hip pain so bad I cried/each side of my hip there is a spot that hurt so bad I was crying; hip pain so bad I cried/each side of my hip there is a spot that hurt so bad I was crying; extreme chills; fever; throwing up; weakness; being so tired I couldn't move; no appetite; night sweats; hip pain so bad I cried; shaking so hard/had to hold my hand to get in my mouth to brush my teeth; was so cold; couldn't move; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team. The reporter is the patient.  An 82-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 02Aug2022 as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: FATIGUE (non-serious) with onset Aug2022, outcome "not recovered", described as "being so tired I couldn't move"; MOVEMENT DISORDER (non-serious) with onset Aug2022, outcome "not recovered", described as "couldn't move"; CHILLS (non-serious) with onset Aug2022, outcome "not recovered", described as "extreme chills"; PYREXIA (non-serious) with onset Aug2022, outcome "not recovered", described as "fever"; CRYING (non-serious) with onset Aug2022, outcome "not recovered", described as "hip pain so bad I cried"; ARTHRALGIA (non-serious), SKIN DISCOLOURATION (non-serious) all with onset Aug2022, outcome "not recovered" and all described as "hip pain so bad I cried/each side of my hip there is a spot that hurt so bad I was crying"; NIGHT SWEATS (non-serious) with onset Aug2022, outcome "not recovered"; DECREASED APPETITE (non-serious) with onset Aug2022, outcome "not recovered", described as "no appetite"; TREMOR (non-serious) with onset Aug2022, outcome "not recovered", described as "shaking so hard/had to hold my hand to get in my mouth to brush my teeth"; VOMITING (non-serious) with onset Aug2022, outcome "not recovered", described as "throwing up"; FEELING COLD (non-serious) with onset Aug2022, outcome "not recovered", described as "was so cold"; ASTHENIA (non-serious) with onset Aug2022, outcome "not recovered", described as "weakness". The events "hip pain so bad i cried/each side of my hip there is a spot that hurt so bad i was crying", "extreme chills", "fever", "throwing up", "weakness", "being so tired i couldn't move", "no appetite", "night sweats", "hip pain so bad i cried", "shaking so hard/had to hold my hand to get in my mouth to brush my teeth", "was so cold" and "couldn't move" required physician office visit. Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of arthralgia, skin discolouration, chills, pyrexia, vomiting, asthenia, fatigue, decreased appetite, night sweats, tremor, feeling cold.  Additional information: She had a premarital 20 pneumonia shot on 02Aug2022 at her primary care physician. The patient tested negative for Covid four times. She experienced extreme chills, fever, throwing up, weakness, being so tired she couldn't move, no appetite, night sweats, hip pain so bad she cried. She was an 82 year old female who is a caregiver for her husband. It is a week later and she was still not well. Was this a reaction to the vaccine? Upon callback caller stated: "I have a lot of side effects and they are very very bad, I haven't been this sick in 50 years. I have a doctor that is not very caring, I called 3 times, trying to get an appointment, I was told 3 times to take tylenol, I was shaking so hard because I was so cold that I had to hold my hand to get in my mouth to brush my teeth. When I tried to get into bed, I had to throw my legs on bed, and on each side of my hip, down about  5-10 inches, there is a spot that hurt so bad I was crying, I was putting hot heating pads on it, I was taking naproxen, nothing helps, so it is not just  a little something, I'm going to a doctor on Monday, I assume he will test me for other things, maybe I'm blaming you for something that is not your fault".  The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) has been requested and will be submitted if and when received.