Received Oct 23, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | UNK | U8854AA | IM / LA |
Within minutes of vaccination, patient reported pleuritic chest pain and left shoulder pain that prompted evaluation in the ER. Initial diagnosis of anxiety and discharged, pain persisted and she also developed some shortness of breath and subjective weakness/fatigue/general malaise. She was reevaluated in the ER the following day and labs were notable for an elevated D-dimer, normal EKG, and CT angio negative for pulmonary embolism but notable for some left axillary adenopathy. I evaluated her 3 days later and chest pain was improving though not resolved but she continued to report fatigue and then endorsed some posterior right leg pain. I repeated labs and notable for now normal d-dimer, elevated fibrinogen, elevated ESR/CRP, normal CMP and CBC with only mild anemia. Doppler US negative for DVT. At the time of writing this, she had additional evaluation completed at another clinic and was not yet fully returned to baseline.
None
Elevated inflammatory markers without known cause. Depression, anxiety, autism spectrum disorder, obesity, sleep apnea.
buspirone, drospirenone-ethinyl estradiol, sertraline
none