Age: 99.0
Sex: F
Vaccine: FLU4
Symptoms: Lip ulceration, Nail discolouration, Skin ulcer, Somnolence, Urinary incontinence
Clinical narrative: She got her vaccine, her daughter did not notice anything different until she awoken the next morning with a swollen lower lip.  Her brother said that his mother's lip was swollen.  She then started having fatigue and daughter took her to the ER after her brother saw her the swollen lower lip, read the AE and said if you have these to go to the ER.  She took her to an UC and since the lip was continuing to swell to take her to the hospital ER.  She had been taken to the ER as she had a compression ulcer on her right foot.  She was put on Cephalexin at that time.  She was given a steroid in an IV to try to control the swelling.  Her lip got real big and her tongue possibly was sore.  She thought she had a little lesion in her lower lip as well.  They kept her for a few hours in the ER to watch her breathing.  They did an EKG and contacted her PCP about the situation.  He said not to give her Cephalexin or anymore flu shots, and that it could take a week for her swelling to go down in her lip.    She wanted to go back to the wound center to get some expert advice to heal on the right leg.  Went to wound center on Monday and was given another antibiotic and ever since the flu shot she has been weak, has fallen 4-5 times, she fell 3 times last weekend and 1 time this week.  House is carpeted which keeps her from getting injured.  She will take her transport chair and use it like a walker, and will walk herself to the bathroom from the living room where she sleeps in the chair.  She wet the wheelchair and did not know it was locked and the wheelchair went over.  The other falls she fell on footstool in front of her chair to try to elevate her feet.  The footstool was tipped over and then the transport chair.  She was in the hallway when she had the 3rd fall, no other object involved.  She does not cry out when she falls so they don?t know until they find her.  Her brother picks her up and but they refuse to put her in a nursing home as he promised his dad that they would not put her in one.  The sister also helps taking care of her, and changes her bandages every day and baths her as much as she can.    She has to come up one step to get inside the house and has to pull herself up so that she could get into the house.  She fell forward from the doorway onto a chair and the side of her face hit the bottom of the chair.  She has just been weak, glassy eyed, hardly eating.  They thought she may have had a stroke, but no drooping face or other disability that was similar to a stroke, just sleeping so hard and just not like she was before.    The lesion is getting better.  The leg wound is better since she has been getting her to sleep in the bed, but it continues to be wrapped.  They feel the lip lesion, fatigue and sleepiness was due to the flu vaccine and not from the antibiotic.    Her lip had been swollen and turned out, but it's better than it was.  She continues to be treated at the wound center for her leg lesion and has an appointment on 12/3/23.    Her fingernails were dark and the wound center doctor noticed it also, possibly poor circulation.  She has dementia and tends to sleep late as she stays up late at night.