pneumococcal disease prophylaxis
"Side effects of injection include very sore arm effectively rendered useless.  Muscle aches and joint pain without relief would not allow me to sleep.  Fatigue and back pain plus headache contributed to an overall miserable night and day.  I don't know how long this will continue, it has been 36 hours.  This vaccine requires at least two days off work and should be accompanied by a good narcotic."