Age: 53.0
Sex: F
Vaccine: FLU3, PPV
Symptoms: Musculoskeletal discomfort, Musculoskeletal pain, Nasal congestion, Neck pain, No reaction on previous exposure to drug
Clinical narrative: Tues - 10/9/07 at 10:00 received Flu vaccine and the pneumonia vaccine in my Rt deltoid. By noon, felt achy, malaise, feverish. Rt deltoid and arm hot to touch, red, edema in Rt arm, across shoulder and around to Rt scapula. By 4 pm head hurt, neck sore and needed to lay down. Sx continued to spread entirely to muscles and joints on Rt side only. I stayed in bed and couldn't move (I should have gone to the hospital in hindsight). Wednesday, I did nothing but lay in bed. Awoke Wed AM and increased T 102 and Rt hip joint pain and lower back joints hurt and difficult to walk. started crying uncontrollably, congestion and breathing difficulties - started my nebulizer QID. Thurs late afternoon had an appt, felt joint sx decreasing a bit, but despair, tearfulness was severe (I forgot to mention that on Tues late - my well managed asthma increased and went back on the albuterol nebulizer QID and Asthmacort). Had an appt late Thurs - lungs real bad. Thurs around 5:30 pm, total despair, crying uncontrollably and wanted to just drive my car into a brick wall. I knew this was not right - I am more optimistic than pessimistic. I called friends that were RN's who knew me for years. We had agreed that I would not harm myself. They would hourly around the clock to check on me. I promised to go home and to bed. Fri - I had a pre-op appt at hospital and cried uncontrollably during most of my pre-op visit. The edema decreased on the scapula and most of the Rt arm. Hip still sore, redness and edema decreased on most of Rt arm, shoulder, hands, still noticeable to the trained eye. Rt hip joint, pelvis joints very painful to walk, knee and foot joints less painful. I was still having productive cough from lower lobes lt side lungs, especially after laying down or after a treatment. CXR at time of pre-op (noon Friday) results unknown. I cried about everything and malaise, headache, etc. I was told that I needed the flu shot (which I have gotten every year since 1976) in order to be around my mom who was on hospice. I have not had an adverse rxn to the flu vaccine since 1976. I stayed in bed Sat, Sun, Mon. Sx were gradually better - still treating the lungs and severe discomfort in Rt hip continued. Thus sx were minimal - residual asthma and Rt hip pain. NPO Wed - 10/17/07 had GB removal lapriscopically, just had to bring asthma inhalers with me. Stayed at home post op and spent most of time in bed and doing breathing tx. On Friday 10.19, I scheduled appt with doctor for Monday, Oct 22. Still felt some malaise on Monday Oct 22, 2007. I had continued with the nebulizer Proventil QID. I used MDI - Asthmacort QID. Still had some malaise, Rt hip pain continued. still had post-op discomfort (was to be totally expected). Doctor examined me - my lungs were only having productive coughing upon arising after sleeping and sometimes after a treatment. She gave me 12 different injections and 2 Rx's. Toradol 60mg IM, Ceftin 500 BID x 10 days, Prednisone taper. Today is Nov 2, 2007 - I find an occasional productive cough and my Rt hip is very sore - positional pain/discomfort. Rec stretches - heat, Yoga - if increased - refer to ortho. I have included a list of my medications, medical conditions, adverse rxn's to medications, and my treating physicians