Age: 68.0
Sex: M
Vaccine: FLU3
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: growth under his ear in the retro-auricular area, right under his ear lobe; It was painful, in the shape of a bean and he assumed it was a lymph node, that he was getting swelling in his lymph node; progressed and got bigger; Initial information received on 04-Oct-2024 regarding an unsolicited valid non-serious case received from a consumer/patient and and live follow up received on 07-Oct-2024, both were processed together  This case involves a 68 years old male patient who had growth under his ear in the retro-auricular area, right under his ear lobe and it was painful, in the shape of a bean and he assumed it was a lymph node, that he was getting swelling in his lymph node after receiving INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HIGH DOSE].  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided.  On 30-Sep-2024, the patient received suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE Suspension for injection in pre-filled syringe 0.5 ml 1x (once) lot UT8409EA expiry-30-Jun-2025 via unknown route in the left arm for immunization (strength unknown).  On 30-SEP-2024 the patient had growth under his ear in the retro-auricular area, right under his ear lobe (lymphadenopathy) and it was painful, in the shape of a bean and he assumed it was a lymph node, that he was getting swelling in his lymph node (pain) (latency 6 hrs). On an unknown date in 2024 progressed and got bigger (condition aggravated) (unknown latency).  Reportedly, Reportedly, sometimes it formed the size of a peach pit, that it was firm, hard as a rock. Caller stated he went back to his physician, that his doctor examined it, that he thought it was a cyst. Patient didnt think a cyst would form that rapidly, that quickly, in 6 hours, that to him it was more like an immunological response versus a true allergic reaction. Caller stated his doctor advised to watch it for a day, that he went back to the doctor because it was still there, that he had been putting heat compresses on it, taking ibuprofen every 4 hours and it was keeping the size, it was kind of small. The doctor examined it and thought it was a cyst and prescribed Cephalosporin, thinking it was an abscess, the doctor advised him to see a surgeon to have it lanced if its a problem Caller stated he did not have any symptoms, that he has had cysts before and that its not pointing. Its not swelling, that its very firm and well-circumscribed, like a cyst or a tumor, that he believes its an enlarged lymph node. Patient took a shower last night with pretty warm water, that he pressed on it firmly and he got it to go from about the size of a peach pit to the size of a large kidney bean, which is what a lymph node is size-wise. Caller stated that now it has come back, and he doesnt want to continue to take the Cephalosporin which can give him a Cdiff problem and then have to go for imaging and get a biopsy Caller stated: Its geared up. Maybe he shouldnt  have taken the 4 times dose that his body didnt need that much."  Action taken: not applicable.  The patient was treated with Cephalosporin nos and Ibuprofen (Ibuprofen) for Lymphadenopathy and Pain.  At time of reporting, the outcome was Unknown for all the events