This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient received pneumococcal 13-val conj vac (dipht crm197 protein), via an unspecified route of administration at left arm at 09:30 on 11Feb2019 at single dose for immunization. The patient stated that it was the pneumococcal polysaccharide vaccine, the first of two, and she will not get the second. Medical history included none. There were no concomitant medications. Additional vaccines administered on same date or within four weeks prior to the first administration date of the suspect vaccine: None. The patient reported that later that day (11Feb2019), not very long after, she wasn't feeling well and her arm was hurting. She thought it would hurt a little, but the pain got to be excruciating. She didn't sleep Monday night (11Feb2019), she was up in pain in a lounge chair, taking TYLENOL and putting heat and ice on it, she was up all night hurting terrible. On Tuesday (12Feb2019), by the morning, her arm was like a dead arm, it was excruciatingly painful. It was hanging on her left side. She looked at the arm, said move, but she could not move the left arm away from the left side. It was like a dead weight arm. That has gone away, she can move it now, but she could not do anything. She sat in a chair all day Monday and Tuesday, she could not dress or drive, and she couldn't do anything, because she was in so much pain and was just uncomfortable. On Tuesday she sent a message to her doctor, and she responded with what to take to treat it. On Tuesday night, she developed a hacking cough, and she got some sleep but not until the early hours. On Wednesday (13Feb2019) she was beyond exhausted, because she had the cough, and was very tired and she was feeling sick - her thigh muscles were aching, her shoulders were aching, and she was achy all over. She still had discomfort across her shoulder. It felt kind of like the flu, since she was achy and her muscles hurt, then she got the chills and waited a bit, and took her temperature and it was 100.2, in the evening at 9PM. She took ADVIL as well as paracetamol, she alternated, and went to bed, sort of, and felt worse throughout the night. At 2:30 AM her temperature was 101.1, she was freezing, and she turned on the portable heater, and sat on the floor to try to stop the chills. On Thursday (14Feb2019), she woke up and knew immediately the fever was gone, she felt better, not well, but better. Her arm was still sore, not excruciating, and it was still difficult to raise, her fever had gone, the cough was not terrible hacking, and her muscles aches were still on the upper body but her legs were not hurting, the big muscles in her thighs were not hurting anymore. Even her right arm was sore. She can't eat, because she still didn't feel like herself. Events did not require to emergency room. The outcome of event arm hurting was not recovered, hacking cough, feeling sick was recovering, event fever was recovered on 14Feb2019, of the other events was unknown. Pfizer is a marketing authorization holder of pneumococcal 13-val conj vac (dipht crm197 protein) in the country of incidence. This may be a duplicate report if another marketing authorization holder of pneumococcal 13-val conj vac (dipht crm197 protein) has submitted the same report to the regulatory authorities.