Sex: F
Vaccine: FLU4
Symptoms: Anxiety, Fatigue, Injection site pain, Pain
Clinical narrative: soreness in the injected arm for a short time; felt very fatigued; aches in body; Initial information received on 01-Nov-2021 regarding an unsolicited valid non-serious case from consumer/non-health care professional via Media Information (under reference 00837064).  This case involves a 68 years old female patient who had soreness in the injected arm for a short time (pain in extremity), aches in body (pain) and felt very fatigued (fatigue), after receiving INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]  The patient's medical history included Sjogren's disease.  The patient's past medical treatment included PREDNISONE and BENADRYL [DIPHENHYDRAMINE HYDROCHLORIDE] (other dosing details were not reported).  The patient's past vaccination(s), concomitant medication(s) and family history were not provided.  At the time of the event, the patient had ongoing medical history of Lupus (Systemic lupus erythematosus), Diabetes, Fibromyalgia and allergic reaction (Hypersensitivity). She had a history, many years ago, of having an allergic reaction where her throat closed up and she had to go to the hospital and got a corticosteroid and Benadryl after she ate peanut butter, an orange, and a boiled egg. She did not know if it was the egg that caused the allergic reaction, or something else. When asked if she had avoided egg since that time, she stated that she mostly lives off of ensure because with her Sjogren's she did not have any saliva. She stated that the only time she had any egg since then was if she ate a piece of cake that would had cooked eggs in it, as one of the ingredients.  The patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot number and expiration date were not reported) via unknown route in an unknown administration site for prophylactic vaccination in 2017 (after coming down with the bad case of influenza type B), in 2018, in 2019 and 2020.  Patient was not sure of the brand-name of the flu vaccines she got each year since 2017, but she thought she had gotten the high-dose flu vaccine since she turned 65 years old.   Patient stated that she did not receive the flu vaccine and coronavirus disease 2019 (Covid-19) vaccine this year yet.  The patient developed a non-serious soreness in the injected arm for a short time (pain in extremity) (unknown latency) following the administration of vaccine in 2017, 2018 and 2019.   On an unknown date in 2020, the patient developed non serious soreness in the injected arm, 2 days (she got the flu vaccine on a friday and the following symptoms began on sunday evening) following the administration of vaccine and also developed non-serious aches in body (pain) and felt very fatigued (fatigue) (unknown latency) following the administration of vaccine.  It was reported "She had to go to rehabilitation and she has anxiety about what the flu vaccine contains. She stated that last year she got the flu shot but the only she had was a sore arm and body aches. What part of the egg is used, the white or the yolk? Caller also mentioned that years ago they had to shoot her with prednisone or Benadryl at the hospital after eating peanut butter, orange and a boiled egg. Did the HD that she took last year and 4 years have egg too? Consumer asks how much egg is in the vaccine? patient asked which Sanofi Pasteur vaccines had egg protein in them and which did not, including the Fluzone High-Dose Quadrivalent, since she is over age 65."  On an unknown date in 2020, she slept for 6 hours and after that felt better from the events pain and fatigue.  No laboratory data reported.  It was not reported if the patient received a corrective treatment  The patient recovered from the event pain in extremity on an unknown date.  At time of reporting, the patient was recovering from other reported events.  There will be no information available on the batch number for this case.