Patient called on 1/25/25 and said she has been feeling sick since the even evening the day she got the vaccines. She had received both the PCV 21and Shingrix. Shingrix was her second dose so she was emphasizing on the Pneumonia vaccine. At around 6 pm on the day of vaccination she started feeling sick. At midnight she had a fever of 103 and also getting chills. She reported of having swollen lymph nodes and headache. She had been taking tylenol to around the clock which was keeping the fever down but not totally off. She had started cough on 1/24 and felt lethargic the whole day on 1/24/25. on 1/25/25 she said her headache had gone down but cough was there.