Age: 95.0
Sex: M
Vaccine: FLUC4
Symptoms: Positron emission tomogram, Productive cough, Pulmonary function test, Sputum discoloured, Sputum increased
Clinical narrative: This spontaneous case, reported by other health professional to VAERS and initially retrieved on 19-May-2018 by Seqirus from VAERS (VAERS ID: 709228), concerns a 95-year-old, elderly male patient. The patient's historical drug included morphine for an unknown indication (on an unspecified date). The historical conditions included hematuria, vertebral disk displacement (vertebral as reported), haemorrhoids and shingles (on an unspecified date). The patient's current conditions included right eyelid droop (since childhood), benign prostatic hyperplasia (BPH), borderline hypertension (since an unspecified date). The patient also had chronic obstructive pulmonary disease (COPD) (reported as medical history) and lung mass which was confirmed by computed tomography (CT) scan for which patient refuses the work up. On an unspecified date, positron emission tomography (PET) scan and pulmonary function tests (PFT) were performed for which results were not reported. It was reported that, the patient recommended to consult pulmonology department. The concomitant medications included SEREVENT DISKUS, amlodipine besylate, aspirin, FLOVENT HFA, MUCINEX, terazosin, VENTOLIN HFA and Furosemide and oxygen (O2) for an unknown indication (since an unspecified date). On 16-Aug-2017, the patient was administered FLUCELVAX QIV (dose: 0.5 ml [reported as first dose], route of administration: intramuscular, batch number: 195220, anatomical location and expiry date: not reported). On 21-Aug-2017, the patient experienced the symptoms cough with increasing sputum (yellow coloured), which changed to pink colour before that night. It was reported that, the patient had no specific fever but experienced drenching sweats. The patient was on oxygen (O2) 2L QHS since O2 saturation in the room was 88 percent. On the same day, the patient went to primary care physician (PCP) and was recommended for complete blood count (CBC) and comprehensive metabolic panel (CMP) tests by the PCP. On an unspecified date in 2017, the complete blood count (CBC) was performed, which showed abnormal results and comprehensive metabolic panel (CMP) tests were performed, which showed normal result (stable as reported). The chest X-ray was performed, which confirmed pneumonia. The patient was treated with AUGMENTIN, (500-125 mg, twice daily) for 10 days and Prednisone (20 mg, once daily) for 7 days. It was reported that, the symptoms are due to pneumonia manifestation than vaccination. At the time of this report, the outcome of the events (pneumonia and CBC abnormal) was unknown. The reporter assessed the case as non-serious. Update 20-Jul-2018: Case correction was performed with IRD 19-May-2018: The concomitant drug 'SEREVENT DISKUS' was added in narrative. The current conditions 'right eyelid droop, benign prostatic hyperplasia, borderline hypertension and chronic obstructive pulmonary disease' was corrected to right eyelid droop, benign prostatic hyperplasia, borderline hypertension and chronic obstructive pulmonary disease' (reported as medical history). The narrative was amended accordingly.