“…Systemic side effects of PCV 13 include chills, fever, headache, vomiting, fatigue, arthralgia, myalgias, decreased appetite, and diarrhea (4). Furthermore, vaccination with PCV13 is reportedly associated with the following adverse cutaneous reactions: topical reactions at or near the injection sites (redness, edema, pain, abscess, cellulitis, itching granuloma, keratoacanthoma, and lichenoid dermatitis) (4), Sweet's syndrome (5), and deep morphea (6).…”