Received Apr 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | UNK | — | — |
memory loss; rash; itchy skin; stomach pain; liver pain; abdominal pain; dizziness; eye problem; inflammation of the ankle; vomiting; red face; hair loss; shoulder and arm pain of the injection; shoulder and arm pain of the injection; reduction of muscular tissue; This is a spontaneous report received from a Consumer or other non HCP. A 78-year-old female patient (not pregnant) received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 02Dec2024 as dose number unknown, single (Batch/Lot number: unknown) at the age of 78 years for immunisation. The patient's relevant medical history included: "Cardiac ablation", start date: 2024 (unspecified if ongoing); "Lung cancer", start date: 2019 (unspecified if ongoing). The patient had no known allergies. The patient's concomitant medications were not reported. The following information was reported: ABDOMINAL PAIN (non-serious) with onset 09Dec2024, outcome "not recovered"; DIZZINESS (non-serious) with onset 09Dec2024, outcome "not recovered"; EYE DISORDER (non-serious) with onset 09Dec2024, outcome "not recovered", described as "eye problem"; ALOPECIA (non-serious) with onset 09Dec2024, outcome "not recovered", described as "hair loss"; ARTHRITIS (non-serious) with onset 09Dec2024, outcome "not recovered", described as "inflammation of the ankle"; PRURITUS (non-serious) with onset 09Dec2024, outcome "not recovered", described as "itchy skin"; HEPATIC PAIN (non-serious) with onset 09Dec2024, outcome "not recovered", described as "liver pain"; AMNESIA (non-serious) with onset 09Dec2024, outcome "not recovered", described as "memory loss"; RASH (non-serious) with onset 09Dec2024, outcome "not recovered"; ERYTHEMA (non-serious) with onset 09Dec2024, outcome "not recovered", described as "red face"; MUSCLE ATROPHY (non-serious) with onset 09Dec2024, outcome "not recovered", described as "reduction of muscular tissue"; VACCINATION SITE PAIN (non-serious), ARTHRALGIA (non-serious) all with onset 09Dec2024, outcome "not recovered" and all described as "shoulder and arm pain of the injection"; ABDOMINAL PAIN UPPER (non-serious) with onset 09Dec2024, outcome "not recovered", described as "stomach pain"; VOMITING (non-serious) with onset 09Dec2024, outcome "not recovered". Therapeutic measures were not taken as a result of amnesia, rash, pruritus, abdominal pain upper, hepatic pain, abdominal pain, dizziness, eye disorder, arthritis, vomiting, erythema, alopecia, vaccination site pain, arthralgia, muscle atrophy. The information on the batch/lot number for pneumococcal 20-val conj vac (dipht CRM197 protein) will be requested and submitted if and when received.
Medical History/Concurrent Conditions: Cardiac ablation; Lung cancer