This is a spontaneous report from a contactable consumer (the patient). A 70 year-old male patient received PREVNAR 13 via an unspecified route of administration in upper left shoulder, on 17Feb2016 at 0.5 ml single. Relevant medical history included ongoing thyroid disorder underactive thyroid, had for about 6 years, ongoing hypertension started at age 30, bad fats build up in blood from an unknown date and unknown if ongoing when evaluated for renal transplant the LIPITOR was prescribed. His readings were now very low, like 110 for the total cholesterol. Ongoing diabetes mellitus, he had been taking pills since 1990, then when he had the kidney transplant in 2004, they started him on insulin. Ongoing gout since about 10 years ago, ongoing neuropathy peripheral about 7 years, ongoing vitamin D decreased for 5-6 years, renal transplant from 23Nov2004 to an unknown date suppressed immune system, road traffic accident from 18Jul2013. Surgery on 12Aug2014, he had a Foley bag as a result of an unspecified surgery for 4Sep2014 and ongoing, polycystic kidney, Cardiac disorder for which Aspirin was administered and high blood sugar. Concomitant medication included levothyroxine (manufacturer unknown) from unknown date and ongoing at 1.5 mg 1x7day for underactive thyroid, losartan potassium (manufacturer unknown) from unknown date and ongoing at 50 mg 1x/day for blood pressure high, Aspirin from unknown date and ongoing at 81 mg 1x/day for his heart, LIPITOR from unknown date and ongoing at 10 mg 1x/day for bad fats that build up in blood, LANTUS from 2004 and ongoing at 30 IU, 1x/day for High blood sugar, diabetic, NOVOLOG from 2004 and ongoing uses sliding scale 4 times a day, dose varies for diabetes, allopurinol (manufacturer unknown) for gout from unknown date and ongoing at 300 mg, 1x/day, METANX (tablet) from unknown date and ongoing at 1 DF, 1x/day for neuropathy, mycophenolate mofetil (manufacturer unknown) from 2004 and ongoing at 750 mg 2x/day for transplant anti-rejection, pioglitazone (manufacturer unknown) from unknown date and ongoing at 45 mg, 1x/day for diabetes, prednisone (manufacturer unknown) from 2004 and ongoing at 5 mg, 1x/day for transplant anti-rejection, sulfamethazine from 2004 and ongoing at 1 pill 3 days a week for routine kidney transplant to prevent infection, tacrolimus (manufacturer unknown) from 2004 and ongoing at 5 mg, daily 2 in the morning and 3 at night for transplant anti-rejection, COMBIGAN from unknown date and ongoing at 2 Gtt, 2x/day 1 drop each eye to prevent glaucoma side effect of prednisone, XALATAN from unknown date and ongoing at 2 Gtt, daily 1 drop both eyes to prevent glaucoma side effect of Prednisone, CENTRUM SILVER from unknown date and ongoing at 1 DF, 1x/day for normal vitamin, Vitamin D from unknown date and ongoing at 50,000 units capsule every 2 weeks for low vitamin D in the blood, TENORMIN from unknown date and ongoing at 50 mg, 1x/day for control pulse rate, Probiotic from unknown date and ongoing at 1 DF, daily for intestinal health, doxazosin from unknown date and ongoing at 1 mg, 2x/day for blood pressure high. The patient experienced pseudomonas UTI came back with a vengeance, he did not have strength to stand up and he had fever of 102 on 19Feb2016 and left shoulder was in pain on Feb2016. The patient was hospitalized for pseudomonas UTI from 19Feb2016 to 22Feb2016. The patient underwent lab tests and procedures which included anion gap: 9 on 21Feb2016, blood calcium: 8.7 on 21Feb2016, blood chloride: 112 on 21Feb2016, blood creatinine: 1.7 on 20Feb2016, blood creatinine: 1.7 on 21Feb2016, blood glucose: 107 on 21Feb2016, blood magnesium: 1.7 on 21Feb2016, blood phosphorus: 3.3 on 21Feb2016, blood potassium: 4.2 on 21Feb2016, blood sodium: 142 on 21Feb2016, blood urea: 36 on 21Feb2016, carbon dioxide: 21 on 21Feb2016, glomerular filtration rate: 42 on 20Feb2016, glomerular filtration rate: 42 on 21Feb2016, haematocrit: 32 on 21Feb2016. The patient did not recover from pseudomonas UTI infection while he recovered from the other events on an unspecified date in Feb2016. He stated he did not know if PREVNAR 13 caused the Pseudomonas UTI to flare back up and asked if it was a possible side effect that it could flare up a Pseudomonas infection.