Age: 63.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Back pain, Crying, Injection site pain, Mobility decreased
Clinical narrative: Same thing happend (pain starting at site of injection and radiating); Same thing happend (pain starting at site of injection and radiating); Same thing repeated (pain starting at site of injection and radiating); Same thing repeated (pain starting at site of injection and radiating); Pain radiated from the site of injection across the right shoulder and started feeling a stabbing pain below the base of neck (As twisting a knife); Pain radiated from the site of injection across the right shoulder and started feeling a stabbing pain below the base of neck (As twisting a knife); Pain radiated from the site of injection to the right shoulder; Pain radiated across the right shoulder and started feeling a stabbing pain below the base of neck (As twisting a knife); Arm is sore/soreness; When the pain is bad can not left right arm; Crying from the pain; This spontaneous case was received on 26-Oct-2020 from by other non-health professional (consumer) to Med Communications (reference number: SEQW20-04288) and concerned a 63-year-old, female patient.  The patient had no relevant medical history since she was healthy. The patient's concomitant medication included only unspecified minerals and vitamins.  On 16-Oct-2020 at 10 a.m., the patient was vaccinated with Afluria Quadrivalent (influenza vaccine, dose: 0.5 ml, route of administration, anatomical location: not reported) for influenza prophylaxis. The batch number reported was P100242221 and expiry date reported was 30-Jun-2021.  On the same day, few minutes after receiving Afluria Quadrivalent, as walking, the patient felt that her arm was sore and by time the soreness increased, and the pain radiated from the site of injection to the right shoulder. By 9 p.m., the pain radiated across the right shoulder and started feeling a stabbing pain below the base of her neck (as twisting a knife). The patient took ibuprofen at dose of 200 mg and went to bed.  On 17-Oct-2020 at 3 a.m., the pain awakened the patient and she took two ibuprofens. At 4 a.m., the patient was crying from the pain and then she slept. At 9 a.m., the patient recovered from the events since the pain was gone.  On 20-Oct-2020, three days later, the same thing repeated (pain starting at site of injection and radiating) for 24 hours.  On 21-Oct-2020, the patient recovered from 'radiating pain' and 'vaccination site pain'.   On 24-Oct-2020, on Saturday, seven days after receiving Afluria Quadrivalent, the same thing happened.   On an unknown date in Oct-2020, she could not go four hours without ibuprofen. Then, the patient contacted her primary health care physician who prescribed her gabapentin. Also, she stated that the pain was bad she could not lift her right arm.   At the time of initial reporting on 26-Oct-2020, the patient had not recovered from the events of 'vaccination site pain', 'radiating pain' and 'mobility decreased'.  The reporter assessed the events as related to Afluria Quadrivalent. The reporter stated that she had never had such a reaction to any other medication.  The reporter assessed the case as non-serious.  Company comment: A 63-year-old, female patient was administered Afluria Quadrivalent vaccine. On the same day, few minutes after receiving Afluria Quadrivalent, the patient felt pain in extremity, radiating pain, arthralgia, vaccination site pain, back pain. The patient took ibuprofen at dose of 200 mg and went to bed. Three days later, the same thing repeated (pain starting at site of injection and radiating) for 24 hours. Seven days after receiving Afluria Quadrivalent, the same thing happened. Reportedly, the patient was crying from the pain. The pain was bad she could not lift her right arm (mobility decreased). The patient had no relevant medical history since she was healthy. The patient's concomitant medication included only unspecified minerals and vitamins. Based on provided information, causality is assessed as possibly related for all events.; Reporter's Comments: The reporter stated that she had never had such a reaction to any other medication.; Sender's Comments: A 63-year-old, female patient was administered Afluria Quadrivalent vaccine. On the same day, few minutes after receiving Afluria Quadrivalent, the patient felt pain in extremity, radiating pain, arthralgia, vaccination site pain, back pain. The patient took ibuprofen at dose of 200 mg and went to bed. Three days later, the same thing repeated (pain starting at site of injection and radiating) for 24 hours. Seven days after receiving Afluria Quadrivalent, the same thing happened. Reportedly, the patient was crying from the pain. The pain was bad she could not lift her right arm (mobility decreased). The patient had no relevant medical history since she was healthy. The patient's concomitant medication included only unspecified minerals and vitamins. Based on provided information, causality is assessed as possibly related for all events.