Fatigue; I started feeling bad and I have been feeling worst; I just felt awful yesterday, I felt miserable/Feel lousy/I just do not feel myself at all; feeling lousy; I took some pain pills, it didn't help. I have some left over from surgery and I took that and it didn't stop the pain but it lessens the pain but it didn't stop it; have not been able to sleep at night/ having trouble sleeping at night/I did not sleep well; Itching was really bad; I feel really not happy; I feel terrible; I have been feeling sick almost a week ago and it's getting sicker; I am having flu you know in other words I feel off, I feel off  and I was worse yesterday; I started feeling all over; I have been feeling sick almost a week ago and it's getting sicker; I am having flu you know in other words I feel off, I feel off  and I was worse yesterday; I started feeling all over; All my muscle ache, everything hurts; I do not feel good at all, this is something getting worse; I took the COVID test but I do not have COVID; everything was also symptoms of COVID; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 77-year-old female patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 24Aug2023 as dose number unknown, single (Batch/Lot number: unknown) intramuscular, in right arm for immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing), notes: Blood pressure high; "Hip replacement" (unspecified if ongoing); "low on thyroid" (unspecified if ongoing). Concomitant medication(s) included: DILTIAZEM; SYNTHROID taken for hypothyroidism. Past drug history included: Tramadol for hip replacement, notes: I had a Tramadol from surgery. Vaccination history included: Polio shot (I recently got my Polio shot I mean Pneumonia shot), for Immunization. The following information was reported: MYALGIA (non-serious) with onset 2023, outcome "unknown", described as "All my muscle ache, everything hurts; I do not feel good at all, this is something getting worse; I took the COVID test but I do not have COVID; everything was also symptoms of COVID"; DEPRESSED MOOD (non-serious) with onset 2023, outcome "unknown", described as "I feel really not happy; I feel terrible"; ILLNESS (non-serious), INFLUENZA (non-serious) all with onset 2023, outcome "unknown" and all described as "I have been feeling sick almost a week ago and it's getting sicker; I am having flu you know in other words I feel off, I feel off  and I was worse yesterday; I started feeling all over"; PRURITUS (non-serious) with onset 2023, outcome "unknown", described as "Itching was really bad"; PAIN (non-serious) with onset 28Aug2023, outcome "unknown", described as "I took some pain pills, it didn't help. I have some left over from surgery and I took that and it didn't stop the pain but it lessens the pain but it didn't stop it"; INSOMNIA (non-serious) with onset 28Aug2023, outcome "unknown", described as "have not been able to sleep at night/ having trouble sleeping at night/I did not sleep well"; FEELING ABNORMAL (non-serious) with onset 29Aug2023, outcome "unknown", described as "I started feeling bad and I have been feeling worst; I just felt awful yesterday, I felt miserable/Feel lousy/I just do not feel myself at all"; MALAISE (non-serious) with onset 29Aug2023, outcome "unknown", described as "feeling lousy"; FATIGUE (non-serious), outcome "unknown". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were taken as a result of pain, pruritus.  Additional information: It was reported that "I got that little over a week ago and I have been feeling sick almost a week ago (in 2023) and it's getting sicker and I wanted to know what this side effect for." Consumer stated, "What I want to know is that I am having flu you know in other words I feel off, I feel off for the 3 that was yesterday (03Sep2023) and I was worse yesterday (03Sep2023). I started feeling all over. All my muscle ache, everything hurts since I want to know that what should I do? You know should I go to my doctor, what should I do because I do not feel good at all and I am just, this is something that stays and getting worse. I took the COVID test but I do not have COVID." Consumer stated, "My Covid test at home, I did not do at doctor's office, I did it home and I took it this morning to make sure because I ached all over and I want to make sure I was just coming down with the new COVID, so just want to make sure, the others did not react because I ached all over and everything was also symptoms of COVID, so and I had my annual test but that's not something that you need, right. I have (withheld) gets test every year. I think that was a, might be 3 weeks ago, 4 weeks ago, I am not sure I do know how long it was." Consumer stated, "About a week, after I got this shot (Prevnar 20), I started feeling bad on Friday (01Sep2023). and I have been feeling worst the whole weekend, I have been getting worst every day. I just felt awful yesterday (03Sep2023). The only way to describe this, I felt miserable, I just felt miserable. Everything I ache all over.  I took some pain pills, it didn't help. I have some left over from surgery and I took that and it didn't stop the pain but it lessens the pain but it didn't stop it. I ache all over, all my muscles and everything ache. I just feel really lousy, I feel fatigue.  