Sex: F
Vaccine: FLUC3
Symptoms: Arthralgia, Bursitis, Injected limb mobility decreased, Injection site pain, Muscular weakness
Clinical narrative: Bursitis; This spontaneous case was received on 06-Dec-2023 from other healthcare professional (nurse) (reference number: SEQW23-04710) and concerned a female patient of unreported age.  The patient's medical history and concomitant medications were not reported.  On 26-Oct-2023, the patient was vaccinated with Flucelvax Quadrivalent (influenza vaccine inact sag 4v; anatomical location: left deltoid, dose, route of administration, and indication: not reported). The batch number reported was 944444 and expiry date was 22-May-2024. As reported, the vaccine was given three fingerbreadths below the patient's left acromion process in the deltoid muscle. The vaccine was given without complications or any noticeable concerns.  On an unspecified date in 2023, an unknown amount of time after receiving Flucelvax Quadrivalent, the patient experienced persistent soreness in her left arm, that then became more painful, with pain radiating from her left deltoid to her left shoulder at the area of her acromion process. The patient had limited range of motion in her left shoulder and was experiencing weakness in her left arm. The patient was having difficulty lifting her arm above her head and using her arm to pull (e.g., dressing daily and minor lifting with daily chores and tasks).   Between 11-Nov-2023 and 12-Nov-2023, over that weekend, the patient began to experience some improvement, but symptoms then got worse again.   On 22-Nov-2023, the patient sought care with an orthopedic doctor and was diagnosed with bursitis. The patient received a cortisone injection to her left shoulder at that appointment.  At the time of initial reporting, the patient had not recovered from the events of bursitis. The patient reported a decrease in pain and some improvement in range of motion (thought has not returned to baseline) following the steroid injection but still had discomfort when using the arm to reach behind her. The patient was scheduled to begin physical therapy to help with muscle weakness and range of motion limitations.  The reporter did not provide a causality assessment.   The case was assessed as non-serious.  Company comment: On 26-Oct-2023, the patient was vaccinated with Flucelvax Quadrivalent. An unknown amount of time after receiving Flucelvax Quadrivalent, the patient experienced soreness in her left arm, radiating from her left deltoid to her left shoulder. The patient had limited range of motion in her left shoulder and was experiencing weakness in her left arm. On 22-Nov-2023, the patient sought care with an orthopedic doctor and was diagnosed with bursitis. Causal role of Flucelvax Quadrivalent is assessed as possibly related, base don chronological and anatomical plausibility.; Sender's Comments: On 26-Oct-2023, the patient was vaccinated with Flucelvax Quadrivalent. An unknown amount of time after receiving Flucelvax Quadrivalent, the patient experienced soreness in her left arm, radiating from her left deltoid to her left shoulder. The patient had limited range of motion in her left shoulder and was experiencing weakness in her left arm. On 22-Nov-2023, the patient sought care with an orthopedic doctor and was diagnosed with bursitis. Causal role of Flucelvax Quadrivalent is assessed as possibly related, base don chronological and anatomical plausibility.