severe anaphylactic reaction /allergic reaction; suffering with the pain,she can only spend 20 minutes at a time on each of her shoulders; she wakes up screaming; Initial information received on 09-Jul-2021 regarding an unsolicited valid serious case from a consumer/non-health care professional via Media Information (under reference 00676037).  This case involves a 82 years old female patient who had severe anaphylactic reaction /allergic reaction (anaphylactic reaction), was suffering with the pain, she can only spend 20 minutes at a time on each of her shoulders (arthralgia) and she wakes up screaming (screaming), after receiving INFLUENZA VACCINE.  The patient had an eye problem; she stated that she had an eye exam with dye and two minutes later experienced an allergic reaction and has a heart issue and cancer.   The patient's past medical treatment(s), vaccination(s), concomitant medication(s) and family history were not provided.  In 2008, the patient received a 0.5 ml dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiration date not reported) via unknown route in an unknown administration site for prophylactic vaccination.  On an unknown date, the patient had severe anaphylactic reaction /allergic reaction (anaphylactic reaction, unknown latency, medically significant), which required an emergency room visit.  On an unknown date, the patient was suffering with the pain; she states she wakes up screaming (screaming, unknown latency, non serious) and can only spend 20 minutes at a time on each of her shoulders (arthralgia, unknown latency, non serious).  It was reported that, patient was unable to identify what vaccine she had; she wants the COVID (coronavirus disease) vaccine; however, she was unsure about the components in the vaccine and wants to identify what exactly caused her anaphylactic reaction. Caller was not able to recall what shot was given. She stated that her doctors were ambivalent to her taking the Covid vaccine, and indicated that she wanted the Moderna vaccine; but her heart doctor was against her taking it saying "no way", her internal medicine doctor was fine with her taking the vaccine, and her eye doctor was against it due to her eye issue.  Relevant laboratory test results included: On an unknown date: a skin test for the Covid (coronavirus disease) vaccine was done and reported that she may not have an allergic reaction.  It was not reported if the patient received a corrective treatment.  At time of reporting, the patient did not recover from the event arthralgia, while the outcome was unknown for other two reported events.  Information on the batch number to be requested for this case.; Sender's Comments: This case involves a 82 years old female patient who presented with severe anaphylactic reaction, arthralgia and screaming, after vaccination with INFLUENZA VACCINE (produced by unknown manufacturer). The time to onset is unknown. The patient' s medical history included an eye problem; allergy to dye and has a heart issue and cancer. Further information regarding other concurrent condition during vaccination, previous vaccination and tolerance, laboratory investigations excluding alternative etiologies for the reported event are needed to fully assess this case. Based upon the reported information, the role of the suspect vaccine cannot be assessed.