Age: 28.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram head normal, Cystitis, Diplopia, Dizziness, Full blood count normal
Clinical narrative: EE presents to EH today to discuss events that have occurred since receiving flu vaccination. EE received flu vaccine on 10/1/18, at 12:23am in the left deltoid (per EE she feels the vaccine was given too high in the arm and was very close to the acromiom process). The flu vaccine was the FLULAVAL 0.5mL multi dose lot number 2B55B manufacturer ID Biomedical. About an hour after injection at 1:23am, the EE had her first episode of dizziness. She was in the cafeteria and the "world began to spin" and she had to hold onto something to keep from falling over. She states she felt like world was closing in on her. She also had nausea but no vomiting. She initially thought it was from her doing a new "keto diet" and hadn't eaten yet. 2 days later on 10/3/18 during the nighttime around 7pm she had another episode of dizziness where she had to call someone else to do a delivery for her as she could not get up and walk and had to put her head down between legs. She had nausea, could not focus on anything, and kept having to sit down repeatedly. No vomiting with this episode. EE states if she was sitting down she was okay and that the episode lasted all night through her 12 hours shift. She had to be driven home by someone else that morning due to dizziness. After this episode she continued to have constant dizziness but not as severe as the second episode. Then on 10/10 she was at home and experienced increased dizziness, a new symptoms of double vision, couldn't focus, the world spinning, and nausea. No vomiting with this episode either. EE thought this dizziness could be because she was due for an eye exam and new glasses/prescription. She received new glasses on 10/12 and was still dizzy constantly. EE felt like she did when on a cruise ship with dizziness and nausea and had leftover Bonine (meclizine) that she decided to take to see if it helped. It did helped with the dizziness and she continued to have to constantly take it, but during work shifts would have to decrease the dose as it made her extremely tired. On 11/6/18 EE went to urgent care near her house as she felt like she was having a panic attack along with the same symptoms of dizziness but also was having an increased difficulty with focusing on anything. Urgent care saw her and the diagnosis was vertigo and she was prescribed meclizine and also a referral for ENT. Because of her difficulty to focus the doctor at Urgent Care did not feel comfortable sending her home as he did not want her to have a stroke per EE so she was sent to the ED (newer one that is apart from the actual hospital). ED did blood work, urine, and head CT on the same day 11/6. EE's urine did show bladder infection and was given antibiotics for this which has since resolved. The CT of the head came back with no abnormalities or issues seen. Per EE she has been battling previous inner ear issues and ringing of the ears since before she had been given a flu vaccine this year. The ringing of both ears had not changed throughout thsi course though. EE also has a complaint since flu vaccine of "pressure" in the back of head over the top of her head and down the left arm that she received the flu shot in. She tried taking Ibuprofen and Tylenol, but it didn't take any of the "pressure" feeling away. She states that caffeine helps the pressure feeling go away and when she is lying down it goes away completely. Per EE there are current pain fumes that can be smelt on L&D floor 13. EE has had no viral illnesses in the months leading up to her flu vaccine only a stuffy nose that she relates to allergies. Throughout this event she has had no diarrhea. The injection site of the flu vaccine was never red, swelling, or painful. She does have soreness still down the left arm into the wrist area. EE is now having to take 4 different medications that she was not on previous to flu vaccination.