Sex: M
Vaccine: FLU3, FLU3
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: first the legs had a sharp fire like pain,still feels in the hands and arms feels like an electric shock that travels down the arm; swelling in the hands; weakness in both leg muscles; straining to be able to stand; fallen down 4-times due to tripping or the legs giving out; allergic reaction to the vaccine; Initial information received on 14-Jan-2020 regarding an unsolicited valid non-serious case from a consumer.  This case involves a 76 years old male patient who experienced first the legs had a sharp fire like pain, still feels in the hands and arms feels like an electric shock that travels down the arm (pain), swelling in the hands (peripheral swelling), weakness in both leg muscles (muscular weakness), straining to be able to stand (muscle strain), fallen down 4-times due to tripping or the legs giving out (fall) and allergic reaction to the vaccine (allergy to vaccine), while he received INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE [FLUZONE HIGH DOSE].  The patient's past medical history included Rotator cuff syndrome with that his symptoms did disappear for a week following steroid shots he received to treat pain in the rotator cuffs; that the pain in the rotator cuffs began prior to getting the Fluzone High dose and received three injections in the rotator cuff area with each treatment, Diabetes mellitus with mild diabetes that he has been taking pills for 10 years to treat; and Blood cholesterol decreased with lower cholesterol he was placed on simvastatin. It was reported that same weakness and pain symptoms he has had with the Fluzone HD; that he could barely walk then and it would take 5-minutes to get up; that the symptoms did go away a month after he stopped taking the simvastatin that before his mother passed away she suffered from Myasthenia gravis and had weakness; that his mother was treated with prednisone that helped her weakness; and that he has is not Myasthenia gravis like his mother due to differing symptom presentation.  Past medical treatment was not provided.  On 13-Sep-2019, the patient received a 0.5 ml dose of suspect INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE (lot W238AA and expiry date: 14-Apr-2020) via intramuscular route in the left arm.  On an unknown date, the patient developed a non-serious first the legs had a sharp fire like pain, still feels in the hands and arms feels like an electric shock that travels down the arm (pain), swelling in the hands (peripheral swelling), weakness in both leg muscles (muscular weakness), straining to be able to stand (muscle strain), fallen down 4-times due to tripping or the legs giving out (fall) and allergic reaction to the vaccine (allergy to vaccine) (unknown latency) following the administration of INFLUENZA USP TRIVAL A-B HIGH DOSE SUBVIRION VACCINE. It was reported that volunteering with 4 organizations; that he volunteers his services as a handyman; that he is unable to do anything but attend meeting.  Relevant laboratory test results included: Electromyogram - On an unknown date: [Electromyography (EMG) but the consumer was unable to complete the test; that he was unable to complete the test due to not being able to take the discomfort of the testing of the head area; that he did complete the test with the legs and was told the legs were okay]  Other relevant tests included 10- vials of blood drawn for testing and waiting results. It was also the neurologist is next planning to perform a muscle biopsy; that he will see the prescriber on 20Jan2020 on Monday.  Final diagnosis were pain, peripheral swelling, muscular weakness, muscle strain, fall and allergy to vaccine.  It was not reported if the patient received any corrective treatment.  On an unknown date, the patient had not recovered from the all events.