Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Arthralgia, Hyperhidrosis, Influenza like illness, Injected limb mobility decreased, Injection site bruising
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of movements disturbance nos in a 69-year-old male patient who received FLUARIX. Concomitant products included aspirin and FLONASE. On 10th October 2014, the patient received the 1st dose of FLUARIX (intramuscular). On 10th October 2014, 5 sec after receiving FLUARIX, the patient experienced movements disturbance nos, injection site discomfort, sweating, heart racing, stiff neck, influenza-like symptoms and wrong injection technique. On an unknown date, the patient was experienced injection site tingling, injection site numbness, weakness of arms, joint pain, injection site joint pain, injected limb mobility decreased and injection site bruising. In October 2014, the outcome of the influenza-like symptoms was recovered/resolved. On an unknown date, the outcome of the movements disturbance nos, injection site discomfort, injection site joint pain, injected limb mobility decreased, injection site bruising and wrong injection technique were unknown and the outcome of the sweating and heart racing were recovered/resolved and the outcome of the stiff neck, injection site tingling, injection site numbness, weakness of arms and joint pain were not recovered/not resolved. It was unknown if the reporter considered the movements disturbance nos, injection site numbness, injected limb mobility decreased and injection site bruising to be related to FLUARIX. The reporter considered the injection site discomfort, sweating, heart racing, stiff neck, injection site tingling, weakness of arms, joint pain, injection site joint pain and influenza-like symptoms to be related to FLUARIX. Additional details were provided as follows: This case was previously reported to a doctor. The patient had received the flu vaccine in the past for a number of years and never experienced a reaction before. The reported injection site was left shoulder. The patient experienced a near catastrophic experience after receiving the 1st Quadrivalent Flu vaccine. On 10th October 2015, within 5-10 seconds after receiving the vaccine, the patient's head pulled down to the left side and then less than a minute after vaccination he experienced discomfort in the left arm, came down with the sweats and his heart started to race. With his pharmacist assistance, he decided to sit for a few minutes. For the first 15 minutes, the patient experienced pretty bad discomfort which eventually started to subside. On 10th October 2014, less than a day after receiving the Flu vaccine, the patient was in bed for a week with Flu-like symptoms. He felt like it gave him the flu. On the same day, he also experienced great discomfort in his arm and neck was very stiff. In October 2014, for the first six months, the patient had no strength (weakness), tingling, and numbness in the left arm (injection site). The patient also has a lot of pain in the joints, especially the shoulder joint and he was finding it difficult to lift his arm above his head. Till the day of reporting, the patient was experiencing pain at night when he sleeps on his left side. The pain wakes him up and the tingling then travels down to his left hand. A lot of the symptoms has subsided but any exertion results in pain and soreness. The patient had been in physical therapy. His physical therapies suggested that when the vaccine was administered, it might not have been in the right position leading to wrong injection technique and potentially causing bursitis.