Yucky; began to experience difficulty breathing and was gasping for air; Patient also experienced terrible body aches; a huge pressure on her chest; experience extreme pain in her right arm, and could not move the right arm; low-grade fever; Initial information received on 20-Oct-2020 regarding an unsolicited valid non-serious case received from a consumer.  This case involves a 73 year old female patient who experienced yucky (Discomfort), began to experience difficulty breathing and was gasping for air (Dyspnoea), patient also experienced terrible body aches (Pain), experience extreme pain in her right arm and could not move the right arm (Pain in extremity), huge pressure on her chest (Chest discomfort),  and low-grade fever (Pyrexia), while she received INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT].  Medical history included Feeling abnormal.  Medical treatment included MACROBID [CLARITHROMYCIN] with patient had huge pressure on chest.  Vaccinations included Fluzone and patient had a minor reaction to High-Dose last year and two years ago patient had a reaction to Fluzone High-Dose where she was "out of it" for about a week.  Family history was not provided.  At the time of the event, the patient had ongoing Asthma.   On 19-Oct-2020, the patient received a third dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE prefilled syringe (lot number UJ482AA expiration date: 30-Jun-2021) at a dose of 0.7 ml via intramuscular route in the right deltoid for immunisation.   On 19-Oct-2020, same day after the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE patient stated that she started feeling yucky around 7:00 or 8:00 pm (discomfort). Patient then began to experienced extreme pain in patient right arm and could not move the right arm (pain in extremity). Patient also experienced terrible body aches (pain). Patient began to experience difficulty breathing (dyspnoea) and was gasping for air and a pulse oximeter patient had showed a reading of 94. Patient also experienced a low-grade fever (pyrexia) and could not sit or lie down, she could only stand. On same day around 11:00 pm or midnight, the patient did not want to go to the emergency room so she tried lying down in the prone position. Patient stated that she used to have allergic asthma, and the last time she had to use her albuterol inhaler was about a month ago and the last time she used it before that was about a year ago. But she always had her albuterol inhaler on hand in case. Patient stated that she also had experienced a huge pressure on her chest (Chest discomfort), the same thing that happened when she takes Macrobid.   Patient took one puff of albuterol around 11:00 pm or midnight, then took another puff around 2:00 am on 20-Oct-2020, and then she was able to semi-lie down and fall asleep for a couple of hours. At 6:00 am she took another couple of puffs of albuterol. Patient stated that she has a fever of 100.1 degrees F, so she took some Tylenol.  Final diagnosis was low-grade fever, experience extreme pain in her right arm, and could not move the right arm, patient also experienced terrible body aches, began to experience difficulty breathing and was gasping for air and yucky.    The patient was treated with PARACETAMOL (TYLENOL) for Pyrexia. It was unknown if the patient received any treatment for other events.  Event outcome was reported as Unknown for all the events