He clarified the Prevnar 20 about killed him; Lactic acidosis; Woke up in middle of night having a seizure; Joint pain/joints are so sore; fever of 102.6; Could not walk; Vomiting; Nausea; Could hardly use right knee; felt bad; Had blurry vision; Today has a severe cough and phlegm; Today has a severe cough and phlegm; right knee kept trying to give out on him; Muscles and joints are so sore; hurts to get up; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP),. The reporter is the patient.  A 41-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 15Nov2022 as dose number unknown, single (Batch/Lot number: unknown) at the age of 41 years for immunisation. The patient's relevant medical history included: "pulmonary fibrosis" (unspecified if ongoing), notes: Verbatim: He confirmed he had pulmonary fibrosis and Pneumonocious prior to getting the Prevnar 20; "Pneumonocious" (unspecified if ongoing), notes: Verbatim: He confirmed he had pulmonary fibrosis and Pneumonocious prior to getting the Prevnar 20; "hit by a car on his motorcycle before" (unspecified if ongoing). The patient's concomitant medications were not reported. The following information was reported: JOINT STIFFNESS (hospitalization) with onset Nov2022, outcome "unknown", described as "Could hardly use right knee"; GAIT DISTURBANCE (hospitalization) with onset Nov2022, outcome "unknown", described as "Could not walk"; VISION BLURRED (hospitalization) with onset Nov2022, outcome "unknown", described as "Had blurry vision"; NEAR DEATH EXPERIENCE (hospitalization, medically significant) with onset Nov2022, outcome "unknown", described as "He clarified the Prevnar 20 about killed him"; ARTHRALGIA (hospitalization) with onset Nov2022, outcome "unknown", described as "Joint pain/joints are so sore"; LACTIC ACIDOSIS (hospitalization, medically significant) with onset Nov2022, outcome "unknown"; MYALGIA (hospitalization) with onset Nov2022, outcome "unknown", described as "Muscles and joints are so sore"; NAUSEA (hospitalization) with onset Nov2022, outcome "unknown"; COUGH (hospitalization), PRODUCTIVE COUGH (hospitalization) all with onset Nov2022, outcome "unknown" and all described as "Today has a severe cough and phlegm"; VOMITING (hospitalization) with onset Nov2022, outcome "unknown"; SEIZURE (hospitalization, medically significant) with onset Nov2022, outcome "unknown", described as "Woke up in middle of night having a seizure"; FEELING ABNORMAL (hospitalization) with onset Nov2022, outcome "unknown", described as "felt bad"; PYREXIA (hospitalization) with onset Nov2022, outcome "unknown", described as "fever of 102.6"; PAIN (hospitalization) with onset Nov2022, outcome "unknown", described as "hurts to get up"; ARTHROPATHY (hospitalization) with onset Nov2022, outcome "unknown", described as "right knee kept trying to give out on him". The patient was hospitalized for near death experience, lactic acidosis, seizure, arthralgia, pyrexia, gait disturbance, vomiting, nausea, joint stiffness, feeling abnormal, vision blurred, cough, productive cough, arthropathy, myalgia, pain (start date: Nov2022, discharge date: Nov2022). The patient stated that it about killed him. He had a history of pulmonary fibrosis. He mentioned there was no data with this in the pamphlet. It has information about people with compromised lungs and systems, but no details about his condition. He also mentioned he had a history of as spelled out and confirmed, Pneumonocious. He confirmed he had pulmonary fibrosis and Pneumonocious prior to getting the PREVNAR 20. He was advised by his home health agency to get the PREVNAR 20 due to being at risk. He worked which gave him pulmonary fibrosis and the other condition, and this made him susceptible to pneumonia. He had gotten other pneumonia shots before, but this was the first time getting PREVNAR 20. Hours after getting the PREVNAR 20 his right knee he could hard use it get it to work, could hardly walk. He got the shot. He clarified the PREVNAR 20 about killed him as he had joint pain where could hardly walk. He had lactic acidosis and could hardly walk due it. He had a fever of 102.6. He later stated he could not walk. He also had vomiting, and nausea. He was currently on bedrest. As of 18Nov2022, the patient reported that he had very, very bad reactions, the worst reaction. Had the rare, severe, minor reactions, had them all. He was hospitalized. The patient told the previous agent the side effects and what happened that made him go to the hospital. The patient got PREVNAR 20 shot on Tuesday (15Nov2022) at 5:09. Couple hours after, his right knee kept trying to give out on him. Got home, felt bad. Woke up in middle of night having a seizure. He got through that, had a fever 102.6. Muscles and joints are so sore, couldn't walk. Had lactic acidosis. His lactic acid was very, very high. Had blurry vision. He has pulmonary