Age: 24.0
Sex: M
Vaccine: TYP, HEP, HEPA, TYP
Symptoms: Insomnia, Migraine, Mood swings, Nausea, Nightmare
Clinical narrative: Upon beginning the Tyhoid Vaccinee immediately on the next day (Thursday) I began to notice weakening of the limbs and some behavioral changes.  That night I did not sleep and began having nightmares.  Friday I took the second pill of the series and I noticed more mood changes and more weakness.  That evening I did not sleep as well.  I did not get any sleep until Saturday evening which only provided a couple hours at the most.  By that time I was delusional and mentally not there.  Sunday I took another pill as I still didn't know that the drugs were messing me up.  Upon hearing that a friend died I did something that I don't normally do, I drove for 3 hours straight with no destination in mind, just drove.  I came back to the city and then walked around for a couple hours.  I was in a fog and I was getting more and more weak and dizzy.  I managed to get home where I passed out in my living room for about 10 minutes, don't really know.  I called up a friend and while talking to her on the phone telling her that I was not okay I passed out again on the kitchen floor.  The friend sensing that something was wrong immediately came over and with the help of another friend proceeded to take me to the hospital.  I was in a complete state of mental disarray.  I didn't know where I was and who anyone was.  (That's what everyone tells me, I dont remember anything of the last two weeks).  I was put on a IV and was given a CAT Scan.  That evening I was also given a spinal tap to rule out Meningitis.  It came back good and from that point on I fought the most god awful headaches in the world.  I will still very weak from the Typhoid.  I couldnt squeeze anything with my hands and I couldnt even resist when my feet were pressed against with a slight touch.  I was so weak that I couldnt stand on my own two feet.  Through out the rest of the week I fought spinal headaches, nausea, behavioral changes, mood swings, violent nightmares, backaches, dizziness, and other symptoms all at once.  I still am fighting some of this stuff but with less frequency and severity. Nurse follow up on 10/14/04 states: "symmetric weakness, confusion, stumbling gait, diarrhea, malaise, and dehydration." Hospital d/c summary reviewed. Discharge diagnoses were malaise, weakness, and diarrhea probably secondary to oral typhoid, and allergic rhinitis. Upon admission patient's temp was 97.9 and BP was 161/100.   A few fire ant bites were noted around his ankles and pt recalled a tick bite within the past year, but without apparent sequelae. Pt is a student and works in a landscaping businesss. Pt has a strong FH of depression and he admitted he had had an episode of depression with suicidal thoughts one year ago. However he obtained counseling at that time and has had no further problems. He continues to see a counselor weekly and has been under some stress in his personal life recently, but is clearly not depressed. He took 3 doses of the oral typhoid prior to admission - 8/11/04, 8/13/04, and 8/15/04. He was admitted on 8/15/04 and discharged on 8/17/04. Discharge meds were FLonase and Percocet.