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Patient presents to ED on 10 / 30 / 13 with a chief complaint of bilateral lower extremity weakness with muscle and joint pain beginning two days ago upon awakening in the morning . | [
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In 2010 / 2011 the patient received H1N1 ( manufacturer is unknown ) . | [
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The next evening I began to have a pounding sensation in my head , after about 20 minutes I notified family . | [
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Alcohol use - daily . | [
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Finally the neurologist did a spinal tap and that showed the Guillain Barre syndrome . | [
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Pt had recent URI . | [
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This case was reported by a physician via call center representative and described the occurrence of cataplexy in a 57 - year - old male patient who received FLULAVAL ( batch number AFLLA687AA , expiry date unknown ) . | [
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As a result , the patient was hospitalized for two days and received intravenous immunoglobulin G ( IV IgG ) . | [
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On 10 / 19 / 05 , she saw her family physician with continued nausea and a heaviness in her legs . | [
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Symptoms of flu continued , and treated by physician , hospitalization and diagnosis of Guillain Barre Syndrome made on January 8 , 2005 . | [
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11 / 25 / 09 deep tendon reflux absent but increasing both legs . | [
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FINAL DX : Likely Guillain - Barre syndrome ; findings significant for Discharge summary states perioral weakness , persisting pain in back , loss of deep tendon reflexes with progressive lower extremity weakness . | [
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~ 25 days after vaccine continued irritability and ED visit with pain with neck flexion as well as hip flexion . | [
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PE ( + ) for moderate hand weakness , mild weakness of dorsiflexors and plantar flexors of the foot and toes , inability to walk on toes or heels , stocking - glove sensory loss , and diminished vibratory sense of the feet and toes . | [
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Initially presented 2 / 1 / 08 with 2 month hx of numbness in hands and feet and weakness of the legs and hands which has recently been worsening . | [
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03 / 01 / 05 Hospital Discharge summary for 2 / 8 - 2 / 14 / 2005 . | [
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Waking from sleep at night . | [
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Fever developed within two hours of receiving flu shot on December 17 , 2004 . | [
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11 / 22 / 09 - gait weakness . | [
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She was able to tolerate small amounts of boost yet was unable to tolerate solid foods for five days . | [
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Exam revealed marked ataxia . | [
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On 20 September 2009 the patient was diagnosed with GUILLAIN BARRE Syndrome . | [
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They did different MRIs of all of me and lab work etc . | [
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Neuro consult done . | [
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Married , two daughters . | [
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... |
On October 31 , 2011 I had to leave work with a bad migraine . | [
"O",
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The patient had no clinical or laboratory evidence suggestive of any precipitating conditions . | [
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He had been jogging two days prior to symptom onset and experienced only mild soreness the day following running . | [
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Initial information received from a health care professional on 19 January 2007 . | [
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This report of serious , labeled event is being submitted in a 15 - day time frame as requested by FDA . | [
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Clinical history , neurological exam , imaging studies , and serological and CSF markers excluded other etiologies of acute neuropathy such as vasculitis , vitamin deficiency , toxic neuropathy and porphyria . | [
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"... | [
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Results of lumbar puncture came back on 1 / 7 diagnosing Guillain - Barre and was admitted to hospital for 6 days and given IVIG treatment for 5 days . | [
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she said the doctor diagnosed her husband with Gillian Barre related to flu vaccine . Seen in ER for C / O numbness in both hands ( fingertips ) and both feet with c / o abd pain ongoing times 5 days . | [
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The patient did not recover . | [
"O",
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] | [
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2 / 02 / 2005 Hospital d / c summary of 12 / 9 - 12 / 15 / 2004 FINAL DX : GBS , Miller Fisher variant Records states pt experienced numbness of hands & feet within 2 hrs of vaccination on 12 / 7 , weakness , difficulty walking , urinary retention , ataxia & constipation . | [
"O",
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He had URI 2 weeks prior to symptoms . | [
"O",
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"O",
"O",
"O",
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EE reports that symptoms started after he had his flu shot on Sunday the 4th of October . | [
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0.0092743... |
Received flu shot 11 / 1 / 06 . | [
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I had the flu shot on 11 - 29 - 11 . | [
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No fevers . | [
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] | [
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2 / 8 / 05 Admitted to hospital ; afebrile . | [
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11 / 19 / 09 middle of night pain whole posterior lower extremities . | [
"O",
