Age: 29.0
Sex: F
Vaccine: FLU3
Symptoms: Muscular weakness, Nausea, Neurological examination normal, Neuropathy peripheral, Nuclear magnetic resonance imaging brain abnormal
Clinical narrative: I received a flu vaccine on Nov.16, 2005 in my childs pediatricians office.  I did not give the kids the shot becasue they were sick and they told me to get one since I am a teacher.  I said I didnt need one and they convinced me to get it as I was paying at the front desk for my kids appointments.  I told them I was not fully recoved from bronchitis that I had had for a month and they said ready and I said jokingly "dont hurt me".  Then after that I was not feeling well.  My arm was hot, red and had a lump in it.  Then on December 3, 2005 I went through my first paralysis.  I was so sick, nauseated, dizzy, weak, muscle spasms all over my body, tonguie swelled up, excessive thirst, loss of urination, decreased weight by 20lbs in a couple weeks, loss of appetite, slurred speach, fogged mind, major headaches, couldnt see, numbing, tingling, burning,extreme pain and still in pain etc.  I went through intermittent paralysis for weeks went to the ER several times, neurologist, accupuncture, chiropractor, MD, reflexologist, osteopath, homeopath, endocronologist, chiropractic neurologist.  Anyone who I thought could help.  It has been over a year now and I am still unable to work because I get tingling, numbing, burning sensations, extreme fatigue and exhaustion, weak muscles, pain in all joints, blurred vision.  I cant make it through the day without a nap and resting because if I clean the house I am so sore and tired.  I cant even do activities with my children for long periods.  My life, dignity, independence have been stripped away.  I continue accupuncture and am going to see another specialist but am willing to try anything and everything to get my life back. I almost lost my life and I need to take care of my 2 beautiful children. My son has had problems since he went back for his shot too.  congestion that is chronic and chalazions, swollen eyes, so bad he had to got to the ER.  I have pictures that are sickening to even look at.  02/19/2007 MR received from one of the treating hospitals for 2 ER visits of 12/04/2005 and 12/06/2005 for c/o back pain, and polyuria, polydipsia, and flank pain.  Seen 12/04/05 for back pain after bending over and twisting to catch something.  Also c/o increasing tingling in arms, legs, and jaw. PE shows spasm of the neck muscles. Palpation elicits tingling sensations up to the side of her neck and into her jaw, as well as into  the arm. Paralumbar spasm noted.  Palpation elicits shooting pain into her leg.  Walks stiffly.  Otherwise WNL. D/C DX: Acute right cervical spasm, Right lumbar spasm. Xerostomia.  Seen again 12/06/2005 for c/o polyuria, polydipsia, and flank pain. Migratory numbness and weakness also noted. D/C DX: Polyuria, polydipsia of unclear etiology.  Migratory numbness and weakness of unclear etiology. Ruptured right ovarian cyst.  03/05/2007 MR received from 2nd treating hospital for ER visit on 12/09/2006 for c/o multiple episodes of tingling and paresthesias coming up from her legs and her hands, to affect her whole body. Episodes last 15-20 minutes and are associated with feeling cold, weakness, and difficulty speaking.  PE: WNL except for minimal epigastric tenderness to deep palpation. Neuro exam WNL except for 3+ knee jerk reflexes bilaterally.   No additional labs or diagnostics done in addition to above. DX: Paresthesias of unclear etiology.  Transient weakness of unclear etiology.  03/22/2007 MR received from MD for initial visit on 2/9/2006 with c/o of "having an allergic reaction from flu shot". PE: Grasp 3+/3+, Bicep st. 3+/3+, tricep st. 2+/2+, Bicep reflexes 1+/1+, K (knee?) 3+/3+. Quad st. 4+/4+.  Poor to doughy muscle tone in calves.  Muscles sore diffusely.  Romberg sl. positive.  Otherwise, WNL. Impression:  Post-vaccine peripheral neuropathy.  F/U 2/14/06 neuro exam- Bicep st. 3+/3+, Tricep st. 1+/1+, Extended arm: 12 sec.  Balance one leg:  12 sec.  Sterognosis 12/12. Impression:  Post vaccine peripheral neuropathy.  Myalgia. Myositis. F/U 3/15/06 Energy level better, burning less now, able to lift the children. PE: Grasp 2+/2+, Bicep st. 2+/2+, Tricep st. 1-2+/2+, Extended arm 20 sec., Balance one leg 7-10 sec., Quad st. 3+/3+. Impression:  Peripheral neuropathy.  Myositis.  F/U 4/13/06 Doing much better, has some good days now. Strength improving. PE: Affect improved.  Extended arm 30 sec., Grasp 3+/3+, Bicep st. 3+/3+.  Tricep st. 3+/3+, Quad st. 3+/3+.  Bicep reflex 1+/1+, K (knee?) 1+/1+. Impression:  Peripheral neuropathy.  Myositis.   Several more F/U as above with same DX. with the addition of a DX of Fatigue on 10/26/2006. Brief Neuro. consult of 2/21/2006 included, with Impression: Resolving paresthesias and myalgias of the trunk and limbs, staus post flu vaccine injection. Spoke with MD re: a correspondence included in MR which states that the "diagnosis was consistant with a Guillian Barre syndrome with muscle weakness and aches". With no other mention of GBS in any of the medical records, verification of that DX was needed.  MD stated GBS is not a final DX, but symptoms could have been GBS-like. 1/120/2010 Fatigue, muscle pain, eye disturbances, nerve hypersensitivity in arms, hands and feet always cold. 04/01/2010 Still have pain and fatigue, blurred vision, weird sensation. New diagnosis of Chronic Fatigue, Fibromyalgia. Dr. states it was from vaccine toxins that set off Fibromyalgia.