This case was reported by a consumer and described the occurrence of injection site pain in a 57-year-old female patient who received FLUARIX QUADRIVALENT. Previously experienced adverse reactions included sinus infection (more than 15 plus years ago). On 30th November 2017 09:00, the patient received FLUARIX QUADRIVALENT (intramuscular). On 30th November 2017, less than an hour after receiving FLUARIX QUADRIVALENT, the patient experienced injection site pain, feeling abnormal, anxiety and difficulty breathing. On an unknown date, the outcome of the injection site pain was recovered/resolved and the outcome of the feeling abnormal, anxiety and difficulty breathing were unknown. It was unknown if the reporter considered the injection site pain, feeling abnormal, anxiety and difficulty breathing to be related to FLUARIX QUADRIVALENT. Additional details were reported as follows: The age at vaccination was not reported. The hospital which the reporter work at made flu shots mandatory for all employees this year. The patient have never had a flu shot, nor did she want one, but incompliance could result in job loss. Basically resistance seemed futile. On 30th November 2017 at around 9:00 am, the patient had the flu shot FLUARIX QUADRIVLAENT in left deltoid. The shot was free, administered here at the hospital by a trained medical professional. The reporter was writing to report minor but apparent side effects for your general information and your records. Background information was the health information was excellent health, taking no medications, no known medical conditions, extreme holistic, excellent diet, healthy normal height or weight proportioned, no natural gray hair, extremely youthful looking, history of holistic health care, history of detoxing heavy metals. The patient had sick physician visit (more than 15 plus years ago) and was having sinus infection. Dietary information was meal prior to the shot this morning 2 small organic eggs prepared with non-stick pan, topped with one small mashed organic avocado, pureed organic strawberry or apple juice from fresh organic apple, frozen organic strawberries. Overall dietary habits was Paleo diet, no junk food, no fast food, rarely consume grains, no convenience food, no alcohol, spring water sugar, no flour products, healthy oils, grass fed or organic meats as much as possible. On day of vaccination, within 5 to 10 minutes post injection: arm temporarily sore at injection site felt weird off for lack of a better word, felt slightly drugged with a fuzzy head type feeling. Symptoms similar as to when take BENADRYL which gives me an unusual feeling in her head that was hard to described. Not dizzy or lightheaded, just off or weird medicated. 5 hours post injection eyes and ears feel a bit weird still feel a bit fuzzy headed and a bit off, experiencing minor but apparent anxiety. I noticed when the anxiety increased it affected my breathing a bit, it was not extreme anxiety but definitely apparent it was either due to heavy metal neurotoxins or just plain anxiety over being forced to pollute my body with the shot in general. Good news was that her arm was no longer sore at injection site. She can lift and move it with no problem. The patient feel all the side effects were related to heavy metals contained in the vaccine which can feel more than most average people because the patient have detoxed so much over the years and try as much as possible to avoid junk food and non organic pesticide contaminated food and chlorinated water. Overall at this point, the flu shot side effects were apparent more than severe, but she wanted to report them for records. The patient did not feel the side effects were adverse enough to file a full scale adverse side effect report with VAERS at this point, but she was writing to suggest that it might be worth considering trying to develop vaccines with less or with no heavy metals for people who are extremely to much more health-conscious than the average population. She did not feel the necessity to get medical attention at this point. Her insurance coverage was not good and she feel that the side effects were not severe enough to get medical attention at this point, but if anything changes, she would definitely go to an Urgent Care facility.