Patient presented to ER at outlying facility complaining of chest pain, vision changes (tunnel vision), ears ringing, near syncope, dizziness, pale, clammy, flushing of skin, chest tightness, weak, sluggish, and fatigue. He was evaluated at ER on 1/16/25 and everything on exam reported to be benign. Patient has since followed up with us to be evaluated by his PCP on 1/17/25 and again 1/24/25 and is still continuing to have lingering symptoms, reporting lightheaded, joint pain, shaky, dizzy, nausea, decreased appetite, and difficulty sleeping. PCP Dr. is suspicious this is post influenza vaccination reaction with neurological involvement and encephalopathy. We will continue to follow up with patient and his symptoms.