Vaccine(s) were received on 10/25/2016
Vaccine(s) were received in the state: OH
At the time of vaccination, patient was : 45 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N

The following Lab Data for this case is available: Over a year of appointments and testing. Initial appointment with nurse practitioner was 11/1/2016 for swelling in feet & ankles

The following Data for this patients HISTORY is available: None

The following Data for this patients ALLERGIES is available: [NKDA or food allergies ]

Description of adverse reaction: Severe neurological and autoimmune symptoms. Initially, swelling, burning and pain in feet and ankles. Severe, debilitating headaches, strong bounding pulse on left side of head, sensation of something dripping left side of head, unable to tolerate light, joint pain, abdominal pain, nausea, chest pain, left hip and arm/neck/shoulder pain. Increased sensation to touch & heat of fingers. Muscle twitching, spasms and jerking (especially lower extremities but also all over).

Vaccine(s) associated with report# 736494

Type	Name	Manufacturer	Vaccine LOT #	Dose Series	ROUTE	Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)	SANOFI PASTEUR	UI678AE	1	IM	LA

Symptoms(s) associated with report# 736494

Abdominal pain
Allergy test negative
Arthralgia
Autoimmune disorder
Burning sensation
Chest pain
Cortisol normal
Dyskinesia
Headache
Hepatobiliary scan normal
Hyperaesthesia
Immunology test normal
Joint swelling
Mononucleosis heterophile test negative
Muscle spasms
Muscle twitching
Musculoskeletal pain
Nausea
Neck pain
Neurological examination normal
Neurological symptom
Nuclear magnetic resonance imaging brain normal
Nuclear magnetic resonance imaging spinal normal
Ophthalmological examination normal
Pain in extremity
Peripheral swelling
Photophobia
Pulse abnormal
Sensory disturbance
Skin warm
Small fibre neuropathy
Ultrasound biliary tract normal
Viral test negative