Age: 42.0
Sex: U
Vaccine: FLU3, PPV
Symptoms: Injection site swelling, Myalgia, Pyrexia, Rash erythematous, Rash generalised
Clinical narrative: Case number PHHY2017US031176 is an initial spontaneous report received from Vaccine Adverse Event Reporting System (VAERS reference number: 664098) website on 21 Feb 2017. This report refers to a 42 year old patient of unspecified gender. Prior vaccination history included vaccination with influenza virus vaccine (unknown whether seasonal or pandemic, other manufacturer) with no side effects (well tolerated). It was reported that patient received yearly flu shot and never had a bad reaction in the last decade of receiving this vaccine. Historical condition was not reported. Current condition included allergy to IVP dye first time on an unknown date in 2012. Current illness were reported as none. Concomitant medications included propranolol, PROAIR HFA, LIORESAL, VOLTAREN, BENTYL, DOLOBID, FLONASE, NEURONTIN, Levonorgestrel and ethinyl estradiol, ATIVAN, magnesium, melatonin, Multi vitamin with fluoride, NITRO-DUR, MYCOLOG II, MINIPRESS, Vitamin B6, EFFEXOR XR and Cholecalciferol. The patient was vaccinated with FLUVIRIN (batch number: not reported) into right arm on 01 Oct 2016. The patient was also vaccinated with PNEUMOVAX (other  manufacturer,  batch  number:  not  reported)  into right arm on 01 Oct 2016. It was reported that the on 01 Oct 2016, pharmacist suggested to receive pneumonia shot also and asked if it was safe and she said it was perfectly safe and hence received both vaccines on the same day into right arm as she said it could get a little sore sometime. If so do arm circles. On the same day after vaccination, the patient went home within 3 hours, the patient was doing arm circles and noticed a horribly sore upper arm, and reported that the patient never had anything like that and then developed very high fever, very swollen upper arm (at least an inch bigger than left), headache, chills, severe muscle pain throughout body, but the arm pain at site of shots was horrible, just brushing against it hurt bad. On 02 Oct 2016 (reported as by the next morning), one red patch at shot site of the patient had turned into red, raised one inch patches that spread from my shot site, to shoulder, armpit, the whole way to neck and the patient was covered in patches. The patient felt horrible all over, different than the flu, but with symptoms that were horrible. Following the events patient visited emergency room and met physician. The physician said to give it one more day to see if anything changed. The patient was icing and taking fever medicines (unspecified). It was reported that finally on an unknown date (reported as 3rd day), fever broke and symptoms started to reverse. The arm of the patient was so sore, for at least five days before the patient could even stand it to be touched. It was reported that it was a horrible experience, and 72 hours of horrible pain physically. The outcome of the event fever was reported as complete recovery on an unknown date (fever broke) and for the other events was reported as condition improving (symptoms started to reverse). The seriousness of the events was reported as non serious and causality was not reported. Seriousness assessment of the events vaccination site pain, vaccination site swelling, pyrexia, chills, rash erythematous and rash generalized (medically significant) was upgraded based on the information available in the source document.