Age: 57.0
Sex: F
Vaccine: TTOX, VARCEL
Symptoms: Joint swelling, Liver function test normal, Local swelling, Mobility decreased, Mycobacterium tuberculosis complex test negative
Clinical narrative: This spontaneous report was received from a 58 year old female patient regarding herself. The patient relevant medical history includes high blood pressure, fibromyalgia, sarcoidosis, and she had chickenpox as a child. Her relevant past drug history was unknown. On 19-MAR-2014 the patient was vaccinated with VARIVAX (Merck) (lot # J009729, expiry date: 07-AUG-2015). Concomitant therapies included baby aspirin (manufacturer unknown), atenolol (manufacturer unknown) and LYRICA. She received the tetanus vaccine (manufacturer unknown) and "TB" skin test on 19-MAR-2014. On 19-MAR-2014, after receiving the VARIVAX (Merck), her left arm started swelling. At an unknown time after the swelling began in her left arm, it spread to under her arm and down the side of her breast, and she developed a red rash under her left arm, which started itching and burning. Three days later in March 2014, she showed the swelling and rash to the nurse and the physician put her on steroids (manufacturer unknown). In 2014, after starting steroids (manufacturer unknown), her weight increased to 231 pounds. In 2014, she went to the emergency room (ER) twice for sore and swollen joints and trouble breathing. At that time she was told that her lungs were clear on chest x-ray and there was nothing they could do. At the beginning of April 2014, she went to another ER twice because her joints continued to be sore and swollen and she was still having trouble breathing and a chest x-ray showed that she had pneumonia. While in the emergency room, she was treated with intravenous (IV) antibiotics (manufacturer unknown) and fluids and has since completed two rounds of antibiotics (manufacturer unknown). While in the ER, she also had an electrocardiogram, which showed a left bundle blockage in her heart, and she is to follow-up with a cardiologist. In April 2014, after being diagnosed with pneumonia, her chest became sore from coughing. In April 2014, 2-3 weeks ago, she developed a rash and itching on her stomach, under her breasts, in her groin, and down her thighs. At an unknown time, she started taking FLEXERIL, hydrocodone (manufacturer unknown), and MOTRIN 800mg as needed for some of her events. In 2014, she developed a "knot" at the injection site. In 2014, she has been sore and swollen in her ankles, especially the right, down the sides of her hands, in both wrists, and in her neck around the base of her skull to where she can only turn her head halfway. In 2014, she had unknown blood tests at both emergency rooms but was told that her white count was down to "6 something" and her kidney and liver function tests were good. As of 03-MAY-2014, she has not received another VARIVAX (Merck) and the swelling in her left arm, under her arm and down the side of her breast, red rash under her left arm with itching and burning, pneumonia have resolved and her white count is now up to "7 something." The knot at the injection site, sore and swollen ankles and wrists, soreness and swelling down the sides of her hands, neck soreness and swelling around the base of her skull, ability to only turn her head halfway, rash and itching on her stomach, under her breasts, in her groin, and down her thighs, chest soreness, and some trouble breathing all continue. The outcome of the left bundle blockage in her heart, coughing, and weight increase was unknown. Additional information has been requested.