started to feel nauseous; started getting chills; Fever; felt like she had the flu.; vaccine made the pain worse; she just got really sick; is just drained and tired; whole arm soreness and it is still sore; whole arm soreness and it is still sore; urinate almost every hour or may have been more frequently; This is a spontaneous report received from contactable reporters (Consumer or other non HCP and Physician). The reporter is the patient.  A 65-year-old female patient received pneumococcal 20-valent conjugate vaccine (diphtheria CRM197 protein) (PREVNAR 20), on 14Jul2022 at 08:30 as dose 1, single (Batch/Lot number: unknown) at the age of 65 years, in left arm for immunisation; varicella zoster vaccine rge (cho) (SHINGRIX), on 14Jul2022 as dose number unknown, single (Batch/Lot number: unknown), in right arm for immunisation. The patient's relevant medical history included: "foot surgery", start date: 2022, stop date: 2022; "bladder infection" (unspecified if ongoing); "arthritis" (unspecified if ongoing); "vomiting" (unspecified if ongoing); "whole left leg ache" (ongoing); "body aches all over" (ongoing). Concomitant medications included: TYLENOL; MELOXICAM taken for arthritis. Vaccination history included: Moderna covid vaccine (Dose 1, lot number unknown), for COVID-19 immunization; Moderna covid vaccine (Dose 2, lot number unknown), for COVID-19 immunization, reaction: "shingles"; Shingles vaccine (Dose number unknown, manufacturer unknown, lot number unknown), for immunisation. The following information was reported: POLLAKIURIA (non-serious) with onset 14Jul2022, outcome "recovering", described as "urinate almost every hour or may have been more frequently"; VACCINATION SITE PAIN (non-serious), PAIN IN EXTREMITY (non-serious) all with onset 14Jul2022, outcome "recovering" and all described as "whole arm soreness and it is still sore"; MALAISE (non-serious), outcome "unknown", described as "she just got really sick"; NAUSEA (non-serious), outcome "recovering", described as "started to feel nauseous"; CHILLS (non-serious), outcome "recovering", described as "started getting chills"; PYREXIA (non-serious), outcome "recovering", described as "Fever"; INFLUENZA LIKE ILLNESS (non-serious), outcome "unknown", described as "felt like she had the flu."; PAIN (non-serious), outcome "unknown", described as "vaccine made the pain worse"; FATIGUE (non-serious), outcome "unknown", described as "is just drained and tired". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of vaccination site pain, pain in extremity, pyrexia, pain. Additional information: The patient was calling about the pneumococcal 20- valent conjugate vaccine and she just got really sick. The patient was able to move around again. When the patient received the vaccine, she was told there would be nothing but soreness in the arm and that would be all. The patient did have the whole arm soreness and it is still sore. It was definitely better but it was sore for most of the day. After dinner she started to feel nauseous when she was about to go to bed. The patient thought she would begin vomiting and then started getting chills but did not take her temperature at that time. The patient had chills and fever and felt like she had the flu. The patient didn't move and was curled in a ball. The patient felt like she would vomit and wanted to be really still. The patient said it was an awful feeling and she hated that. The patient's whole left leg ached and she has body aches all over. The aches were better but it was hard to determine some of this as she recently had foot surgery. Foot surgery was before the pneumococcal 20- valent conjugate vaccine. The patient's left leg hurt but the foot surgery was on her right foot and the vaccine made the pain worse. The pain was already there but the vaccine made it a lot worse; her foot surgery was six weeks ago. The patient's daughter was a nurse and was concerned mostly because the patient had to urinate almost every hour or may have been more frequently and was worried the patient had something that was affecting her kidneys. This occurred in the middle of the night on 14Jul2022. The frequent urination was not ongoing and was getting better. For the chills, fever and nausea, the patient felt a lot better and was just drained and tired. The patient had a shot in each arm and had the SHINGRIX in the right arm. It didn't hurt that much and the patient was worried about the SHINGRIX vaccine. The person administering the vaccines said it would be better if the patient had them in both arms so that the soreness would be better. Several years ago, the patient had some other shingles vaccine and was told SHINGRIX was better and she needed to have it. The patient had shingles with the second covid vaccine but it was never clear if it was because of the vaccine or there was something else as she had a bladder infection at that time. The patient was vomiting and she couldn't stop vomiting; the patient stated the whole thing was murky regarding the situation of not being clear if the shingles was because of the vaccine. The patient was given intravenous (IV) fluids and some medicine and she went home. The patient verified she had two doses of the MODERNA covid vaccine and it was the second dose she got sick on. The patient stated for the reported events for the pneumococcal 20-valent conjugate vaccine, the patient thinks she took some TYLENOL and did not have any problem with taking it and had taken it for a while. The patient also took meloxicam every day and if she can't sleep, the patient then takes TYLENOL because she is not supposed to take more ibuprofen. The TYLENOL was made by Publix and has lot 2CRO568, expiration date Nov2023. The patient took meloxicam for arthritis. "They" told the patient she was super healthy, did all the tests and her lungs were clear, her blood work was good, and she was feeling great. The checkup was before the pneumococcal 20-valent conjugate vaccine.   No follow-up attempts are needed. No further information is expected.