Age: 54.0
Sex: M
Vaccine: FLU3
Symptoms: Chest discomfort, Dyspnoea, Dyspnoea exertional, Feeling abnormal, Immediate post-injection reaction
Clinical narrative: This case was reported by a consumer and described the occurrence of weird feeling in a 54-year-old subject who was vaccinated with FLULAVAL (trivalent or quadrivalent unspecified, GlaxoSmithKline). A physician or other health care professional has not verified this report. The subject's medical history included appendectomy and deep vein thrombosis. On 18 October 2013 at 11:09 the subject received 1st dose of FLULAVAL (.5 ml, unknown, right arm). On 18 October 2013, immediately after vaccination with FLULAVAL, the subject experienced "felt fluid go in his right arm and a weird feeling a second afterwards". On 19 October 2013, the subject experienced injection site pain, fever, night sweat, arm pain, shoulder pain, woke with increased pain and shoulder blade pain. On 20 October 2013, the subject experienced pain in rib cage. On 21 October 2013, the subject had musculoskeletal chest tightness and difficulty breathing. On unspecified dates, within days of vaccination the subject experienced dyspnea with conversation, contraction of chest muscles and gasping for breath. The subject reported that he received the FLULAVAL vaccine on 18 October 2013. He stated that after the vaccine he remembered that he felt fluid go in his right arm and a weird feeling a second afterwards that was very unusual from previous flu vaccines. He stated he has never gotten a GSK flu vaccine before. The needle was larger than previous times he had the vaccine as well. The subject stated that he did not have any side effects until the next day when he began to hurt at the injection site. That night he developed a fever, night sweats, extreme right arm and shoulder pain. He said he woke up in the middle of the night because of the pain and could not go back to sleep. The fever and night sweats resolved that evening. On 20 October 2013, he stated there was significant pain in his shoulder blade and rib cage. He took 600mg ibuprofen that did seem to help. The subject reported that on the morning of 21 October 2013, his shoulder and arm did not hurt anymore, but that his rib cage and chest muscles were tightening and firing and that he was having trouble breathing. He reported he almost called an ambulance because of the pain. The subject said he could not breathe well enough to talk until 23 October 2013 and he called his pharmacy. The pharmacy referred him to GSK. The subject reported that his chest muscles contract every three seconds and whenever he takes a deep breath or talks. He said he is usually very healthy and does not get sick. The subject has not contacted his physician. The subject stated that he is improving slightly, but can be heard gasping for breath during the conversation. The subject denied chest congestion, cough, headache or other health problems. At the time of reporting the Injection site pain, fever, night sweat, arm pain, shoulder pain, shoulder blade pain were resolved; difficulty breathing and chest tightness were improved; pain in rib cage, dyspnea with conversation, contraction of chest muscles and gasping for breath were unresolved. The outcome of woke with pain and weird feeling were not specified.