Age: 70.0
Sex: M
Vaccine: FLU3
Symptoms: Dysphagia, Guillain-Barre syndrome, Hypoaesthesia, Hypotonia, Insomnia
Clinical narrative: On 11/09/00, the patient had a flu vaccine. On 12/27/00, the patient had tingling and prickly feeling in his hands and feet. On 12/28/00, the patient went to the doctors office with decreased feeling in his feet. He made an appt to see the neurologist on 01/02. On 12/29/00, the patient had difficulty waking, with decreased feeling in his legs and feet, and loosing balance. On 12/30/00, the patient called the doctor because loss of sensation was progressing up his legs, arms, and hands. He had difficulty sleeping because of discomfort. 12/31/00, the patient had numbness progressing in his thighs to his hips. The doctor sent him to the ER where he was seen by a neurologist. He was sent for an MRI and return was admission to ICU. On 01/05/01, the patient improved some and was discharged. He was able to use the walker with difficulty. He was evaluated by PT. He had therapy on 01/15,01/18, 01/22 and 01/25, condition declining, he was getting weaker. 01/16/01, More medication was ordered to be given at home for 3 days, an RN came to the house and stayed during treatment. 01/20/01, he felt a little improved. 01/22 & 01/25/00, the patient had PT. 01/26/01, his condition was worse, unable to go upstairs, or walk with a walker without falling. On 01/30/01, he saw a neurologist and was taken to the ER and was admitted and evaluated by referring doctor. The patient was given plasma phoresis prescription on 02/01, 02/02, 02/03, 02/04, 02/05, and 02/07. He had a nerve testing on 02/11 no improvement. On 02/12/00, he was transferred to another hospital via w/ch van for rehab. He had 1 hour of PT in the AM and 1 hour of OT in the PM. The patient's condition continued to decline. His appetite was poor, he had difficulty swallowing, weight decreased, because he became weaker each day, not eating. 02/20/01, The doctor was notified and the patient was transferred back to the ICU at the original hospital. On 02/21/01, more meds and had a nasogastric tube inserted for feeding.  His weight declined from 175 - 137. Still no movement in his legs, moving fingers; continued to improve. On 02/28/01, the patient was transferred out of ICU to a floor unit. He was moving his hands and his arms; able to hold a newspaper. On 03/01/01, doing better, getting OT & PT. Still NPO. Test showed inversion of epiglottis. On 03/02/01, moving arms, able to make a fist, NG tube out and stomach tube inserted via abdomen, sleeping poorly, breathing test improving. On 03/06/01, very lethargic, slept most of the day. 03/08/01, depressed,  complains of weakness of arms and legs. Had a sonogram of his leg. 03/09 and 03/10/01 more meds, moving his fingers a little, voice seems stronger.03/11/01, felt like increased strength in his right arm. 03/12/01, he was moving his arms and legs, and able to reach nose. Breathing test 2.6 + 60, chest clear. 03/13/01, weight down to 122, more meds, able to move arm back and forth on tray table (PT).  03/14/01, good spirits, able to move arms and legs but no real control. 03/23/01, patient went home, improving but still unsteady, moving arms and hands, legs still very flaccid. Diagnosed with GBS.