Asthenia

INFLUENZA (FLUZONE) Side Effects Report # 336415
INFLUENZA (FLUZONE) side effect was reported on 12/19/2008. Male patient, child 6.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: asthenia, hypotonia, , , "Child was struggling before shot- held by father. Shot was administered to L arm. Child looked up at mom and "smiled" then became briefly limp, responded to parents but then again became momentarily weak kneed. Then appeared back to normal- talking, smiling, putting own coat on. Seen by MD. B/P 110/58.". NoneCochlear implantNone . Patient recovered.


INFLUENZA (FLUZONE) Side Effects Report # 336491
INFLUENZA (FLUZONE) side effect was reported on 12/29/2008. Female patient, child 5.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: asthenia, nervousness, pallor, , "Mother called, daughter is very weak, cannot keep eyes open. Llips are pale. Weak. Told mother to take her to ER. Took to ER -started feeling better, so left and took to MD. MD stated child had "nervous reaction" to shot and not vaccine reaction. Child fine at this time.". NoneNone Known . Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 336830
INFLUENZA (FLUZONE) side effect was reported on 01/08/2009. Female patient, 68.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: areflexia, asthenia, asthenia, c-reactive protein normal, fatigue"Patient experienced acute leg weakness progressing to include arm weakness and overall body weakness within a two-week period. Saw family physician on 12/8/08. Extensive lab testing was completed with normal results. Had follow-up visit with family physician who then referred patient to neurologist. Diagnosed by neurologist on 1/5/09 with Guillain-Barre. Patient still experiencing weakness and fatigue. 1/23/2009 MR received from Neurologist for DOS 1/5/2009 with DX: Acute Demyelinating Immune Polyneuropathy (Guillain-Barre syndrome). Appears to be a mild case already improving. Possibly r/t Flu shot although not certain. Pt presented for eval of weakness which developed in mid November 2008. Pt's legs felt rubbery and gait was abnormal. No muscle pain or sensory loss. Remained stable x 1 month, now improving x 2 weeks. More easily fatigued. PE (+) for slight waddling type gait, decreased strength (3/5) of the interossei upper and 4/5 lower extremities, absent tendon reflexes. No tx since pt was improving w/o tx.". None."Allergies: codeine, Medical conditions: hypertension, hypercholesterolemia. PMH: Allergy to codeine. HTN, Depression, Hyperlipidemia""Monoscreen: negative, CRP & thyroid screen: within normal limits." . During the same period patient was treated with "Lisinopril/HCTZ 10/12.5 mg, Zetia 10 mg (discontinued 12/8), Amitriptyline 75 mg, Fioricet (prn only), Darvocet N-100 (prn only)". Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 337780
INFLUENZA (FLUZONE) side effect was reported on 01/21/2009. Male patient, 29.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: arthralgia, asthenia, dyspnoea, fatigue, pain in extremity"16 Jan 09 arms were sore. 17 Jan 09 felt conjested. 18 Jan 09 more conjested 19 Jan 09 felt conjested and run down. 20 Jan had conjestion fever weakness fatigue dyspnea and joint pain, and went to the ER that night.". NOPCN . During the same period patient was treated with NO. Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 338296
INFLUENZA (FLUZONE) side effect was reported on 10/24/2008. Female patient, 58.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: asthenia, chills, disturbance in attention, dysgraphia, eye pain"Headache, weakness, decreased concentration, writing illegible, chills, stiffness lower extremities, muscle aching, fever 101 (although this was taken after client took hot bath for chills), eyes aching, nausea.". "None; BP, 109/66; P, 56" . Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 338901
INFLUENZA (FLUZONE) side effect was reported on 02/03/2009. Female patient, 20.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: asthenia, chills, dehydration, diarrhoea, injection site swelling"48 hours after administration - Fever, Chills, Swelling at Injection site, Aches, Diahreah for 6 days. DR. visit then sent to ER for fluids for dehydration. Weakness and weight loss continues for about 2 weeks after.". noneCeliac Disease . During the same period patient was treated with none. Patient recovered.


