Sex: F
Vaccine: FLUX, PPV
Symptoms: Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Dizziness; Swollen, red, warm and throbbing left upper arm, shoulder, and neck; Headache; Difficulty breathing; This spontaneous case was received on 27-Jun-2021 from Med Communications (reference number: SEQW21-01474), reported by other health professional (nurse), and concerned a female patient of an unknown age.   The patient concurrent conditions included asthma and allergy to corn and nylon. The patient's historical vaccines included shingles vaccine (varicella zoster vaccine) after which the patient experienced swelling and unspecified hepatitis vaccine (brand not specified) after which the patient experienced dizziness. The patient's concomitant medications included levothyroxine, Singulair (montelukast sodium), Ventolin (salbutamol sulfate) and sucralfate, all used for an unknown indication.  On 13-Nov-2020, the patient was vaccinated with non-company co-suspect pneumonia vaccine (brand not specified; anatomical location: arm, dose, route of administration, indication and batch number: not reported).  On the same day, the patient was vaccinated with influenza virus vaccine polyvalent (brand not specified; anatomical location: arm, dose and route of administration: not reported) for influenza prophylaxis. The batch number was not reported.    On an unknown date, an unknown amount of time after receiving influenza virus vaccine polyvalent and pneumonia vaccine, the patient experienced difficulty breathing.  On the same day, the patient recovered from the event difficulty breathing.  On an unknown date, an unknown amount of time after receiving influenza virus vaccine polyvalent and pneumonia vaccine, the patient also experienced swollen, red, warm and throbbing left upper arm, shoulder, and neck as well as headache and dizziness.  The outcome of all other events was not reported.  The reporter did not provide causality assessment.  Company comment: A female patient of an unknown age was vaccinated with influenza virus vaccine polyvalent. On the same day, the patient was vaccinated with non-company co-suspect pneumonia vaccine. An unknown amount of time after receiving influenza virus vaccine polyvalent and pneumonia vaccine, the patient experienced dyspnoea, swollen, red, warm and throbbing left upper arm, shoulder, and neck as well as headache and dizziness. Chronology need more clarification. However, causal role of the suspect vaccine is assessed as possibly related for all events. Brighton collaboration criteria for cellulitis at injection site could not be assessed due to insufficient information provided.; Sender's Comments: A female patient of an unknown age was vaccinated with influenza virus vaccine polyvalent. On the same day, the patient was vaccinated with non-company co-suspect pneumonia vaccine. An unknown amount of time after receiving influenza virus vaccine polyvalent and pneumonia vaccine, the patient experienced dyspnoea, swollen, red, warm and throbbing left upper arm, shoulder, and neck as well as headache and dizziness. Chronology need more clarification. However, causal role of the suspect vaccine is assessed as possibly related for all events. Brighton collaboration criteria for cellulitis at injection site could not be assessed due to insufficient information provided.