Age: 35.0
Sex: F
Vaccine: FLUX
Symptoms: Initial insomnia, Malaise, Middle ear effusion, Motion sickness, Nasal inflammation
Clinical narrative: Sept. 13 3pm - received flu vaccine, slightly elevated fever (99.5 degrees) did not last long. Sept. 14 9am - Cold flash, followed by a hot flash and flush of the face, neck and chest paired with a wave of dizziness, these were immediately followed with severe nausea and malaise, no fever. The dizziness had two manifestations:  tilting and spinning (me, not the room) and came with a bottoming out feeling you get when you're in an elevator that is landing. These spells would last for minutes or hours and spanned nearly 8 full days.  Did not have fever at all during this time (took temp. every few hours of wakefulness). Sept. 16th - Visited ER, MD ruled as bad flu shot reaction or viral syndrome.  Received IV fluids with Protonix and Reglan, told to F/U w/PCP.  Nausea lessened in severity immediately, started to feel better.  Protonix and Reglan oral medications prescribed and taken. Sept. 18th - PCP agreed with original ER MD's opinion.  Prescribed Zofran for any subsequent nausea. Sept. 19th evening- pressure in stomach and burning sensation in stomach and chest, not typical heartburn or indigestion, OTC medications had no effect, Protonix prescribed by ER MD not helping.  Had trouble falling asleep, tenderness on left side of abdomen when palpated myself. Sept. 20th - stomach and chest burning sensation continued and awoke with mild sore throat, suspected some acid reflux issue or possible acid-related damage due to previous nausea, went back to PCP and managed to drive myself there with little motion sickness during the trip (to and from PCP office).  Diagnosed with gastritis and prescribed Pepcid and Carafate. Sept 24th 3 PM- started out to be a great day, thought the worst was over, was feeling good, took a prophylactic Zofran to ward off any possible nausea 1 hour prior to leaving for class.  During 26-mile drive to campus experienced motion sickness that came with mild nausea.  Progressed from mild to moderate, had to pull over and wait for it to abate.  Made it to campus safely.  Sept 24th - 6PM Started feeling a little dizzy (tilting, not spinning) just standing still while talking with friends.  I turned my head too quickly towards someone as they were talking to me and I felt like I was falling over.  Got to the ladies' room quick as one of the original dizzy/nausea/heat waves was happening.  I have diarrhea again.  Wave passed in minutes this time.  Went back to the classroom and told my instructor I needed to go back home.  Made it to the car, got another wave.  Made it back to the ladies' room, called my mom to pick me up.  More diarrhea, more dizziness, more nausea, more flushing of my face, neck, and chest. Sept. 25th - 1:41 AM Nausea finally gone, small amount of dizziness remains, headache increased to moderate, pain is behind the frontal bone and just below my eyes, nose is a touch runny, mild pressure in my ears. Sept 25th - went back to PCP.  She performed vertigo test, had bad right-sided tilting/dizziness when sitting up straight quickly while lying flat & while sitting up straight quickly from lying on left side.  Rt & Lt ear canals showed inflammation, Rt ear side showed some fluid.  Rt & Lt nostrils showed inflammation, throat showed inflammation.  PCP wants to do allergy testing when I'm able to stay off antihistamines for at least 2 weeks, but for now wants to treat symptoms so I'm able to continue about daily life.  Prescribes amox/clav, meclizine, fluticasone, and loratadine.  D/C's zofran as it is ineffective. Sept. 26th - 11am - woke up from a solid 10 hours of sleep, feeling good, no dizziness or nausea, had 1 sm. cup of coffee and some yogurt with my morning medications, took temperature, 97.4 F. Current list of medications: Lasanoprazole 30mg 1x day, Fluticasone Propionate nasal spray, 50mcg per spray, 2 sprays each nostril per day, Meclizine 12.5mg, 1-2 tabs PO 3x day PRN dizziness, Amoxicillin/Clavulanate Potassium 875mg tabs, Take 1 tab PO w/food 2x day until finished, OTC allergy medication, cetirizine 10mg, 1 PO per day, OTC nasal decongestant (Sudafed) 1 PO daily PRN sinus congestion, Tylenol PRN headache/fever. Took 1 tab meclizine @ 11:30am. Around 1PM - Motion sickness episode with headache (dizziness (me spinning while I was sitting still reading on the computer), followed by nausea & mild diarrhea). Took 1 more tab meclizine @ 1pm as dosage indicates can take 1-2 tabs. 3 PM still experiencing dizziness and nausea while sitting still.  As nausea persists, stomach is distending and gas pressure building. 3:34 PM - nausea finally abating.  Mild dizziness remains, headache gone, mild stomache ache.  I want my normal health back.