pneumonia/it didn't work as well; pneumonia/it didn't work as well; The initial case was missing the following minimum criteria: drug was not specified. Upon receipt of follow-up information on 12Nov2020, this case now contains all required information to be considered valid.  This is a spontaneous report from a contactable nurse reporting for herself.   An 84-years old female patient received the first dose of pneumococcal 13-val conj vac (dipht crm197 protein) (PREVNAR 13), via an unspecified route of administration on 01Apr2019 at single dose for immunization, when 82 years old. On 19Aug2019 the patient received al so the first dose of varicella zoster vaccine live (ZOSTAVAX) at 0.5 ml single for immunization. Medical history included allergic to peanuts and minicin, walking pneumonia in 2011, macular degeneration. In 2006 she had a craniotomy because of a ruptured aneurysm. For 15 days she was in ICU and was unable to tell anything at all. In 2006, she took Tylenol, as she had terrible headaches and vomiting, and a few months after, her husband came in the house, she is not one for complaining, and as soon as he saw her, he took her to the hospital, he took her there, and the doctor said she has taken pills, her husband said no, and demanded a scan of her brain, and she had ruptured an aneurysm and had to be life flighted to a medical center, she knew nothing about that for 15 days, she doesn't know anything, her doctor had to fly in the middle of the night, and as soon as she woke, she was tied down to the bed and she tried to jump up, this was Jul2006, and she woke up in Aug2006. She was treated for tuberculosis, it was the end of the war, must have been, the first time was 1946, when her father came home out of the army. One who, he was a doctor and he saw her, and she was taken to the TB clinic, had a chest xray, and they gave her cod liver oil and malt, that was the treatment in those days, but she didn't go in the country, they prescribed lots of fresh air. The next time, she was 21 years of age, working in the Hospital, she was a nurse in training, ready to graduate, and was on a TB ward where there were children, most had TB meningitis, and they had to do gastric washing, put a tube in the stomach in the morning, and get juice out of the stomach to be examined, she was working with open TB. This was in 1957. That time she was having INH, PAS, and Streptomycin injections twice daily, she was a patient in the hospital then, it was the worst thing she could have. On unspecified date the patient had pneumonia/ drug ineffective.  Further clinical course was provided that the doctor said she definitely had pneumonia, and she had an xray, and they said she had a pneumonia shot 18 months ago, they said it didn't work as well, she had a 103 temperature and a patch on her lung. The patient had a reaction to the shingles vaccine done, she didn't go back for her second one, she was disabled with working, and having had the shingles vaccine, made her walking worse. Caller received the Prevnar 13 vaccine last year. She watched the news and saw that you shouldn't get the vaccine if you have had TB. She has had TB twice. The outcome of the events of drug effective and pneumonia was unknown.  Information about lot number as been requested.; Sender's Comments: Based on the information currently available, a lack of efficacy with pneumococcal 13-valent conjugate vaccine in this patient cannot be completely excluded