Age: 29.0
Sex: F
Vaccine: FLUX
Symptoms: Pruritus, Sensation of foreign body, Speech disorder, Swelling face, Tachycardia
Clinical narrative: Upon getting the vaccine in my left arm, I immediately had pain radiate into my upper arm and neck, it then proceeded down into my hand.  By 7:00AM, I had a whelp come up about 4 inches below the injection site and my left hand began to swell.  About 7:15AM, I started iching.  I immediately called the ER and was informed to take 50mg of Benadryl and if the symptoms were no better in 30 minutes to come back to the ER.  Well by 8:15AM, I had a lump in my throat and was having trouble clearing my throat, no trouble breathing at this point just my throat bothering me.  I came back to the ER at 9:30AM and I had redness in my face and a burning sensation to my face.  I was started with an IV.  I was given Benadryl, Salumedral, Atarax, and Zantac on a 30 minute drip.  I was to be dicharged at 12:30PM.  When I started to stand up, I was real dizzy and had to sit back down on the stretcher.  My nurse got me a wheel chair, took me to triage, checked my vital signs - they were ok and she discharged me.  I was wheeled to the cafeteria to get something to eat.  After finishing, I stood up to walk and almost fell again.  I had to be wheeled out of the cafeteria, it was 13:00PM by this point.  I went back to the department where I work and wa sitting with my coworkers until my husband came to pick me up, because I couldn't drive.  Around 14:00PM, I started feeling bad and got this weird taste in my mouth.  Immediately after this, I got cotton mouth and couldn't hardly talk due to my tongue sticking to the roof of my mouth.  This sensation went away, but came back several times on and off.  I went back to the ER around 14:30PM.  While in the room, I had this excruciating pain hit me in my left hip and radiate down to my toes and my left leg went completely numb.  After about 15 minutes I got the feeling back in my leg, but it still did not feel right.  I was admitted into the hospital for overnight observation.  Around 21:30PM on 10/09/2009, I had a spell of tachycardia -160BPM and was put on the talimytry monitor for my heart and was given a breathing treatment.  I had another round of salumedral, atarax, and zantac.  I slept all night.  On 10/10/2009, around 9:30AM, I had another spell of tachycardia -145BPM and chest pain.  I was administered an EKG, it showed no sign of an attack, but did show tachycardia of 123BPM.  I was kept in the hospital a second night for more observation.  My blood glucose was 293 and I was given insulin.  On 10/11/2009, I was discharged from the hospital to home.  On 10/12/2009, I started have a tingling sensation in my left leg again, like it was trying to go to sleep and problems with my heart racing, went back to the doctor, just as a precaution.  Today is 10/13/2009 and I have still got some redness and swelling in my face and still have some tingling in my left leg.  12/11/09 DC summary and H&P for DOS 10/09/09-10/11/09. DX: Tachycardia, not feeling well, hypersensitivity to flu vaccine.  Pt c/o hypersensitive reaction to the flu vaccine, swelling, numbness and feeling bad. L leg became numb. Tx: prednisone and Zantac for dyspepsia.  TSH was low with T3 and sinus tachycardia. Assessment: euthyroid 6 syndrome, glucose intolerance. BP was elevated. Pt improved and discharged home with Inderal and Metformin.