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Has remained in hospitals until November 23 , 2005 when released home with no function of daily activities . | [
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Saw neurologist . | [
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States had MRI 11 / 5 - reported no stroke or tumors . | [
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11 / 20 / 09 middle of night pain across scapular and flanks - went to ER . 11 / 21 / 09 paresthesia both hands and feet unsteady . | [
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Discharge summary for 1 / 8 - 2 / 6 / 2005 . | [
"O",
"O",
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"O",
"O",
"O",
"O",
"O",
"O",
"O",
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-0.016888812... |
Given Tylenol / Motrin throughout course . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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-0.004... |
MRI brain negative , C - spine x - ray negative , T - spine x - ray negative , C - reactive protein 0 . 8 . | [
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FINAL DX : atypical Guillain - Barre syndrome Records reveal patient experienced progressive numbness , tingling , pain & weakness of extremities esp hands / feet , difficulty walking , grip strength & dexterity were decreased starting 2 weeks s / p flu shot . | [
"O",
"O",
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... | [
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0.01482... |
Neuro exam in ER revealed absent reflexes bilaterally at ankles , knees , biceps , triceps & brachioradialis tendons . | [
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"O",
"O",
"O",
"O",
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1 / 3 / 2005 Hospital d / c summary of 12 / 8 - 12 / 9 / 2004 states GBS , urinary retention & weakness . | [
"O",
"O",
"O",
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"O",
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... |
On Wednesday the 7th of October , he " woke up with numbness and tingling sensation in his calves . " As the day progressed , the numbness and tingling moved to his thigh and pelvic area . | [
"O",
"O",
"O",
"O",
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... | [
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0.034613863,
0.014934603,
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0.037514742,
0.025038... |
No further information was provided . | [
"O",
"O",
"O",
"O",
"O",
"O"
] | [
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Neuro consult & LP done . | [
"B-investigation",
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0.020773776,
0.01068... |
ER DX : Left maxillary sinusitis , bilaterally upper and lower extremity numbness , abdominal pain , unspecified . | [
"O",
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0.008340376,
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0.05268412,
0.0430611,
0... |
This literature report ( initial receipt 10 - Apr - 2012 ) concerns a 71 year - old male patient . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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0.004311577,
-0.041662592,
0.03301731,
0.058451556,
-... |
On October 12 , 2011 , I received a flu shot . | [
"O",
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0.028295385,... |
A physician’s note dated 10 / 11 / 2000 indicated that the pt has permanent impairment of strength . | [
"O",
"O",
"O",
"O",
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"O",
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0.028218761,
0.04280... |
Neurology is consulted and reports that the test results are concerning for Guillain Barre Syndrome ( GBS ) . | [
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... |
On 02 / 10 / 2000 , he was discharged with a final diagnosis of Guillain - Barre syndrome to a rehabilitation facility for physical therapy . | [
"O",
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"O",
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... |
Increasing leg weakness resulting in hospital admission on 11 / 05 . | [
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"O",
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-0.032883607,
0.068351485,
... |
On 12 / 28 / 00 , the patient went to the doctors office with decreased feeling in his feet . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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0.043518774,
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-0.008578219,
0.042184964,
-0.0... |
Bladder and bowel control were normal at admission but progressed to complete bowel incontinence & urinary retention . | [
"B-other_AE",
"I-other_AE",
"I-other_AE",
"I-other_AE",
"O",
"O",
"O",
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"I-other_AE",
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"O",
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] | [
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0.045857478,
0.032025058,
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0.042123728,
0.010549726,... |
The patient reached nadir within 1 week . | [
"O",
"O",
"O",
"B-investigation",
"O",
"O",
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"O"
] | [
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... |
Presented with paresthesias in hands a few days after vaccination and 1 week later on 11 / 12 / 07 - began having weakness in legs and subsequently fell and has been unable to walk . | [
"O",
"O",
"B-nervous_AE",
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"B-ne... | [
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0.036111295,
0.01848434... |
Concurrent medical conditions included multiple allergies ( a lot of ) , pneumonia ( issues ) and blood pressure high . | [
"O",
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"O",
"O",
"O",
"B-other_AE",
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0.0030311586,
-0.00711... |
On 18 September 2009 and 19 September 2009 the patient returned to the physician ' s office with complaints of leg pain and weakness . | [
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
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0.043087848,
0.00120376... |
Per eemr notes , he did receive extensive testing all of which was negative . | [
"O",
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"O",
"O",
"O",
"O",
"O",
"O",
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... |
Patient admitted to hospital with ascending polyneuropathy consistent with Guillain Barre Syndrome . | [
"O",
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"O",
"B-procedure",
