Age: 50.0
Sex: F
Vaccine: FLUX, HPVX, PPV, TTOX
Symptoms: Influenza, Malaise, Seasonal allergy, Smear cervix
Clinical narrative: Not feeling well after getting shots on 9/14/2023 for pneumonia, flu and tetanus; has been sick the last three days due to getting shots for the flu, pneumonia, shingles and papaloma; Had flu symptoms last week due to the flu shot; Issues with seasonal allergies; Initial information was received on 13-Oct-2023 regarding an unsolicited valid  non-serious case received from a consumer/non-hcp.  This case involves a 50 years old female patient (48.08 kg) who experienced not feeling well after getting shots on 9/14/2023 for pneumonia, flu and tetanus; has been sick the last three days due to getting shots for the flu, pneumonia, shingles and papaloma, had flu symptoms last week due to the flu shot and issues with seasonal allergies after receiving HPV VACCINE, pneumococcal vaccine, influenza vaccine and tetanus toxoid and treprostinil sodium.  The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. At the time of the event, the patient had ongoing Pulmonary arterial hypertension.  Concomitant medications included sulfamethoxazole, trimethoprim (bactrim); furosemide; ondansetron hydrochloride; sulfamethoxazole, trimethoprim; spironolactone; salbutamol sulfate (proair); oxygen; ambrisentan; sildenafil; fluconazole; paracetamol (tylenol); mycophenolate mofetil; diphenhydramine hydrochloride (benadryl) and pantoprazole sodium sesquihydrate (pantoprazole sodium).  On 16-Feb-2023, the patient started taking treprostinil sodium. at a dose of 0.06 ug/kg via subcutaneous route for Pulmonary arterial hypertension (Remunity pharmacy filled with 3 ml/cassette; rate 32 mcl/hour) (form, strength, frequency, lot number, expiration date: unknown).  On 14-Sep-2023,  the patient received an unknown dose of suspect influenza vaccine produced by unknown manufacturer for Influenza immunization, HPV vaccine not produced by Sanofi Pasteur for Human papilloma virus immunisation, tetanus toxoid produced by unknown manufacturer for Tetanus immunisation and pneumococcal vaccine produced by unknown manufacturer for Pneumococcal immunisation (unknown formulation) (lot number, expiry date, strength, was unknown) via unknown route in unknown administration site. The information on the batch number will not be available.  On 17 Sep 2023, the patient was not feeling well after getting shots on 9/14/2023 for pneumonia, flu and tetanus; has been sick the last three days due to getting shots for the flu, pneumonia, shingles and papaloma (malaise) (latency: 7 months 1 day) following the administration of HPV vaccine, pneumococcal vaccine, influenza vaccine and tetanus toxoid and (unknown latency) for treprostinil sodium.  On an unknown date in Sep-2023, the patient had flu symptoms last week due to the flu shot (influenza like illness) and issues with seasonal allergies (seasonal allergy) (unknown latency) following the administration of HPV vaccine, pneumococcal vaccine, influenza vaccine and tetanus toxoid and (unknown latency) for treprostinil sodium.  Relevant laboratory test results included: Smear cervix - In September 2023:  [unknown] Weight - In September 2023:  [100 lbs]  Action taken was unknown for treprostinil sodium and was not applicable for all other suspects.  It was not reported if the patient received a corrective treatment for the events.  At time of reporting, the outcome was Unknown for the events.