Vaccine(s) were received on 10/26/2016
Vaccine(s) were received in the state: CA
At the time of vaccination, patient was : 67 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N

The following Data for this patients HISTORY is available: High blood pressure; Gout 5 years; possible just diagnosed herpes over 30yrs dormant

The following Data for this patients ALLERGIES is available: [Lima beans; Peanuts large intake; Allopurinol; Toe gout; Most detergants; Vaccines; magnesium ]

Description of adverse reaction: PPSV - I just endured. There was no treatment. The extreme pain in both arms went on for up to 3 wks following vaccine always started in evening and went throughout night. I was sleep deprived. My arms also jerked as the violent pains kept attacking also gout in limbs (legs) was activated, extreme swelling and redness very difficult to walk and bath. I did need to try and move it seemed to help arms involuntarily jerked the entire time. Itching I felt hot. TDAP - started very fast first evening awful violent pain jerking itching redness; just the one night. But so extreme gout started in legs feet 2 weeks. The first vaccine doctor thought possibly caused only by gout second vaccine - I knew was caused by vaccine same day. Lasted one day. Activate gout.

Vaccine(s) associated with report# 743575

Type	Name	Manufacturer	Vaccine LOT #	Dose Series	ROUTE	Site
FLU4	INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT)	GLAXOSMITHKLINE BIOLOGICALS	Y7X9Z	1	IM	AR
PNC10	PNEUMO (SYNFLORIX)	GLAXOSMITHKLINE BIOLOGICALS	K004483	1	IM	AR
TDAP	TDAP (ADACEL)	SANOFI PASTEUR	U547288	1	IM	AR

Symptoms(s) associated with report# 743575

Condition aggravated
Dyskinesia
Erythema
Feeling hot
Gait disturbance
Gout
Insomnia
Pain in extremity
Pruritus
Swelling