Age: 31.0
Sex: F
Vaccine: FLU3, FLU3
Symptoms: Fatigue, Rhinitis allergic, Upper respiratory tract infection
Clinical narrative: From initial information received on 9/21/04 from the patient regarding an adverse event occurring in the USA, it was reported that a 30 year old female patient received an INFLUENZA VACCINE, lot number and manufacturer were not reported, administered in the arm on approximately 12/18/03. On approximately 12/24/03, the patient developed severe congestion, shortness of breath, difficulty breathing, constipation and chronic fatigue that lasted for months and still continues, but is less severe. The patient had emergency room visits, but was never admitted (dates unknown). She has had IV oxidation treatments. The difficulty breathing, constipation and chronic fatigue continued to persist. The patient reports severe allergies to foods, including eggs, wheat and corn. She has a follow up visit scheduled with a pulmonologist and plans to follow up with another alternative medicine doctor. The patient reported that she is not sure if she received Fluzone or Fluvirin in December 2003. The patient has not recovered from these events. (OMIC) From additional information received on 13OCT2004 from a health care professional, it was reported that the patient experienced symptoms of a "chest cold" on 26DEC2003. She was seen multiple times in the ER and urgent care facilities and underwent a thorough evaluation including an electrocardiogram and a chest x ray , which showed bibasilar atelectasis and infiltrates. Blood work included D. dimer and arterial blood gasses, however, no results were provided. A CT scan of the chest on 15MAR2004 was normal. She has a pulmonary consult and it was felt that she had a respiratory infection, as well as a history of asthma. I was not reported whether the patient recovered from these events.  From additional information received on 8NOV2004 from a health care facility, the patient's consent for influenza vaccine administration was provided. According to the consent, the pt does not have allergies to eggs, chicken , chicken feathers, chicken dander, mercury or thimerosal. In addition, the patient does not have sever latex sensitivity or an acute illness with fever. She did not have a fever within the 24 hours prior to vaccination. Reportedly, she received a dose of Influenza Vaccine, expiration date 30JUN2004 , in the right deltoid. Patient's pulmonologist's contact information was provided. The patient was last seen by the pulmonologist on 1MAR2004. At that time, she was felt to have bronchial asthma, cough and allergic rhino sinusitis. She underwent a chest x ray and a CT scan. Per pulmonologist, the chest xray demonstrated congestion, but was "better than the lat one" and the CT scan was "okay". Cspine x ray obtained on an unspecified date demonstrated soft tissue swelling. PA chest xray, obtained on 4MAR2004, demonstrated atelectasis. Patient's concomitant medicatioons at the time of vaccination included Albuterol, Aerobid, Biaxin, Zithromax and other unspecified antibiotics. The patient did not receive an influenza vaccine last year. No further information is anticipated. The case is considered closed.