Pain in extremity

INFLUENZA (FLUMIST) Side Effects Report # 337347
INFLUENZA (FLUMIST) side effect was reported on 01/14/2009. Female patient, child 6.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: aphonia, asthenia, asthenia, barium swallow, blood albumin normal"SHE RECEIVED THE FLU SHOT IN MID-OCTOBER AND DISPLAYED A FEVER DURING VETERAN'S DAY WEEKEND WITH NO OTHER SYMPTOMS. SHE FELL OFF THE MONKEY BARS AT SCHOOL ON NOV 13 AND STARTED TO COMPLAIN OF TINGLING AND LOSS OF 'CONTROL' OF LIMBS ON RIGHT SIDE ON NOV 14. SHE STARTED LOSING HER VOICE NOV 30. SHE COMPLAINED OF HER HEAD TINGLING ON DEC 9 AND SUBSEQUENTLY WENT TO DOCTOR ON DEC 10 AND HAS HAD MRI'S, NERVE CONDUCTION TESTS, ETC AND WAS FINALLY DIAGNOSED WITH GBS ON/ABOUT DEC 12. 1/16/09-records received for DOS 12/10-12/13/08-DC DX: Guillain-Barre syndrome. Presented with C/O tingling all four extremities for about 4 weeks, back pain and leg pain. Day prior to hospitalization fell from monkey bar approximately 6 feet high. Subsequently C/O tingling in all 4 extremities. Seen by chiropractor. Few days later lost voice, whispery and hypophonic. DX: sciatica and recommended bedrest for 1 month. PE: reflexes absent ankle and knee jerk bilaerally.12/29/08-follow-up visit with neurology, after 12/25/08 developed left facial palsy and at time of visit nearly resolved. Voice remains with whisper and occasionally chokes on liquids. Jerky gait. Mild weaknesses throughout. 1/9/09-admitted with multiple cranial nerve palsy. Began IVIG. Discharged 1/13/09.". NONENONE"NERVE CONDUCTION, MRI, BARIUM SWALLOW TEST, 1/16/09-records received-CSF: protein 77, glucose 52.NCV abnormal, F-wave. MRI normal. Nerve conduction studies and electromyelography:general acquired sensorimotor polyneuropathy, mixed. CBC, BM" . Patient was hospitalized Patient recovered.


INFLUENZA (FLUMIST) Side Effects Report # 341418
INFLUENZA (FLUMIST) side effect was reported on 03/04/2009. Female patient, child 8.0 years of age, was vaccinated with INFLUENZA (FLUMIST). After vaccination, patient experienced the following side effects: asthenia, blood albumin increased, blood alkaline phosphatase increased, blood creatine phosphokinase normal, blood magnesium increased"Bilateral weakness in legs and urinary difficulty, starting 2 weeks after vaccinations. Patient was hospitalized, supportive care, symptoms self-resolved. 4/20/09 MR received for DOS 2/13-16/2009 with D/C DX: Acute infective polyneuritis. Pt presented several times to PCP with c/o bilateral leg pain and weakness with difficulty urinating. PE (+) for decreased strength in legs, shotty nodes and tenderness to palpation below the knees. DTRs intact. Concern for GBS. Referred to ER. Admitted to R/o GBS/Myositis. Pt developed neck pain 2 days s/p vax then progressed as above. F/U 2/18/09. Now able to walk on own, no urinary difficulties but still with some pain in feet.". upper respiratory infection. URI at time of vaccinationsNone PMH: none.ESR 72 mm/hr. Labs and Diagnostics: UA WNL. UC (-). CK 70. CRP 0.16. Alk Phos 240. Total protein 9.0. Albumin 5.2. CBC with WBC 12.5. ESR initially 72 then down to 16. Phosphate 5.4 (H). Mg++ 2.1 (H). X-ray lower extremities WNL. . During the same period patient was treated with None. Patient was hospitalized Patient recovered.