I feel really not happy because I usually exercise everyday several times a day and I was not able to do that on Friday or Saturday. First thing I thought to do yesterday (03Sep2023) about the little training schedule I follow and keep track of my steps and exercises and stuff like that and yesterday (03Sep2023) it was the first day I made myself to do it but I didn't want to. I felt so bad by time I finished up my all things. I have a little watch to track further and when I finish all things on watch did all my exercises but I didn't feel good at all. So, I just went to bed and I felt even as bad today (04Sep2023). I didn't any doctor or any department or any place to go today (04Sep2023). So, I am just taking the day to rest and stuff and I just feel lousy, I feel terrible. I better check on this what's and see what's going on." When clarified the events date, consumer stated, "That's what I felt today (04Sep2023). I started feeling bad last Friday (01Sep2023) because the days I feel weather or not to go. actually, I felt on Thursday and the days whether or not to go my physical therapy at the pool. I am going to the swimming pool that's just I see it and I felt, I almost cancelled it because I felt a lot lousy you know I told the guy that I just started feeling like that you now I am not feeling right at all you know and I said it's been so sore, I have not been able to sleep at night, so I started having trouble sleeping at night. May be Tuesday or it has been started on Friday, Saturday, Sunday, Monday, Tuesday. I started feeling lousy on Tuesday (29Aug2023) a little bit, I could not sleep it hurt so much and it would wake me up at night. So, I started aching on Tuesday (29Aug2023) but by Thursday I was thinking about canceling things and not doing the stuffs I was supposed to do and then I got much worse on Friday and then Friday, Saturday, Sunday, Monday and Today I just feel miserable I am just telling description for it I still kind miserable you know I just do not feel myself at all. I started feeling bad actually on Tuesday (29Aug2023), I had the shot on Friday. For Friday, Saturday, Sunday, Monday, Tuesday I did not fell, I was aching I could not sleep very well you know. So, Tuesday, Wednesday, Thursday I almost canceled, I have physical therapy on Tuesday and Thursday as it goes worst at the swimming pool or maybe it was Wednesday and Thursday, maybe it was I cannot remember the dates. But, wait a minute I have a little notebook that keeps track of my schedule, I was thinking about canceling my swimming because I did not feel like, I love to swim but I did not feel like I am up to doing it. I got my shot I think I got my shot on Friday but I was wrong I got my shot on Thursday (24Aug2023) but I had swimming pool on Friday that was okay and then I have the pool again on Monday and then Monday night (28Aug2023) I was aching and I could not figure out whether I am going to the pool or not and then I went to the pool again on Wednesday and I started getting Lousy on Wednesday (30Aug2023) because I thought about canceling the pool on Wednesday because I stop lousy, So, I did not sleep well on Monday night (28Aug2023), I did not sleep well on Tuesday, Wednesday and then I almost starting feel bad on Wednesday (30Aug2023) I was wrong about the day because I do not know what I was doing. On Wednesday (30Aug2023) I almost canceled it with the pool I almost canceled because I was not feeling too well, I recently got my Polio shot I mean Pneumonia shot. So, I went to, that's what I did and that was it and that was when weekend started on 01Sep2023, So, I started feeling bad sooner than I thought so that came up Friday, this week. I really felt lousy you know Friday 01Sep2023 I felt really bad then Sunday I was much worse I almost I was supposed to have my grandson for dinner almost canceled it but it was really easy I started just him over for hamburger and then I just said I can just make him a hamburger I gave him dinner and stuff like that. But I began to worry my friend said they will give me a kit for COVID test, So I gave a COVID test this morning because I ache all over, I barely slept last night (03Sep2023), everything hurt, I took Tylenol and I took Tramadol (treatment) last night and to trying the pain stop so, I can sleep because. Yes, they started getting worsened and started the week before thought it started on the. It started feeling kind of bad on the 29Aug2023 I was not sleeping well because I was achy. So, that was 28th or 29th and on the 30th each day it was getting little bit worse than on the 31st aching got worse but it got basically worse on the 01Sep it got lot worse than the 31Oct." Treatment, consumer stated, "I had a Tramadol from surgery, I had surgery had my hip replaced 20 years ago and quite a year ago the last surgery was about let me see may be 10 months ago or something like that in Nov the last surgery defect in hip replacement in Nov. So, I had some pills left over from that surgery. So, I took Tramadol to save itching was really bad or something and I had some more I took them. I took the Tramadol last night and I took the Tylenol. I took Tylenol again this morning." Treatment medication dose: Consumer stated, "Tylenol was 500 milligrams and other one is not Capsule Tablet oblong Tablet. Then I took Tramadol I do not remember what the dosage on a Tramadol is because that is a different surgery, I do not know what the dosage is on that. I have to go and let me check." Time of Vaccination of Prevnar 20, consumer stated, "The vaccination I had on Tuesday (as reported), 24Aug2023 and I had probably in the afternoon later in the afternoon because I found the doctor over here and when they had given me that shot. They gave me 2 o'clock and then I had blood work done on 25Aug2023 because annual and physical. No, I did not know, I had blood work done two weeks before that because the blood back with doctor to see it before I saw him. "  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.