Received Oct 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | UNK | — | OT |
He said felt like he was having another heart attack; blood pressure went through the roof; muscular pains; his ears started ringing; chest tightened up; chest pains; shoulder started hurting; his arm started burning; his veins got hard; severe headache; An HBP administered the vaccine through his IV and his arm; This spontaneous report was received from a 65-year-old male patient, referring on himself. The patient's medical history included a heart attack (reported as "He said felt like he was having another heart attack") on an unspecified date and hospitalization (reported as "he was in the hospital prior to receiving the vaccine"). The patient's concurrent conditions included low blood pressure. Concomitant medications included amlodipine maleate, isosorbide dinitrate, lisinopril dihydrate, omeprazole sodium, potassium chloride, rosuvastatin calcium, Vitamin b12 (Cobamamide), Aspirin (Acetylsalicylic acid;Ascorbic acid), atenolol, ezetimibe od, furosemide sodium and levothyroxine sodium. The reporting patient stated he was in the hospital prior to receiving the vaccine due to low blood pressure and then on the day he was being discharged, on 04-Oct-2025; his healthcare professional (HCP) recommended he get the Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) along with another vaccine. On 04-Oct-2025, the patient was vaccinated with a dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23), (lot # and expiration date were not reported) as Prophylaxis. It was confirmed that a Hospital-Based Physician (HBP) administered the vaccine through his intravenous (IV) arm. After the administration of the Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) vaccine through his IV, his arm started burning. He quickly started to experience a severe headache, he said his blood pressure went through the roof, chest pain, muscular pain and his veins got hard. He said his ears started ringing, the chest tightened up and shoulder started hurting. He said felt like he was "having another heart attack" (cardiac disorder). Then, he had to stay in the hospital for about 4 days after receiving vaccine. He said it was probably not from the vaccine but from how it was administered. He said he tried aspirin, acetaminophen (TYLENOL) and ibuprofen, but nothing helps with the headache. He said his blood pressure was just now getting under control and that his HCP has adjusted his blood pressure medication. At the reporting time, the patient was recovering from all the adverse events. The causal relationship between the arm started burning, headache, blood pressure went through the roof, chest pain, muscular pain, veins got hard, ears started ringing, chest tightened up, shoulder started hurting and the feeling like he was "having another heart attack" (cardiac disorder) with the dose of Pneumococcal Vaccine, Polyvalent (23-valent) (PNEUMOVAX 23) was not provided. Lot # is being requested and will be submitted if received
Low blood pressure
Medical History/Concurrent Conditions: Heart attack; Hospitalization
Amlodipine; Isosorbide dinitrate; lisinopril; omeprazole; Potassium cier; Rosuvastatin calcium; Vitamin b12; Aspirin; Atenolol; Ezetimibe; furosemide; Levothyroxine