Patient received flu vaccine at 11 am on 10/1. He woke with fever and shakes 13 hours later at midnight 10/2. Patient took a tylenol and it helped, but he had another fever/shake episode 24 hours after vaccinne shot on 10/2, around noon. He had a virtual visit on 10/2. Nothing was prescribed and his fever left by evening. However, the impact led to swelling in his left ankle on 10/2. It It was so severe he went to doctor and thought he had gout on the morning of 10/3. The medicine the doctor gave on 10/3 had no impact on his swelling, in fact, it worsened. In the early morning hours (2 am) of 10/4 an ambulance was called because he could not walk and was in so much pain. He went to the Hospital and was flown to another hospital at 7 am on 10/4. He died at 11 pm on 10/4. His heart’s capacity was greatly reduced and flow was not getting to his legs. We believe the reaction to the flu vaccine caused his body unnecssary stress and prompted his heart to malfunction.