INFLUENZA (FLUZONE) Side Effects Report # 339281
INFLUENZA (FLUZONE) side effect was reported on 02/09/2009. Female patient, 62.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: antinuclear antibody increased, areflexia, asthenia, back pain, blood product transfusion"12/3/08 pt started with "strangled cough" and body aches. 12/12/2008 Had severe vomiting and diarrhea- extremely weak and barely could walk-no stool cultures done. pt prescribed anti-nausea and anti-diarrheal med.12/17/2008 Pt achy, tired, and cough returned. 12/21-12/22/2008 Couldn't walk up steps describes legs feeling like jelly. 12/23/08 extreme pain in back and all extremities, but pain only at night. 12/24/2008 Burning electrical pain continued but only at pm. 12/26/08 pt to emergency room-no reflexes present in lower extremities. admitted to ICU. seen by neurologist and diagnosed with Guillian Barre Syndrome. Pt had lumbar puncture, MRI, nerve conduction tests. Given IVIG for total of 5 days. 2/6/09 Pt still has residual weakness and compacted feeling in hands. 2/11/09 Received hospital medical records of 12/26-12/31/2009. FINAL DX: Guillain Barre syndrome; cervical spinal stenosis Records reveal patient had stomach flu approx 2 wks prior to admit w/N/V/D that resolved after 3 days. Developed weakness/numbness of limbs, difficulty walking, & pain in her back x 3 days prior to admit. Neuro consult done. Areflexia & loss of sensation of legs. LP done. Tx w/IVIG x 5 day w/improvement. D/C to home w/outpatient PT. 2/16/09 Received CSF results.". none"hypertension, and hypothyroidism, chronic back pain s/p mva PMH:panic attack""rpr=non-reative,lyme disease=negative, CSf studies as well as serum protein electrophoresis unremarlable other than CSF protein of 77 and WBC of 1. CSF cytology was unremarkable. MRI of head showed mild chronic ischemic micoangiopathy and p" . During the same period patient was treated with "Synthroid QD, Diovan QD". Patient was hospitalized Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 339882
INFLUENZA (FLUZONE) side effect was reported . Male patient, child 12.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: areflexia, arthralgia, asthenia, axonal neuropathy, blood immunoglobulin a decreased"Received Flu and MENACTRA 10/31/07. By Thanksgiving he had foot droop of left foot. Seen by primary in Feb. '08 for ankle pain. Referred to Orthopedist and Neurologist. He has subsequently developed foot drop in right and is being treated for an acquired neuropathy. 3/3/09 MR received for DOS 7/21-24/2008 with D/C DX: Inflammatory Neuropathy as well as multiple out pt visits and diagnostic studies. Pt initially presented in 11/2007 with a L foot drop and inability to move his toes resulting in a limping gait. Genetic testing done and negative for CMT. EMG/NCS c/w axonal neuropathy, repeat with chronic inflammatory neuropathy. Developed R foot drop in 5/2008. PE 6/1/08 (+) for decreased strength on plantar/dorsiflexion bilaterally and difficulty with gait and stance. DTRs absent in lower extremities. Admitted for IVIG 7/21/08. Devloped some H/A with tx. D/C for outpt f/u on prednisone. Later with DX: CIDP. Wearing ankle/foot braces to assist with ambulation. Muscle wasting noted 10/6/08 and hand tremor 12/24/08. Some improvement in strength noted. 8/25/09 CDC's CISA staff has confirmed VAERS 339882 as CIDP.". NoneNone. PMH: mild cold sxEMG/NCV: Possible CIDP; Spinal Fluid increased at 58. Labs and Diagnostics: EMG/NCS abnormal. MRI brain and spine WNL. CSF protein 58. CSF cx (-). Serum IgA (L) at 58. DEXA (+) for osteoporosis and osteopenia. . Patient was hospitalized Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 340170