fibrosis and according to Pfizer's sheets, people with lung conditions are at highest risk for having that. There is no data on people with pulmonary fibrosis and (pharmacy name) just gave him this shot anyways. He had to be toted out to the ambulance, he couldn't walk. The patient was put in the hospital, then released. Then it happened again, and he was put back in the hospital. The patient is now on bedrest and can't go back to work. He has to see a doctor in Jan. Was told there's a possible chance for relapse and it could happen again because the lactic acidosis is still not done yet. It's really affected him. Has to drink an ungodly amount of liquid to urinate it out. The lactic acidosis dehydrated and dries out muscles. The patient has been hit by a car on his motorcycle before and never felt this bad as he does now. The patient was looking for compensation, but he declined Pfizer Legal Department Address and fax number. Stated he will have a lawyer do it. He is suing Pharmacy and Pfizer. The patient stated that he should have never been given the Prevnar 20 shot. The patient clarified that he is writing on the lawyer and does not have an open, active case against Pfizer. As soon as he gets up with the lawyer, he'll have him go through it. If Pfizer wants to settle, he can talk. If not, he'll be suing because PREVNAR 20 could have killed him (as reported). The patient reported that it hurts to get up. He has two hospitalization letters. He did not have the paperwork with the NDC/LOT/EXP and information regarding the PREVNAR 20 he received at time of this call. The patient has been through so much the past couple days. He wanted Pfizer to let him know if they are willing to settle for his problems. He is suffering for it. He made his living off himself and has been ordered on bed rest. He is worried about relapse. Today he has a severe cough and phlegm. He hasn't been sick in three years. Hospital told him this was a direct result to the PREVNAR 20 vaccine because he had every severe, rare, and unknown side effect possible because of his diagnosis. He should have never been given this vaccine.  He clarified he was diagnosed with pulmonary fibrosis before receiving the Prevnar 20. He was supposed to get a pneumonia shot due to the pneumoconiosis. He used to get one, but they don't carry it anymore. He was told this PREVNAR 20 was ok by the pharmacist. The patient started to say that with lung disorder and compromise immune system. Then states that with 25% of lungs gone, one is immunocompromised. Caller did not clarify if he was referring to himself when mentioning that 25% of lungs are gone. Stated that the sheet says there's no data with pulmonary fibrosis and PREVNAR 20, which is an injustice to him. He stated this pharmacist will probably lose her job. Hospital told caller that pharmacist is ethically bound to notify and she should have caught that caller should not have received Prevnar 20.  He stated when lactic acidosis gets to a certain point, there is a 50% mortality rate. The patient wanted to make it known that caller expects compensation for lack of research and his pain. PREVNAR 20 could have killed him. He is just hurting. As of 21Nov2022, patient further reported that the vaccine (pharmacy administered it) caused him hospitalization. The patient underwent the following laboratory tests and procedures: Blood lactic acid: (Nov2022) very, very high; Body temperature: (Nov2022) 102.6. Therapeutic measures were taken as a result of lactic acidosis which included liquid (unspecified) to urinate it out.    The information on the batch/lot number for pneumococcal 20-valent conjugate vaccine (diphteria CRM197 protein) has been requested and will be submitted if and when received.  Follow-up (18Nov2022): This is a spontaneous follow-up report received from a contactable consumer (patient). Updated information: suspect product detail (vaccination date), patient detail (age at vaccination), medical history (added "hit by a car on his motorcycle before"), reaction data (new events: blurry vision, muscles were sore, cough, phlegm, seizure, felt bad, hurts to get up, and "right knee kept trying to give out on him"), seriousness of events (events assessed as serious - hospitalization), treatment detail (for event lactic acidosis), clinical course details, and lab data.   The information on the batch/lot number for pneumococcal 20-valent conjugate vaccine (diphteria CRM197 protein) has been requested and will be submitted if and when received.  Follow-up (21Nov2022): This is a spontaneous follow-up report received from a contactable consumer (patient himself), .  Updated Information: clinical course details and case identifiers.  The information on the batch/lot number for pneumococcal 20-valent conjugate vaccine (diphteria CRM197 protein) has been requested and will be submitted if and when received.