Initial unsolicited report received from consumer in the United States on 01-Nov-2016. This case involves a 50-year-old female patient who was vaccinated with a dose of INFLUENZA VACCINE (manufacturer: unknown batch number, expiry date, route and site of administration: not reported) on an unspecified date (reported as Friday). Patient's medical history included high blood pressure for the last five years, last year she had similar symptoms of anxiety and feeling down for which she saw her neurologist who prescribed something (unspecified) which she never took because she bounced back on her own. The consumer reported a past medical history of being extremely thirsty and having a low blood sugar during one of her routine health screening for work last year, but stated she has never been diagnosed with diabetes and her blood sugars have all been OK since then. She also reported history of -off and on over the last year, of having burning with urination and feeling run down for which her urine always tested negative for infection. Before her flu shot on Friday, the patient began experiencing feeling like she had some mild burning when she urinated like with a urinary tract infection. Patient's concomitant medication included Lemtrada, unknown dosage daily for five days, infusion dates from 06 Jun 2016 to 10 Jun 2016, for Multiple Sclerosis. On an unspecified date, post vaccination, the patient stated that her symptoms prior to the flu shot got worse. On an unspecified date, patient reported feeling like she had a little bit of the flu characterized by feeling chilled, coughing some, throat felt really big and raw and felt really tired; feeling like she had some mild burning when she urinated like with a urinary tract infection. On Last Thursday and Friday patient felt like maybe she was catching something characterized by feeling a little run down and like she had an infection; feeling a little more down characterized by feeling a little more anxiety and stress and overwhelmed but not depressed. On an unspecified date, in late Aug 2016, the consumer experienced thinking she passed a small kidney stone characterized by feeling really run down, uncomfortable, hurting over her left kidney, and vomiting once. For the last few weeks, the patient had been experiencing feeling a little more down characterized by feeling a little more anxiety and stress and overwhelmed but not depressed. Patient's lab data included a urine culture which was negative at the time for the thinking she passed a small kidney stone characterized by feeling really run down, uncomfortable, hurting over her left kidney, and vomiting once. Treatment included taking a lot of ibuprofen for the events little bit of the flu characterized by feeling chilled, coughing some, throat felt really big and raw and felt really tired, feeling like she had some mild burning when she urinated like with a urinary tract infection, resting, drinking fluids drinking water and cranberry juice for the event felt like maybe she was catching something characterized by feeling a little run down and like she had an infection and her doctor prescribed an antibiotic (unspecified). There was no treatment for the feeling a little more down characterized by feeling a little more anxiety and stress and overwhelmed but not depressed. The outcome of the events feeling like she had a little bit of the flu characterized by coughing some and felt really tired, the event maybe she was catching something characterized by feeling a little run down and like she had an infection and feeling a little more down characterized by feeling a little more anxiety and stress and overwhelmed but not depressed was reported as not recovered as the events were ongoing. Patient was recovering from the event throat felt really big and raw as her throat felt better, and she was no longer feeling chilled, the event feeling like she had some mild burning when she urinated like with a urinary tract infection had resolved on an unspecified date. The event thinking she passed a small kidney stone characterized by feeling really run down, uncomfortable, hurting over her left kidney, and vomiting once resolved when she vomited an hour after taking her antibiotic (unspecified). Upon internal review, the case was considered as serious due to important medical event: and thinking she passed a small kidney stone characterized by feeling really run down, uncomfortable, hurting over her left kidney, and vomiting once. List of documents held by sender: none. Sender's Comments: 50 years old female was on Lemtrada (unknown dosage) daily for five days, infusion dates from 06 Jun 2016 to 10 Jun 2016, for Multiple Sclerosis (MS) reported feeling like she had a little bit of the flu, UTI and Kidney stone. Patient reported that she had INFLUENZA VACCINE shot and her symptoms (symptoms of flu, UTI and Kidney stone) prior to that got worse following the vaccination with INFLUENZA VACCINE. However INFLUENZA VACCINE avoided in the already ill during vaccination. This case is poorly documented, Details regarding relevant medical history, and diagnostic work-up- are lacking to allow adequate medical assessment. Based on the available information role of the vaccine can not be assessed.