has lung issues and is asthmatic; has lung issues and is asthmatic; He has an allergy to albumin base; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team.  A 63-year-old male patient received pneumococcal 13-val conj vac (dipht CRM197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "Swell" (unspecified if ongoing), notes: at the age of fiver years old; "Almost died" (unspecified if ongoing), notes: at the age of five years old. The patient's concomitant medications were not reported. The following information was reported: LUNG DISORDER (non-serious), ASTHMA (non-serious), outcome "unknown" and all described as "has lung issues and is asthmatic"; DRUG HYPERSENSITIVITY (non-serious), outcome "unknown", described as "He has an allergy to albumin base".  Additional information: Caller, male, aged 63, was told by his pulmonologist to consider getting the Prevnar 20 as a back up. He has lung issues and is asthmatic. He received a pneumococcal shot 10 to 12 years ago. He has an allergy to albumin base, he gets a bad reaction to it. He's had reactions to several vaccines during his life, some mild, some moderate, some more so. His first was when he was five years old, he almost died and his mother who was a nurse that later studied western and eastern medicine brought him back, she saw him swell. He knows he almost died because he was outside of his body and could see himself. He hates getting these and he doesn't want to go to the ER for epinephrine and then be up all night if it can be avoided. Caller had a friend who was schizoaffective bipolar and was very good at taking his medications because he liked being able to think clearly. The caller along with one other person was his primary contact. Their friend's doctor changed one of his psych meds but he accidentally stopped the wrong one. Due to the half life, the medicine was out of his body very quickly. He ended up at the emergency room but was arrested for not talking and they couldn't get a response from him. The hospital did not like what I had to say, the police had violated all these rules and I would not tolerate it. It took four hours to find him, calling jails. He liked being on his meds because he felt in control and didn't like not being able to think. I brought all his records to jail, but they didn't give him his medications, and he went to sign the papers. Afterward, the caller asked to see his friend, they give him the meds, go through security and his friend is very rigid. His friends said things like "this is just the way life is." There was a woman in the psych ward with them that was walking around and just screaming and screaming. His friend, who normally doesn't curse and is very religious said "she's driving me effing crazy." The caller, being empathetic to his friend's situation did his best not to laugh because he knew if he laughed his friend would think he was laughing at him. About three months later he mentioned it to his friend and said it was the perfect set up for a joke. He brought it up to their friend and he said I don't know how you didn't laugh I don't think I would have made it through.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.