Age: 62.0
Sex: F
Vaccine: FLUC4
Symptoms: Throat irritation, Wheezing
Clinical narrative: Tuesday, October 22,2019- Received flu vaccine Thursday, October 7,2019-Began getting headache and tingling pain to left side of hairline to forehead, pain to left side of forehead, head, extremely tired. Red rash to forehead on left side and hairline 11/9-11/10. Pustules and diagnosis of shingles to left side of forehead, scalp and left eye on 11/13/2019. January 20,2020- NP-at Drs stated she thinks flu vaccine triggered the shingles outbreak and has seen cases before like this, 2 weeks prior to getting flu vaccine. NP stated not to get another flu vaccine. Fall 2020- granted waiver to Flu vaccine with Drs signed waiver. 10/18/21-Signed flu vaccine by Drs submitted. 11/4/21-rejects signed MD flu vaccine waiver. 11/5/21-Received Flucelvax Quadrivalent, 2021-2022 formula, NDC 70461-321-04, Lot 309618, Flucelvax IV PFS, Sequrus, 0.5 ml, exp date 6/30/22 to left deltoid IM. Date on Vis 8/6/21, by staff at Pharmacy at 3:30pm. 11/5/21-8:30pm-Wheezy and coughing- Did a nebulizer treatment at 11:30pm (per NPs recommendations in January 2020 when had bronchitis for first time and was only time I used nebulizer in my entire life)-Nebulizer treatment relieved symptoms. Saturday, 11/6/21, at 1 pm, became wheezy and coughing and hoarse voice after walking in neighborhood caldesac. Did nebulizer treatment again and symptoms relieved. Sunday, 11/6/21- Walked for 30 minutes outside with husband and with wearing mask and encountered no symptoms. Monday, 11/8/21-In afternoon, I encountered a heavy feeling to my left eyelid and a slight numb like sensation to my left outer eyebrow. At 5 pm, I felt a tingling sensation to the hairline of left side of forehead. I had triage nurse assess my forehead and nothing is visible. Tonight, around 7 pm, I am feeling pain at a 2/10 in my left eye. Tuesday,11/9/21-Drs recommended Benadryl and steroid taper dose ordered to help calm down the reaction. I picked up prescriptions and began Benadryl that evening. Left eye pain comes and goes and intensity is 2-4/10. Was ok?d by NP, to use left over prednisone eye drops from previous eye surgery to right eye for relief. Told to pick up the oral prednisone, just in case is needed. Wednesday,11/10/21-Woke up at 4:30am with throbbing left eye pain. Informed by NP, in mid-morning to begin the oral prednisone -as began coughing, feeling chest tightness and wheezing, hoarse voice, intense itching inside my throat. By 2:30 pm, began feeling better after taking oral prednisone around noon. Wednesday, 11/10/21-continued-Around 5:20pm, I had major itching on top of head, back of lower head to right side, itching to my knees, tops of thighs and back-No rash detected and took Benadryl and went to bed. Thursday,11/11/21-Took 2nd dose of oral prednisone and continue to have itching to inside of throat. Loaded up on cough drops and water for relief. By evening, itchy throat subsided to scratchy dry throat. By evening, able to deep breathe without difficulty, no more chest tightness, or wheeziness. I had one episode of minor throbbing eye pain to left eye. Back of head itches at times. Symptoms seem to be easing up. Drs advised to make appointment with, NP after completion of 10 day oral prednisone. I met with NP on 11/24/21 via telehealth appt. BP 103/70 to left arm, pulse 63, pulse ox 98. Afebrile. NP advised to continue to work with Nurse re: what the next steps are preceding next year vaccine, what needs to be done in preparation to waive flu vaccine due to reaction experienced this year with above documentation