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"B-nervous_AE",
"I-nervous_AE",
"O",
"O",
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0.0015218105,
0.032978818,
... |
At the ER they did all kind of tests , lab work and X - rays and determined I didn ' t have any stroke or anything like that . | [
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"O",
"O",
"O",
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"O",
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0.056089006,
0.047511... |
Unclear if related to Influenza Vaccine or not . | [
"O",
"O",
"O",
"O",
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"O",
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] | [
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-0.04841668,
0.026654392,
0.016630625... |
Multiple sclerosis . | [
"B-nervous_AE",
"I-nervous_AE",
"O"
] | [
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0.028034477,
0.015285401,
0.056716528,
0.013423631,
0.021572247,
... |
She had very mild cold symptoms ( slight rhinorrhea ) early in January 2007 . | [
"O",
"O",
"O",
"O",
"B-other_AE",
"I-other_AE",
"I-other_AE",
"I-other_AE",
"I-other_AE",
"I-other_AE",
"O",
"O",
"O",
"O",
"O"
] | [
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0.019454662,
0.017968988,
-0.0068776524,
-0.05573844,
0.031019878,
0.0439... |
She was diagnosed with Guillain - Barre Syndrome and received 5 days of IVIG . | [
"O",
"O",
"O",
"O",
"B-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"O",
"O",
"O",
"O",
"O",
"B-procedure",
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0.004294412,
0.026102277,
-0.012605553,
-0.045152675,
0.044868536,
-0.... |
Rheumatology Consultation : Pt developed new onset lower extremity muscle weakness and knee pain . | [
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LP with elevated protein and no pleocytosis and EMG revealed prologed nerve conduction velocities . | [
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11 / 27 / 09 diagnosis , GUILLAIN - BARRE Syndrome . | [
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0.017093549,
-0.011454512,
0.035175163,
0.01... |
There is some handyman type work . | [
"O",
"O",
"O",
"O",
"O",
"O",
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0.033980504,
0.009504528... |
Received influenza immunizations on 11 / 10 / 06 ( Lot # U2255 AA given by LPN ) and 12 / 21 / 06 ( administered by RN ) . | [
"O",
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"I-procedure",
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0.032368377,
-0.008672... |
Telephone call from employee , stating she was diagnosed with Guillian - Barre Syndrome . | [
"O",
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0.0... |
They tried to give me a " road test " to see if I could walk out of there and I went down again as I had no legs to hold me up . | [
"O",
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0.010... |
On the 10 - 10 - 2015 , he reports that he felt " pressure in his belly and spine , " that was unbearable , and felt like " the two had collapsed on each other . " He presented to the ED that same day . | [
"O",
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... |
EMG testing done in ER strongly suggestive of GBS . | [
"B-investigation",
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Previously administered products included FLULAVAL vaccine ( batch number AFLLA591BA ) . | [
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A three year old patient with no reported past medical history developed GUILLAIN BARRE Syndrome 34 days after receiving FLUZONE 2009 - 2010 ( lot number U3189AA ) intramuscularly in the left deltoid on 17 August 2009 during a check up visit . | [
"O",
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Transferred to rehab . | [
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1 week after receiving H1N1 the patient developed his first symptom of Guillain - Barre syndrome ( GBS ) . | [
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Deep tendon reflexes ( DTRs ) diminished to 1 + throughout and worsened to areflexia . | [
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On 12 / 27 / 00 , the patient had tingling and prickly feeling in his hands and feet . | [
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ICU and mechanical ventilation on 11 / 08 . | [
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He was subsequently discharge home with a walker . | [
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EMG of the right upper extremity was limited due to the pt’s intolerance to the examination but revealed normal right biceps and right pronator teres muscles . | [
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Sensory symptoms included perianal numbness , paresthesias in tongue , bilateral upper and lower extremities and oropharynx and ataxia . | [
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The patient ' s cerebrospinal fluid ( CSF ) protein was 82mg / dl which was considered elevated . | [
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Had an episode of a rash in his shoulder with a bullet - like rash , approximately 2 - 3 cm in diameter , which resolved within 1 day . | [
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Pt is a plastic surgery resident who noticed numbness and tingling in her left lower extremity following a flu shot on 10 / 25 . | [
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Symptoms worsened , given IVIG and he was transferred to tertiary care center for plasmapheresis . | [
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On 10 - 08 - 2015 , the numbness and tingling was " more intense , " and the sensation had moved up to his abdomen . | [
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-0.024818495,
-0.0161295,
0.015473726,
0.0121255,
... |
Diagnosis is Guillain Barre Syndrome ( GBS ) : Due to the administration of the flu shot , I am still partially disabled ( i . e . not back to normal ) : Initial symptoms began in late September / early October and progressively gotten extremely worse by end of October / early November | [
"O",
"O",
"B-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"I-nervous_AE",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
"B-procedure",
"I-procedure",
"O",
"O",
"O",
"O",
"B-nervous_AE",
"I-nervous_AE",
"O",
"O",
"O",
"O",
"O",
"O",
"O",
... | [
-0.011971633,
-0.0049544144,
0.0079258345,
0.04562727,
-0.028216219,
-0.008748501,
-0.024360739,
0.0083924215,
0.0005329679,
0.0026092022,
-0.024458967,
0.024913276,
-0.026055185,
0.020775387,
-0.014292288,
-0.013813423,
-0.02286275,
-0.012554866,
-0.02934585,
0.017730296,
0.... |
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