This is a spontaneous report from a contactable consumer reported for himself. This 70-year-old male patient received PREVNAR 13, via an unspecified route of administration in the left arm on 22Jul2015 at 0.5 ml single. Medical history included herniated disc from 1992 and ongoing, ongoing congestive heart failure diagnosed 5 years ago, ongoing diabetes diagnosed 7 years ago, ongoing high blood pressure diagnosed 8 years ago, ongoing high cholesterol diagnosed 8 years ago, ongoing pocket in heart diagnosed 8 years ago, ongoing acid reflux diagnosed 10-12 years ago, kidney cancer diagnosed about 5 years ago, ongoing apnea, ongoing mesothelioma diagnosed about 25 years ago, ongoing tumor on adrenal gland for 3 years, ongoing tumor on bottom of left lung for 2 years, ongoing two tumors on kidney for 2 years. The patient was admitted to hospital from 31Aug2015 to 04SEP2015 for congestive heart failure and he couldn't breathe. Concomitant medications included metolazone 5 mg oral at 1 tablet per day for help him to pee and for congestive heart disease; Niacin 500 mg oral at 1 tablet daily for cholesterol; JANUVIA (tablet) oral at 50 mg one daily for diabetes; carvedilol tablet oral at 25 mg twice a day for high blood pressure; furosemide 40 mg tablet oral 2 in AM, 2 in PM (80 mg, 2x/day) for help him to pee and for congestive heart disease; PRADAXA (capsule) oral at 150 mg twice a day blood thinner for a pocket in heart; Omega 3 fish oil (capsule) oral at 1000 mg three times a day for help heart out; CENTRUM Silver multivitamin oral one tablet a day; PRILOSEC (40 mg capsule) oral at 40 mg as needed for acid reflux and ascorbic acid oral 1 tablet daily for help prevent cancer. The patient previously took verapamil and experienced dizziness, nausea and walking around in a daze. The patient experienced losing his hearing on 24Jul2015 with outcome of not recovered, pain in left arm at injection site on 22Jul2015 with outcome of not recovered, pain to left shoulder / pain to right shoulder on 22Jul2015 with outcome of not recovered, pain to neck on 22Jul2014 with outcome of not recovered, pain in his hands / every knuckle, thumb, wrist joints in both hands were hurting on 23Jul2015 with outcome of recovering, he cannot raise arms and elbow above the head on 23Jul2015 with outcome of recovering, like his joints are rusty on 23Jul2015 with outcome of recovering, couldn't hold a fork, or pen in right hand on 23Jul2015 with outcome of recovering, it is supposed to be white but the nurse did not shake the vial and the product was clear prior to the injection/she didn't shake it up like she was supposed to/can't make a fist on an unspecified date with outcome of unknown, left and right hand swelling on an unspecified date with outcome of unknown, no feeling hardly in his hands on an unspecified date with outcome of unknown. Therapeutic measures were taken as a result of pain in left arm at injection site, pain to left shoulder / pain to right shoulder, pain to neck, pain in his hands / every knuckle, thumb, wrist joints in both hands were hurting. Clinical course was as follows: On the 22Jul2015 the patient took a shot of the pneumonia vaccine in his left arm. Four hours after the shot he had pain in his left arm that started radiating from the injection site down to his arm. The pain quit, then came back to the left shoulder, across his neck and to the right shoulder. The next day the pain was in his hands where he could not move his fingers. The right hand was worse than the left. The patient never had pain in his shoulders or hands before. He was reading that learned that the vial must be shaken vigorously and make sure that the medication was not clear. It was supposed to be white but the nurse did not shake the vial and the product was clear prior to the injection. The patient said it is a two part medication and it supposed to be mixed. The patient stated that he had problems with his hearing before but he was not losing his hearing. He can hardly hear now. It was like something was blocking his hearing. The issues with his hands have improved but not completely resolved. The patient was taking TYLENOL 500 mg tablet oral 2 in the morning, 2 at bedtime for pain for side effects of PREVNAR 13. He was taking ADVIL for pain due to herniated disk to his lower back but he has been advised by this doctor to stop taking the ADVIL because of his kidney issues and has been advised to take TYLENOL for pain when needed. The patient had blood test done while in the hospital and was told that everything was good.