghorn kidney stone" (unspecified if ongoing), notes: she had when she was 37. She hasn't had another one since.; "Blood pressure" (unspecified if ongoing), notes: Blood pressure; "Low vitamin D level" (unspecified if ongoing), notes: Low vitamin D level; "Allergy" (ongoing). Concomitant medication(s) included: SIMVASTATIN taken for blood cholesterol increased (ongoing); GLIMEPIRIDE taken for diabetes mellitus (ongoing); HYDROCHLOROTHIAZIDE taken for nephrolithiasis (ongoing); LISINOPRIL taken for blood pressure abnormal (ongoing); KLOR-CON; ASPIRIN [ACETYLSALICYLIC ACID] (ongoing); VITAMIN D3 taken for vitamin d decreased (ongoing); ALLEGRA [LEVOCETIRIZINE DIHYDROCHLORIDE] taken for hypersensitivity (ongoing). Vaccination history included: pfizer covid 19 vaccines (1st dose, Lot: EL3247), administration date: 12Jan2021, when the patient was 73-year-old, for COVID-19 immunisation; pfizer covid 19 vaccines (2nd dose, Lot: EN6201), administration date: 14Feb2021, when the patient was 73-year-old, for COVID-19 immunisation; pfizer covid 19 vaccines (3rd dose, Lot: EN0187, N could be a W; it's hard to read the handwriting.), administration date: 20Sep2021, when the patient was 73-year-old, for COVID-19 immunisation; pfizer covid 19 vaccines (4th dose, Lot: FJ5683), administration date: 09Feb2022, when the patient was 74-year-old, for COVID-19 immunisation; pfizer covid 19 vaccines (5th dose, Lot: 649194, it was a booster.), administration date: 07Sep2022, when the patient was 74-year-old, for COVID-19 immunisation; Tetanus shot, administration date: 2000, for immunisation, reaction(s): "Hives"; Tetanus shot (Rash with blisters), administration date: 2000, for immunisation, reaction(s): "Rash with blisters"; Pneumonia shot (Pneumonia shot), for immunisation. The following information was reported: COVID-19 (non-serious) with onset 2022, outcome "recovering", described as "tested positive for Covid 19"; RASH PRURITIC (non-serious) with onset 04Nov2022, outcome "recovering", described as "Itchy rash on left arm"; VACCINATION SITE RASH (non-serious) with onset 04Nov2022, outcome "recovering", described as "my arm broke out where the shot was administered to almost my elbow, and it was a rash". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of vaccination site rash, rash pruritic.  Additional information: No previous immunization with the Pfizer vaccine considered as suspect. The patient had the other Pneumonia shot prior to the getting the Prevnar 20, but she doesn't remember when she got it. No additional Vaccines Administered on Same Date of the Pfizer Suspect. But did get a gel injection in both knees that same day. No prior Vaccinations (within 4 weeks). She has had a COVID vaccine recently, but it was more than 4 weeks ago. No Family Medical History Relevant to AE. Patient mentioned that she takes Simvastatin. In 2000, the first shot she ever had a reaction to was the Tetanus shot; it was a similar reaction, broke out in hives. She has breast cancer and this year had a mastectomy. Tetanus shot received in 2000: rash with blisters. The doctor insisted that she get it because she hadn't had one since she was 18. She knows that sometimes they put the DT in that also, but she doesn't know if it had that. Clarified DT as Diphtheria/Typhoid. States that she noticed that the Prevnar 20 sheet said may also have a reaction if reacted to Typhoid. She does not have the manufacturer name, Lot/NDC/Expiry to provide. Additional Information for Other medicines: Klor-Con: Takes with the fluid pill because it makes her potassium level too low. Used to take three 10mg but this was cheaper. Provided dose as M20. Dosage verified as M20, which caller believes to be 20mg. States that it's a choker. Clarified that the pills are so large; they are huge. Product is in a Pharmacy bottle, so no Manufacturer name, Lot/NDC/Expiry to provide. Aspirin: Indication as reported is Doctor told her to take it. Clinical courses: The patient recently took, about 5 weeks ago, Prevnar 20, and the patient had a severe reaction to that, her arm broke out where the shot was administered to almost her elbow, and it was a rash, she didn't have any problem with breathing or any of that. She is a 75-year-old female. She tested positive for COVID. She waited awhile to tell anyone about the rash from the Prevnar 20 because she doesn't like to bother people, but she did go by the drug store and the Pharmacist said that he was going to report it. She also called her doctor's office to let them know so they didn't give it to her again. The Prevnar 20 wasn't prescribed by her doctor, her and her husband went to get it on their own because they are both diabetic. AEs did not require a visit to Emergency Room or Physician Office. As for the Itchy rash: She still has a hint of the pattern where the rash was on her arm. At first it was itchy so she was taking children's Benadryl, took half a dose twice a day as recommended by the Pharmacist. States that she is still taking it but only at bedtime because she can still see the hint of pink on her arm, but it doesn't itch anymore. As for Covid-19: She has allergies anyway, so she noticed when she went by the construction site in town she would smell the sawdust and got a runny nose. She just thought she had a sinus infection. The only reason she took the home COVID test was because they were meeting someone tonight that is supposed to be going out of town and didn't want to jeopardize their trip. She doesn't remember when the symptoms first started because she just thought it was her allergies, but she tested positive for Covid on 12Dec2022. Her nose is not as runny as it was, but she doesn't know if it's from the allergens out side or what.