INFLUENZA (FLUZONE) side effect was reported on 02/20/2009. Male patient, child 1.3 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: anorexia, asthenia, dermatitis acneiform, diarrhoea, ocular hyperaemia"Thursday Feb. 5, 2009 fever 102- C was the highest the fever and slight rash on face, no energy, red eyes not eating. Fr. Feb 6, 2009 fever and rash not on face moving to neck and chest. Saturday Feb 7, 2009 no fever but rash moved to chest and back. Urgent care in afternoon for vomiting and diarrhea. Monday Feb 9, 2009 rash still covering body, still not eating, no energy. Tuesday Feb 10, 2009 rash still covering body.". developmental delay . Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 343112
INFLUENZA (FLUZONE) side effect was reported on 03/31/2009. Female patient, 18.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: asthenia, blood pressure decreased, nausea, , "After administration of GPV, patiient expressed feeling weak and nausea. Provider was notified and patient was taken to tx room. Initial BP was 104/69; dropped 94/52; NS 500ml was ordered + bolus: between 11:30-11:40; patient improved, was alert.". NoneNonenone . During the same period patient was treated with N/A. Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 349822
INFLUENZA (FLUZONE) side effect was reported on 06/02/2009. Male patient, 63.0 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: anaemia, areflexia, asthenia, axonal neuropathy, bedridden"112408 - Pt c/o pain in feet; 112508 pain cont, now can't pick up objects with hands; 112608 requires assist to walk into ER; 112708 is now bedbound. Test, plasmapheresis - anemia - RBC given - rehab 7/7/09 MR received for DOS 12/20/2008-01/08/2009 with D/C DX: Guillain_Barre Syndrome, axonal type. HTN. DM. Mild tachycardia. Pt presented with progressive weakness in LEs, then hands. PE (+) for decreased strength and sensation. Absent reflexes. Pt c/o severe pain and muscle spasm of lower extremities, 1-2+ LE edema. DVTs noted in LEs tx with anticoagulants. Plasmapheresis with little improvement. One dose of IVIG with some improvement. Transferred for rehab on 1/8/09. ICD9: V5783. 3570. 4019. /". None"NIDDM; HTN PMH: HTN. DM. Tachycardia.Sinus surgery. appy. Herniated disc w/ surgery. Nausea, diarrhea and vomiting 11/2008.""Dx: Guillain-Barre Synd; Electromyography; CXR, MRI Spine; Lumbar puncture Labs and diagnostics: LP traumatic but WNL. MRI sppine (+) for degenerative changes and stenosis. EMG/NCS abnormal. BS 67-175. PT 20.1-29.1. Venous dopplers (+)" . During the same period patient was treated with None. Patient was hospitalized Patient recovered.

INFLUENZA (FLUZONE) Side Effects Report # 350162
INFLUENZA (FLUZONE) side effect was reported on 06/18/2009. Male patient, child 0.6 years of age, was vaccinated with INFLUENZA (FLUZONE). After vaccination, patient experienced the following side effects: anaemia, aspartate aminotransferase increased, asthenia, blood glucose increased, csf white blood cell count increased"progressive decreased motor skills LE >> VE Dxd - " transverse myelitis". 7/2/09 Hospital records received DOS 5/29/09 to 6/2/09. Assessment: Transverse myelitis, constipation, mild anemia, left empty scrotum or cryptorchism. Patient presented with bilateral lower extremity weakness. More fussy than usual, waking up during the night, not rolling over, fell over from sitting position, will not bear weight and 'crumble' to the ground. No movement lower extremities. PO intake decreased. 4-5 wet diapers. 1 small hard bowel movement last 24 hours. Patellar and Achilles reflexes 3+/5 bilaterally. Ankle clonus. Limited hand extension and weaker pincer on right. Truncal weakness. 7/22/09-ICD-9 code 341.20". Mild URI 1-2 week prior illnessUnilateral Cryptorchidism - CF carrier.5/29 MRI head & spine. LABS and DIAGNOSTICS: 7/2/09 Hospital records received DOS 5/29/09 to 6/2/09. MRI Spine - abnormal intrinsic cord signal. MRI Brain - WNL. CHEM - AST 47 U/L (H) Glucose 117 mg/dL (H). CK 220 U/L (H). CBC - RBC 3.85 mi . Patient was hospitalized Patient recovered.