Age: 24.0
Sex: M
Vaccine: FLU3, HEPA, TYP, YF, FLU3, HEPA, TYP, YF
Symptoms: Fatigue, Headache, Lymphadenopathy, Mononucleosis heterophile test negative, Myalgia
Clinical narrative: Case number PHHY2015US071660 is an initial spontaneous report received via Vaccine Adverse Events Reporting System (VAERS ID: 572830) on 09 Jun 2015. This report refers to a 24 year old male patient. His current conditions included allergy to squash and hydrocodone. He had acute illness which was further specified as runny nose (in the last 24 hours before vaccination and on the day of vaccination) and did not have fever. His concomitant medications were not reported. He was vaccinated with FLUVIRIN (batch number: 1462) intramuscularly, TYPHIM Vi (other manufacturer, batch number: K1200) intramuscularly, YF-VAX (other manufacturer, batch number: UI084AA) subcutaneously and HAVRIX (other manufacturer, batch number: A4M5L) intramuscularly; all vaccines administered in the left arm on 23 Mar 2015. He went back country skiing all day on 24 Mar 2015. On 25 Mar 2015, he had swollen lymph nodes, sore muscles and fatigue. He denied having fever, airway compromise or hives or rash. He asked the nurse about going to a concert on 25 Mar 2015 for drinking. He was encouraged to rest, take MOTRIN and rehydrate and was instructed to call doctor if symptoms worsen. On 26 Mar 2015, he went to urgent care. As per medical records he had negative mononucleosis and streptococcal test and 3+ tonsils with white exudates. In urgent care, he was diagnosed with tonsillitis and possible vaccine reaction. He was given prednisone taper and ibuprofen. On 29 Mar 2015, he went to emergency room (ER). As per records from this visit, he had a fever of 38.1 degree, airway patent and open, spontaneous and non labored breathing and had no evidence or symptoms to suggest an allergic reaction. He was diagnosed in emergency room with tonsillitis and was given AUGMENTIN. On 03 Apr 2015, his mother called to the health department to report continued symptoms and ER/urgent care visits stating that she had read that tonsillitis was a rare adverse event from typhoid vaccine. As per his mother, steroids and antibiotics did not help. His mother stated that he was able to swallow better, but tonsils and throat "visible looked the same". His mother denied that he had trouble breathing. His mother stated that he had a severe headache after vaccinations and still had occasional headaches. He took TYLENOL for severe headache and his mother reported that it helped. His mother also reported that his tongue was swollen. He was called the same day by PHN to check. He was encouraged to finish antibiotics to fight off tonsil infection. He denied having trouble breathing and stated that his throat and tonsils felt the same. He was encouraged to call the primary care physician or urgent care and seek medical help if infection worsens or if it did not improve after finishing antibiotics. The final outcome of events was unknown. The events were reported as non-serious, but the event tonsillitis was upgraded as medically significant based on the information available in the source   [Due to memory limitations, the remainder of this text could not be compared.]  he source documents. The causality of the events was not reported.