 [ Symptoms ] what would happen is pneumona vac was injection into your arm when it should have been a ppd test  i should have been given a ppd but i think the wrong bottle was picked up and i was given pneumonia vaccine my arm has a red raised spot 1 34 x 1 34 in the area the ppd  was given my arm is very sore the area of redness is now going up above my elbow in a straight line [ Disease ] what should happen that nurse or medical assistant should be retrained other than the inflammation which is obvious there should be no long term residuals i am a bit concerned that you may be having a lymphatic reaction the red streak so you medical provider needs to see this and make sure you do not have a secondary infection from this avoidable mistake do not pay for this extra office visit either you will still need a proper ppd and it should be absolutely free  and if you need the pneumonia vaccine administered properly of course i would insist on a freebee as well