Age: 69.0
Sex: F
Vaccine: FLU4
Symptoms: Heart rate irregular, Injection site bruising, Malaise, Pain in extremity, Palpitations
Clinical narrative: Elevated blood pressure; Elevated pulse; chest felt pounding; Arm became sore; not feeling well at all; fever; felt peculiar and woozy; bruise the size of a dime with injections; Initial information was received on 16-Sep-2020 regarding an unsolicited valid non-serious case received from a consumer/ non-healthcare professional.  This case involves a 69 years old female patient who experienced elevated blood pressure (blood pressure increased), elevated pulse (heart rate increased), chest felt pounding (palpitations), arm became sore (pain in extremity), not feeling well at all (malaise), fever (pyrexia), felt peculiar and woozy (dizziness) and bruise the size of a dime with injections (injection site bruising), while she received vaccine INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT].  The patient's past medical treatment included amoxicillin on which patient breaks out in rash.  The patient's medical history, past vaccination(s) and family history were not provided.  At the time of the event, the patient had ongoing codeine and epinephrine sensitivity (drug hypersensitivity).  The patient did not have high blood pressure and did not take blood pressure medication.   On 12-Sep-2020, the patient received a 0.7 mL dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot number and expiry date not reported) via intramuscular route in the left arm for prophylactic vaccination.  On 12-Sep-2020, the patient developed a non-serious elevated blood pressure (blood pressure increased), elevated pulse (heart rate increased), chest felt pounding (palpitations), not feeling well at all (malaise) and fever (pyrexia) on same day  following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  On 12-Sep-2020, the patient developed a non-serious arm became sore (pain in extremity) within two hrs following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  In Sep-2020, the patient developed a non-serious felt peculiar and woozy (dizziness) and bruise the size of a dime with injections (injection site bruising) on an unknown latency (within few days) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE.  The patient reported to inquired if vaccine contains epinephrine and if she had pre-existing conditions would that cause her reaction and what might the pre-existing conditions be.  She also reported she received the vaccine on within 2 hours of receiving shot  she started to experienced adverse events and later in the evening she was not feeling well at all, chest felt pounding so she went upstairs and checked her blood pressure which were fluctuating and her pulse rate and body temperature were elevated. She took two 500 mg Tylenol and on next morning her blood pressure was there was fluctuation in her blood pressure, pulse rate and body temperature, so she took two 500 mg Tylenol again and stated that in afternoon her vital signs were normal. She stated that she never had reaction to high-dose vaccine before and also mentioned that reported yesterday she was at the doctors office with her mother for mothers appointment and consumer felt peculiar and woozy and drank water and ate a snack and then felt better but she had juice and toast in AM so it wasn't like she had not had anything to eat. The patient also reported her husband and a friend has received the flu shot previously and did not have any reactions and stated that she did not receive any form stating potential side effects when she received her vaccine.  Relevant laboratory test results included:  Blood pressure measurement - On 12-Sep-2020: [180/93] then [161/85] then  [164/85]; on 13-Sep-2020:  [124/71] then  [130/75]  Body temperature - On 12-Sep-2020: 101.4 Fahrenheit  then 102.5 Fahrenheit; on 13-Sep-2020: 100.7 Fahrenheit then 99.1 Fahrenheit  Heart rate - On 12-Sep-2020: [110] then [104] then [108]; on 13-Sep-2020: [93] then [79]  Vital signs measurement - On 13-Sep-2020: [Normal]   The patient was treated with Paracetamol (Tylenol).  On an unknown date, the patient was recovered from the events.  There will be no information available on the batch number for this case.