it has been 1 week , 6 days of injection site pain/when he moved arm the muscle was hurting.; This is a spontaneous report received from a Consumer or other non HCP from medical information team, Program ID. A 68-year-old male patient received pneumococcal 20-val conj vac (dipht CRM197 protein) (PREVNAR 20), on 21Jan2025 as dose number unknown, single (Batch/Lot number: unknown) at the age of 68 years intramuscular, in left arm for immunisation. The patient’s relevant medical history included: “COVID-19”, start date: Dec2024 (not ongoing); “Valley fever”, start date: 2023 (ongoing); “Afib” (ongoing); “BPH” (ongoing); “Cholesterol” (ongoing). Concomitant medication(s) included: DIFLUCAN oral taken for coccidioidomycosis, start date: Dec2023 (ongoing); DABIGATRAN oral taken for atrial fibrillation; DILTIAZEM oral taken for atrial fibrillation, start date: Dec2023 (ongoing); TERAZOSIN oral taken for benign prostatic hyperplasia (ongoing); ROSUVASTATIN oral taken for blood cholesterol abnormal (ongoing). Past drug history included: Simvastatin for Cholesterol, notes: Probably started originally 10 -15 years ago and doesn’t recall when switched. The following information was reported: VACCINATION SITE PAIN (non-serious) with onset 21Jan2025, outcome “not recovered”, described as “it has been 1 week , 6 days of injection site pain/when he moved arm the muscle was hurting.”. Relevant laboratory tests and procedures are available in the appropriate section. Additional information: the patient stated that he had injection site pain that was lasted 6 days now, almost a week. He was really just calling to see if it is normal. He talked to a nurse and she had no idea. He wanted to see what timeline would be for that kind of pain. He does want to mention he was not 100% sure but he thought that the pain for him only lasted about 2 days and from what he remember pain was gone and yesterday, 26Jan2025, he noticed it hurting, not horrible, when he moved arm the muscle was hurting. He does not know if it really went away, it seemed like went away and came back but he may not have noticed. States the pain was also when he pushed on it. outcome: well when it started right after he had it and next day it was about the same as that and when it restarted he guesses it’s about the same. pain – there was the pain of the actual needle going in but the injection site pain was probably pretty soon after, within a couple hours. Like 1-2 hours later. Indication: because someone talked him into it finally. They kept asking him about it for several years and he finally saw a doctor and he said he really should based on his age. States that and he was not wanting to get pneumonia. Additional information on relevant medical history, It was reported that, the patient had Covid a month ago and recovered. He took Paxlovid for that, not within the 2 weeks of injection site pain, it was a month before. Valley fever did test positive Valley Fever but doesn’t know if he was still positive. Had not been retested yet. Concomitant Medications: Dabigatran states that a little over year ago when he started valley fever, he had really bad symptoms. Had symptoms of AFib which he had never had before. He only had 2 little episodes when in the throws of valley fever but must be on this the rest of his life. Additional Information for Other medicines Rosuvastatin: used to be different many years ago and changed from simvastatin to this. Probably started originally 10 -15 years ago and doesn’t recall when switched to this. Additional Information for Other medicines Terazosin: started taking about 6 months ago. Additional Information for Other medicines Diflucan: Has ongoing valley fever. He had Valley Fever a year ago and he tested positive again. Original start date Dec2023 and was on for 3 months. Was off Diflucan and back on about a month ago, 13Dec2024. The patient felt pretty confident it is normal. He hasn’t had a vaccine last this long or go away and come back. No follow-up attempts are possible. Batch/lot number is not provided, and it cannot be obtained.