Age: 84.0
Sex: F
Vaccine: FLU4, RSV
Symptoms: Injection site warmth, Joint swelling, Mobility decreased, Muscle swelling, Muscular weakness
Clinical narrative: She got her vaccines, within 2 hours she had swelling on the left deltoid muscle, size of a plum, and it got worse, very red, warm to touch and just very painful.  Then developed chills and shaking that went on for several days and then could not get over it.  Then she developed extreme weakness, and then it got worse.  She was fatigued for the few days and the weakness progressed where she had difficulty getting up and down and the worst part was trying to get her leg up over the landing.  It took a lot of effort to get up on the final steps to the landing and had to grip the rails to help her get up the stairs.  On 12/12/23 she started her Christmas shopping, and noticed that she had difficulty walking, and slowed down to a turtles pace.  Then from the 12th to the 18th she continued to have difficulty walking, and then on the 18th she noticed a deformity in her left hand, has a mixed connective disorder and rheumatoid arthritis and has been under the care of a doctor since 2005, and went into remission in 2008.  Her factors she would get checked her  CRP and has been in remission for a long time.  She is going to have to go to the doctor and ask for physical therapy for her hands so she does not get contractures, and knows that she has an increased in those values.  She has increasing pain and heat, and a large growth of bones on her knuckle that is red, swollen and feels like bones.  In some joints it s all swollen and not so much in the right hand, but that knuckle joint is also swollen, but not as much as the left hand.  She is really scared about that.  She noticed that she was having pain in both knees, and in the small in her back, but different than osteoarthritis and it felt like she was carrying a sack of concreate on her back and a bag of rocks on her knees.  The joints are feeling really heavy, and it s her theory that possibly the Arexvy may have triggered a reaction to the rheumatoid arthritis and taken it out of remission.  Feels like her rheumatoid arthritis has gone out of remission and that she is going to have to take medication since the vaccine.  She has had the chills that has continued and then the inflammation and feels that the shaking and chills were from the inflammation taking place.  She also has RA in her toes, and has one joint in one of her foot that is abnormally large and has to wear sandles due to that and cannot put pressure on it.    She keeps wondering why when she has been in remission for so long and why she has had a flare and wonders if it is triggered by the shot.  She has company coming and writing cards is difficulty and has to get them to the mailbox, and it's just a busy time for her and has not been able to get to the doctor yet, and also has company coming and helping her sister who has an elder abuse problem who is 85 years old.    She did take the driving course and it took her a long time to finish it, but she did pass the test.  She did have problems trying to complete it, but she pushed herself to finish it as you have to do it that day, and worked through the pain and swelling in her hands to finish the test.  She has a high tolerance of pain and can tolerate a lot of pain.