fever/fever of 102 degrees fahrenheit; fatigue; muscle aches; headache; felt awful; rash/patches,all over the upper part of her arm; hot to the touch; very splotchy rash that were still there, 2 inches below the injection site/She developed patches of rash two inches below the injection site; This is a spontaneous report received from a contactable reporter(s) (Pharmacist) from medical information team.  A 65-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 18Aug2022 at 16:30 as dose number unknown, 0.5ml single (Lot number: FJ2598, Expiration Date: Jun2023) at the age of 65 years intramuscular, in left deltoid for immunisation. The patient's relevant medical history included: "hypothyroidism" (unspecified if ongoing); "high blood pressure" (unspecified if ongoing). There were no concomitant medications.  The following information was reported: VACCINATION SITE WARMTH (non-serious) with onset Aug2022, outcome "not recovered", described as "hot to the touch"; VACCINATION SITE RASH (non-serious) with onset Aug2022, outcome "unknown", described as "very splotchy rash that were still there, 2 inches below the injection site/She developed patches of rash two inches below the injection site"; RASH (non-serious) with onset 19Aug2022, outcome "not recovered", described as "rash/patches,all over the upper part of her arm"; FATIGUE (non-serious) with onset 19Aug2022 at 08:00, outcome "recovered" (21Aug2022); FEELING ABNORMAL (non-serious) with onset 19Aug2022 at 08:00, outcome "unknown", described as "felt awful"; PYREXIA (non-serious) with onset 19Aug2022 at 08:00, outcome "recovered" (21Aug2022), described as "fever/fever of 102 degrees fahrenheit"; HEADACHE (non-serious) with onset 19Aug2022 at 08:00, outcome "recovered" (21Aug2022); MYALGIA (non-serious) with onset 19Aug2022 at 08:00, outcome "recovered" (21Aug2022), described as "muscle aches". Relevant laboratory tests and procedures are available in the appropriate section.  Additional information: patient experienced rash/patches very splotchy rash that were still there, 2 inches below the injection site and they were all over the upper part of her arm also really hot to the touch and it's been 5 days now, hot spot. Patient wanted to know what should be the normal side effects after getting the shot. patient did not receive any pneumococcal vaccine aside from Prevnar 20. Events were reported as non-serious. Patient had no other products, conditions. The day after the vaccine she ended up having a fever of 102 degrees fahrenheit. It lasted until Saturday and was completely gone on Sunday. She developed patches of rash two inches below the injection site. The patches are all over part of her arm. They were hot to the touch. The pharmacist was calling about common side effects. The patient did send the pharmacist pictures of the rash patches. They don't seem to go away, but the patches were moving. They were still hot to the touch. The side effects were just confusing. The rash came on Friday and hasn't gotten better since then. She wasn't going to have her go to the hospital unless the rash travels past the elbow. She hasn't referred her to a doctor. She will if it reaches day 7 of side effects. Adverse events were not resulted in visit to Emergency Room Physician Office and patient had no prior Vaccinations (within 4 weeks). Causality not provided.  No follow-up attempts are needed. No further information is expected.