rash; swelling; difficulty breathing; heat; This is a spontaneous report from a contactable consumer (patient). A 66-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), via an unspecified route of administration on an unspecified date at single dose for immunization. Medically history included: Allergies: pollen from every tree except cottonwood/ eucalyptus/ tree sap, every pain med in the world per consumer (codeine, morphine, ibuprofen, naproxen (NAPROSYN), paracetamol (ACETAMINOPHEN), sulindac (CLINORIL), Tramadol), Anaphylaxis to opioids, also allergic to Fluoride, Synthetic tetanus, Band aid adhesive, Sulfa drugs. Was able take acetylsalicylic acid (ASPIRIN). Also allergic to night shade family, (tomatoes, eggplant, potatoes and bell peppers) Tobacco, Ants, Bees and Wasps and Insect bites, Carbon paper, cleaning chemicals, dust, eucalyptus, mold, pesticides, smoke, synthetic fabrics and synthetic perfumes, tree sap. Dermatology: she sees them every 3 months for melanoma. He found it in Dec2003. She doesn't take any medications from him. He has prescribed medication for Rosacea, but she doesn't ever use them. She had cataract surgery on her right eye on 09Jun2020 and on the left eye on 14Jul2020. She had far vision implants put in both eyes. It doesn't matter what kind of bell pepper it is, if the oil gets on her food it will cause her to have a reaction. It is the alkaloid in all the nightshades. It doesn't matter what color it is. It is not just the red or the yellow. She was allergic to Codeine, Morphine, paracetamol, Ibuprofen, naproxen, sulindac, and Tramadol and has anaphylactic reaction, cholesterol, herpes II, cataract surgery on 09Jun2020 and on 14Jul2020, diabetes, TSH (blood thyroid stimulating hormone) got out of whack. Ongoing concomitant medication included: The last time she had to use an epinephrine (EPIPEN) (carries it with her at all times) was in the fall of Oct2019. She is prescribed generic Welchol which is Colesevelam hydrochloride tablets (Batch/lot number: T000899, Expiry Date: Apr2022) for Cholesterol. She takes 625mg. She takes six tablets a day to make the dose 625mg. Start date: she started it about 7 years ago. Valacyclovir: Dose is 1 gram tablet per day. She takes it because she has herpes II. Her doctor says there must be something wrong with the test because it only shows she has Herpes II. She has never had an outbreak. She didn't even know she had it. It is a good thing that she has been celibate for 18 years. At least she doesn't spread it now. She started taking it in the beginning of 2019. The pharmacy label is over the manufacturer label. She unpeels it when she gets a new bottle. She recycles it and can't have the label on it for recycling. Expiry: Jul2022, lot: VL219079A. She takes a bifidobacterium bifidum, bifidobacterium lactis, bifidobacterium longum, lactobacillus acidophilus, lactobacillus rhamnosus (PROBIOTIC) by the name of (name). 250mg a day. Lot: 2112, expiry: Jun2022. She takes (name) which is a prebiotic. 250mg a day. Lot: 205, expiry: Oct2022. fluticasone propionate (FLONASE): she doesn't take it daily, only as needed. Lot: BS5C, expiry: Apr2022. She takes guaifenesin (MUCINEX) 600mg extended release tablets, Lot: JN957, expiry: Feb2023. Fenofibrate: It is in a bottle from the pharmacy. Pharmacy vial doesn't have lot or expiry. Discard date: 14Oct2021. She takes 200mg once a day. Lisinopril: 10mg twice a day. She was only taking it once a day until Nov2020. Her doctor increased it to twice a day. It is in a pharmacy vial. She had to turn the light on to see the pharmacy vial. Manufacturer: (manufacturer name), it looks like the words are all together on the label. inositol nicotinate (FLUSH FREE NIACIN): it depends on the brand she picks up at the store. Right now it is (company name), lot: 501225-01. Caller had a hard time knowing if it was a 5 or 3 in the lot number. Expiry: Feb2024. She is getting tired and that is why her doctor had her increase the Lisinopril. Her heart needs to beat faster which it is not doing. She also takes Vitamin D3. It is the (company name) brand. 125mcg per day, lot: 2354481, expiry: Sep2021. The next bottle she will take will be the (company name) brand. Her endocrinologist prescribed levothyroxine sodium (SYNTHROID), two different strengths. It is not generic. The main one is levothyroxine sodium 200mcg per day. The second one is levothyroxine sodium 100mcg twice a week on Saturday and Sunday. 100mcg is in pharmacy vial, no lot to provide, use by 23Sep2021. levothyroxine sodium 200mcg lot: 1133436, expiry: 19Sep2021. She started taking thyroid medication in 2003. She had to get a medical waiver for it. She retired in Nov2004. She can't remember the doses she was on in the past, only what she is on now. Her TSH got out of whack and the endocrinologist had to get everything straighten out. She takes the generic, Metformin Hydrochloride tablets, 100mg twice a day. She took it first in 2007. She takes it for diabetes. It is the manufacturer bottle but the lot and expiry are covered by a pharmacy label. NDC: 49483-620-81 the 620 is bigger and in bold compared to the other numbers. Esomeprazole is the generic name. It is a pill you take before you eat. She takes 1 capsule per day and the capsule is 40mg. The rest of the label is over the lot number. NDC: 31722-573-90. Dextrin (BENEFIBER): She takes 3 tablespoons per day, lot: HL2W expiry: May2022. Valaciclovir (lot: VL219079A, expiry: Jul2022) for herpes II from 2019. Ongoing omeprazole. The patient experienced rash, swelling, difficulty breathing, heat/she had a site reaction where it got red and warm. it didn't swell above the skin on an unspecified date with outcome of unknown. She is 72 and has talked with her primary