Received Oct 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | UNK | U8830BA | IM / RA |
Immediate: pain and unusual sensation at injection site - described as "feeling of fluid moving across my chest". Later that evening: severe fatigue, fever, chills, bodyaches. Persistently over past 3 weeks - severe right arm pain and ROM limitation
No acute illnesses other than worsening of conditions described below
Medically complex with severe back pain at baseline, interstitial lung disease with fibrosis, macular degeneration, IBS, hypertension, ASCVD, hypothyroidism, and history of breast cancer and colon cancer. Also has a history of SIBO, positive ANA of unclear significance, and rotator cuff disease in the contralateral shoulder
Tylenol, albuterol, vitamin D, vitamin B12, gabapentin, levothyroxine, metoprolol, multivitamin, oxycodone, pantoprazole, triamterene-HCTZ, AREDS vitamins. Also had aflibercept intravitreal injection the previous day.
Numerous - has reported allergic reactions to meperidine, cephalosporins. Has also reported GI and itching reactions with opioids but she does take oxycodone at baseline. Numerous other environmental allergies including animal dander, mold, adhesive. Food allergies to avocados, melons, shellfish, bony fish.
None - sent to ED to rule-out ACS but they felt she did not warrant the work-up.