Sex: F
Vaccine: TYP
Symptoms: Abdominal pain upper, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: FELT HORRIBLE; FATIGUE; HEAD HURTING/ HORRIBLE HEADACHE; FEELING FEVERISH; MOSTLY EXTREME STOMACH PAIN/STOMACH HURTING/ INTENSE PAIN LIKE SHE DRANK DAGGERS ALMOST; NAUSEA; This spontaneous case (PVX2019-1340) was received from a consumer on 24-May-2019. It describes a female consumer who experienced the adverse events "mostly extreme stomach pain/stomach hurting/ intense pain like she drank daggers almost/ incredible pain, nausea, felt horrible, insane pain, fatigue, head hurting/horrible headache, and feeling feverish", after the administration of oral Vivotif (one dose every other day) for typhoid fever prophylaxis.  Case report: The consumer started experiencing extreme stomach pain and nausea, after taking a dose of Vivotif. She took the first dose of Vivotif on 21-May-2019 at 12 a.m. Then, on 22-May-2019, in the morning she ate small granola bar and a little bit of coffee, immediately she experienced, intense pain like she drank daggers. She stated that she woke up around 35 to 45 minutes before eating and she felt fine, but the moment she drank and ate, she experienced incredible pain. She reported that the adverse events were coming in waves and sometimes she felt horrible for four to five minutes and experienced head hurting, stomach hurting, nausea, and felt feverish. After the wave she again felt fine. She also experienced insane pain and fatigue, where she was not able to keep her eyes open. She stated that the fatigue she experienced was sleeping all day where she could not do anything, and she would "sit down and pass out." On 24-May-2019, when she woke up in the morning, she felt completely normal.   She took 2 dose of Advil (ibuprofen) for horrible headache.  She only took one dose of Vivotif and then discontinued it based on the nurse's recommendation.  She did not take any other vaccines or concomitant drugs along with Vivotif. She did not have any history of contaminated and unhygienic food or water intake.  Action taken with Vivotif was dosage discontinued.  The consumer had recovered from the reported events on 24-May-2019.  Company's Comment: In this case, it was reported that the consumer had experienced the adverse events "mostly extreme stomach pain/stomach hurting/ intense pain like she drank daggers almost/ incredible pain, nausea, felt horrible, insane pain, fatigue, head hurting/horrible headache, and feeling feverish", after the administration of oral Vivotif. There seems to be a temporal association between the intake of the vaccine and the events. Hence, the causality of the events with Vivotif is assessed as possible.; Sender's Comments: Company's Comment: In this case, it was reported that the consumer had experienced the adverse events "mostly extreme stomach pain/stomach hurting/ intense pain like she drank daggers almost/ incredible pain, nausea, felt horrible, insane pain, fatigue, head hurting/horrible headache, and feeling feverish", after the administration of oral Vivotif. There seems to be a temporal association between the intake of the vaccine and the events. Hence, the causality of the events with Vivotif is assessed as possible.