doctor, endocrinologist, gastroenterologist, and cardiologist and asked them all the same question. Should she take the COVID vaccine? She has allergies to medications. She was in the (place name) from Jul1967 through Jul1970. In the fall of 67 was when she had her first flu vaccine. She had the flu vaccine again the next year in 68. She had an allergic reaction to the flu vaccine the first time. She still needs to have some knowledge in her head to make sure she is not going to die as soon as she gets it. She had a big goose egg, rashing, and problems breathing. She was in a (place name) A School at the time of the first flu vaccine. The next time she was at a duty station when the flu shot came along. In the military they line you up out on the marching field and give you shots. They lined up there at her duty station and gave her the flu shot again. She had told them she had an allergic reaction the last year. They waved her off and gave her the shot. She can eat eggs and is not allergic to eggs. She had a reaction again. She has never had another flu vaccine and hasn't had the flu either. She has allergies to food and to the environment. She is allergic to the pollen of every tree in the world except the cottonwood tree. She can eat tree nuts like pecans and walnuts, yet she is allergic to the pollen from the tree. She is allergic to every pain medication in the world. She is allergic to Codeine, Morphine, paracetamol, Ibuprofen, naproxen, sulindac, and Tramadol and has anaphylactic reaction. She thinks they are all opioids. She is allergic to Fluoride, synthetic tetanus, the adhesive to Band-Aids and Sulfa drugs. The last time she had an opioid was from a dentist and he said she wouldn't be allergic to it. She believed him and took it. In less than 15 minutes she was projectile vomiting into the toilet. Those are some of her symptoms. That was 8 years ago. She doesn't have any of the products she has mentioned to provide NDC, lot, or expiration. The only thing she can take is plain acetylsalicylic acid and her GI doctor doesn't want her to take it. She gets pressure headaches from storms. She limits herself to 6 acetylsalicylic acid per year. The bottle is Bayer acetylsalicylic acid 325mg. She bought it last year at (name). Expiry: May2022, lot: NAA7L3N. There is another number on the bottle that is N0280-2000-20 and the number on the bottom right of the sticker is 86395851. When she turned 65 her primary gave her the pneumonia vaccine. Caller did not have a reaction to it other than a site reaction. Where the shot was it was a little red. It wasn't a big reaction. He said she only had to have the pneumonia vaccine once every five years. The next year he said she need to get the Pneumonia vaccine because the CDC said everyone has to get it. It was Prevnar 13. She had rashing, heat, swelling, and difficulty breathing from the Prevnar 13. That was when she was 66, so it was 6 years ago. Caller doesn't have NDC, lot, and expiry for Pneumonia vaccine or Prevnar 13. Caller clarified that she doesn't have any of those numbers for any of the shots or medications she has mentioned. In Oct2019 she got Pneumovax 23, the second of the series of the pneumonia shot. She forgets words that she doesn't use very often. The pharmacist made a lot of calls and told them that she had a reaction to Prevnar 13 and they did not think she would have a reaction to Pneumovax 23. The pharmacist gave it to her and she sat there for an hour in the grocery store. She had a site reaction where it got red and warm. It didn't swell above the skin. She doesn't have NDC, lot, and expiry. This year she took both of the shingles vaccines. 24Jan2020 she took the first shingles vaccine and then on 25Mar2020 the second shingles vaccines. She didn't have a bad reaction to it. Caller doesn't have NDC, lot, and expiry for either of the shingles vaccine. The other things she is allergic to are synthetic tetanus and the nightshade family which is tomato, potato, egg plant, bell pepper and tobacco. Bell pepper and egg plant cause anaphylaxis in her. She can walk into the produce department and the oil gets in the air from a bell pepper and she will start having a reaction. She has to leave. Sometimes she can eat potatoes and sometimes she can eat tomatoes but then her body says no. She gets anaphylaxis if she gets stung by ants, bees, wasp and insect bites. She is allergic to carbon papers, cleaning chemicals, dust, eucalyptus. The scent of it in the air causes her eyes to start swelling. She hasn't been able to wear make up. She is allergic to mold, pesticides, pollens, smoke, and synthetic fabrics like polyester. She has to wear cotton, silk, or wool. She is allergic to synthetic perfumes and tree saps. Tree sap is different than the pollens. The saps from Evergreen and tropical varieties of plants, like palm trees, cause rashing. She turned 72 on Nov 18th. She was an air traffic controller in the (place name). Then she was an FAA air traffic controller for over 22 years she has a lot of patience. She wishes she could send the two pages document that has all this listed. When she started it was half a page and now it front and back. It lists everything she is allergic to, her injuries, her surgical history, doctors and the medications they prescribe. She was born at 11:55PM central time. Height: The entire time she was in high school, with the FAA, and (place name) she was 5 foot 7 inches. This past year she is down to 5 foot 4.5 inches. She has lost two and a half inches. She would not have been taking any of the medications she provides in the 1960's through the 1990's. The outcome of events was unknown.   No follow-up attempts are needed; information about lot/batch number cannot be obtained. No further information is expected.