Allergy with ziprasidone hcl/Drug allergy: Yes/Influenza vaccine, Pneumococcal vaccine, Ziprasidone HCL; This is a spontaneous report from Contactable physicians from a Pfizer-sponsored program.   A 67-year-old male patient received pneumococcal 13-val conj vac (dipht crm197 protein) (PNEUMOCOCCAL 13-VAL CONJ VAC (DIPHT CRM197 PROTEIN)) via an unspecified route of administration at single dose on an unspecified date for immunisation, ziprasidone HCl (ZIPRASIDONE HCL) oral at 300 mg three times a day from an unspecified date for an unspecified indication, influenza vaccine (INFLUENZA VACCINE) via an unspecified route of administration at an unspecified dose on an unspecified date for immunisation.   Medical history included sleep disorder, hypersomnia. Concomitant medication included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL, tablet) oral 20 mg, 2x/day, cetirizine hydrochloride (CETIRIZINE HYDROCHLORIDE, Capsule) oral 10 mg, clonazepam (KLONOPIN, tablet) oral 1 mg, 2x/day, diphenhydramine hydrochloride (BENADRYL, tablet) oral 25 mg, as needed nightly for sleep, ginkgo biloba (GINKGO BILOBA, 120 mg capsules) oral 360 mg, daily (3 Caps by mouth 3 times daily), levothyroxine sodium (SYNTHROID, tablet) oral 75 ug, daily, loperamide hydrochloride (IMODIUM, tablet) oral 2 mg, 2x/day, melatonin (MELATONIN, tablet) oral 10 mg, 1 tab as needed nightly, meloxicam (MOBIC, tablet) oral 15 mg, daily, metoprolol succinate (TOPROL XL, tablet SR 24 hr) oral 25 mg, daily, modafinil (PROVIGIL, tablet) oral 200 mg, daily, ascorbic acid, betacarotene, biotin, calcium lactate, choline bitartrate, chromium nicotinate, colecalciferol, cyanocobalamin, dexpanthenol, dl-selenomethionine, folic acid, inositol, magnesium lactate, manganese gluconate, nicotinamide, potassium citrate, potassium iodide, pyridoxine hydrochloride, retinol palmitate, riboflavin phosphate, thiamine hydrochloride, tocopheryl acetate, zinc gluconate (MULTI VITAMIN & MINERAL / PX SENIOR VITAMIN PO), omeprazole magnesium (PRILOSEC, tablet) oral 20 mg, as needed, caffeine (CAFFEINE) oral 250 mg, 1x/day every morning) [take 20 mg by mouth daily as needed, as reported] for hypersomnia, pregabalin (LYRICA, capsules) oral 300 mg, 3x/day (1 Cap 3 times daily) form 22Oct2019, rosuvastatin calcium (CRESTOR, tablet) oral 20 mg, 1x/day, selenium sulfide (SELSUN, 2.5 % Lotion) apply daily (apply, leave 10min, rinse. Use daily x 7 days, then monthly x 3 months), simeticone (SIMETHICONE) oral 80 mg, as needed, tizanidine hydrochloride (ZANAFLEX, capsules) oral 2 mg, 3x/day.  The patient experienced allergy to pneumococcal vaccine, ziprasidone HCl and influenza vaccine and on an unspecified date. The action taken in response to the event for pneumococcal 13-val conj vac (dipht crm197 protein) was not applicable, for ziprasidone HCl was unknown, for influenza vaccine was not applicable. The outcome of the event was unknown.  Pfizer is a marketing authorization holder of ziprasidone HCl in the reporter's country. This may be a duplicate report if another marketing authorization holder of ziprasidone HCl has submitted the same report to the regulatory authorities.  Follow-up (17Oct2018): New information reported from a contactable physician included: additional reporter and suspect product details (dose and frequency, and route).  Follow-Up (21Mar2019): Follow-up attempts are completed. No further information is expected.  Follow up (28Oct2019): New information reported from a contactable consumer includes: new suspects (Influenza vaccine, Pneumococcal vaccine); medical history, concomitant medications.  Pfizer is a marketing authorization holder of pneumococcal 13-val conj vac (dipht crm197 protein) and ziprasidone HCl in the reporter's country. This may be a duplicate report if another marketing authorization holder of pneumococcal 13-val conj vac (dipht crm197 protein) and ziprasidone HCl has submitted the same report to the regulatory authorities.