Age: 72.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Pain in extremity, Rotator cuff syndrome, Tri-iodothyronine increased
Clinical narrative: T3 thyroid hormone was a little high; perhaps he lifted something and injured his rotator cuff; Pain shooting towards his hand (left); Cannot lift his left arm above the level of his eyes or so, in other works he cannot lift his left arm up over his head; Initial information received on 16-Nov-2021 regarding an unsolicited valid non-serious case from a consumer/non-health care professional via Agency (under reference number 00859892).  This case involves a 73 years old male patient whose T3 thyroid hormone was a little high (tri-iodothyronine increased), had pain shooting towards his hand (left) (pain), cannot lift his left arm above the level of his eyes or so, in other works he cannot lift his left arm up over his head (injected limb mobility decreased)perhaps he lifted something and injured his rotator cuff (rotator cuff syndrome), after receiving INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT].  The patient's past medical treatment(s), vaccination(s) and family history were not provided.  At the time of the event, the patient has medical condition of high blood pressure and has concomitant HYDROCHLOROTHIAZIDE (12.5 mg, other dosing details not reported) for it.  Patient received no other concomitant vaccines.  On 05-Oct-2021, the patient received a 0.7 ml dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (injection, total, lot number and expiration date not reported) via an unknown route in the left deltoid for prophylactic vaccination.  On 05-Oct-2021, the patient developed a non-serious pain shooting towards his hand (left) (pain)and cannot lift his left arm above the level of his eyes or so, in other works he cannot lift his left arm up over his head (injected limb mobility decreased), on the same day following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  On an unknown date, the patient perhaps lifted something and injured his rotator cuff (rotator cuff syndrome) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  On an unknown date, the patient developed a non-serious T3 thyroid hormone was a little high (tri-iodothyronine increased) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  It was reported "73 years old male, received FLUZONE HIGH DOSE on 05OCT2021, is experiencing pain he describes as shooting towards his hand (left) and can not lift arm; caller states he has NOT seen his primary care physician  (PCP) regarding the matter; caller was transferred from SANOFI customer service; Upon transfer, patient asked about the above symptoms, how long it might last and is there anything he can do for it. Patient received a Fluzone High-Dose Quadrivalent vaccine on 05 Oct 2021 in the left deltoid, and he was 72 at that time. Patient received no concomitant vaccines. Patient stated that the "claim reference number" for his Fluzone High-Dose injection was 79770074, and the prescription number is 0791900-14206, and the National Drug Code  (NDC) number is 49281-0121-65. Since that time, the patient has been experiencing the symptoms described above. Patient stated that he cannot lift his left arm above the level of his eyes or so, in other works he cannot lift his left arm up over his head. Patient stated he is not sure what is going on, perhaps he lifted something and injured his rotator cuff, he just does not know. Patient said he has had complete blood work done, and everything is normal, except that his T3 thyroid hormone is a little high. Patient stated that the only medication he takes is 12.5 mg of hydrochlorothiazide for high blood pressure. Patient stated that later today (16 Nov 2021) he is going to receive a booster injection of the Moderna Covid-19 vaccine in his right arm."  Other relevant laboratory test were not reported.  It was not reported if the any corrective treatment was given or not.  At the time of reporting, the patient did not recover from any of the reported events.  There will be no information on the batch number for this case.