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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 ) .
[ "O", "O", "O", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O" ]
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The next evening I began to have a pounding sensation in my head , after about 20 minutes I notified family .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Alcohol use - daily .
[ "O", "O", "O", "O", "O" ]
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Finally the neurologist did a spinal tap and that showed the Guillain Barre syndrome .
[ "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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Pt had recent URI .
[ "O", "O", "O", "B-other_AE", "O" ]
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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 ) .
[ "O", "O", "O", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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On 10 / 19 / 05 , she saw her family physician with continued nausea and a heaviness in her legs .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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Symptoms of flu continued , and treated by physician , hospitalization and diagnosis of Guillain Barre Syndrome made on January 8 , 2005 .
[ "B-other_AE", "I-other_AE", "I-other_AE", "O", "O", "O", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O" ]
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11 / 25 / 09 deep tendon reflux absent but increasing both legs .
[ "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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 .
[ "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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~ 25 days after vaccine continued irritability and ED visit with pain with neck flexion as well as hip flexion .
[ "O", "O", "O", "O", "B-procedure", "O", "B-other_AE", "O", "B-procedure", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "O" ]
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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 .
[ "B-investigation", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "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" ]
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03 / 01 / 05 Hospital Discharge summary for 2 / 8 - 2 / 14 / 2005 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Waking from sleep at night .
[ "O", "O", "O", "O", "O", "O" ]
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Fever developed within two hours of receiving flu shot on December 17 , 2004 .
[ "B-other_AE", "O", "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O", "O" ]
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11 / 22 / 09 - gait weakness .
[ "O", "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "O" ]
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She was able to tolerate small amounts of boost yet was unable to tolerate solid foods for five days .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "O", "O", "O", "O" ]
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Exam revealed marked ataxia .
[ "B-investigation", "O", "O", "B-nervous_AE", "O" ]
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On 20 September 2009 the patient was diagnosed with GUILLAIN BARRE Syndrome .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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They did different MRIs of all of me and lab work etc .
[ "O", "O", "O", "B-investigation", "O", "O", "O", "O", "O", "B-investigation", "I-investigation", "I-investigation", "O" ]
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Neuro consult done .
[ "B-investigation", "I-investigation", "O", "O" ]
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Married , two daughters .
[ "O", "O", "O", "O", "O" ]
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On October 31 , 2011 I had to leave work with a bad migraine .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O" ]
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The patient had no clinical or laboratory evidence suggestive of any precipitating conditions .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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He had been jogging two days prior to symptom onset and experienced only mild soreness the day following running .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "O", "O", "O", "O", "O" ]
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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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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 .
[ "O", "O", "B-investigation", "I-investigation", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "B-investigation", "O", "O", "O", "O", "O" ]
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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 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "O", "O", "O", "O", "O" ]
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The patient did not recover .
[ "O", "O", "O", "O", "O", "O" ]
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "O", "B-nervous_AE", "I-nervous_AE", "O", "B-other_AE", "I-other_AE", "O", "B-nervous_AE", "O", "B-other_AE", "O" ]
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He had URI 2 weeks prior to symptoms .
[ "O", "O", "B-other_AE", "O", "O", "O", "O", "B-other_AE", "O" ]
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EE reports that symptoms started after he had his flu shot on Sunday the 4th of October .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O", "O", "O" ]
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Received flu shot 11 / 1 / 06 .
[ "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O", "O" ]
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I had the flu shot on 11 - 29 - 11 .
[ "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O", "O", "O" ]
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No fevers .
[ "O", "O", "O" ]
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2 / 8 / 05 Admitted to hospital ; afebrile .
[ "O", "O", "O", "O", "O", "O", "O", "B-procedure", "O", "O", "O" ]
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11 / 19 / 09 middle of night pain whole posterior lower extremities .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "O" ]
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Has remained in hospitals until November 23 , 2005 when released home with no function of daily activities .
[ "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Saw neurologist .
[ "O", "B-investigation", "O" ]
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States had MRI 11 / 5 - reported no stroke or tumors .
[ "O", "O", "B-investigation", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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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 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-other_AE", "I-other_AE", "O" ]
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Discharge summary for 1 / 8 - 2 / 6 / 2005 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Given Tylenol / Motrin throughout course .
[ "O", "O", "O", "O", "O", "O", "O" ]
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MRI brain negative , C - spine x - ray negative , T - spine x - ray negative , C - reactive protein 0 . 8 .
[ "B-investigation", "I-investigation", "O", "O", "B-investigation", "I-investigation", "I-investigation", "I-investigation", "I-investigation", "I-investigation", "O", "O", "B-investigation", "I-investigation", "I-investigation", "I-investigation", "I-investigation", "I-investigation", "O", "O", "B-investigation", "I-investigation", "I-investigation", "I-investigation", "O", "O", "O", "O" ]
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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", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "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", "B-procedure", "I-procedure", "O" ]
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Neuro exam in ER revealed absent reflexes bilaterally at ankles , knees , biceps , triceps & brachioradialis tendons .
[ "B-investigation", "I-investigation", "O", "B-procedure", "O", "B-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "O", "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-other_AE", "I-other_AE", "O", "B-other_AE", "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", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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Neuro consult & LP done .
[ "B-investigation", "O", "O", "B-investigation", "O", "O" ]
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ER DX : Left maxillary sinusitis , bilaterally upper and lower extremity numbness , abdominal pain , unspecified .
[ "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-other_AE", "I-other_AE", "O", "O", "O" ]
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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", "O", "O", "O" ]
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On October 12 , 2011 , I received a flu shot .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "O" ]
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A physician’s note dated 10 / 11 / 2000 indicated that the pt has permanent impairment of strength .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Neurology is consulted and reports that the test results are concerning for Guillain Barre Syndrome ( GBS ) .
[ "B-procedure", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "O" ]
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Increasing leg weakness resulting in hospital admission on 11 / 05 .
[ "O", "B-nervous_AE", "I-nervous_AE", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O" ]
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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", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "O", "B-other_AE", "I-other_AE", "O" ]
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The patient reached nadir within 1 week .
[ "O", "O", "O", "B-investigation", "O", "O", "O", "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", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "B-nervous_AE", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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Concurrent medical conditions included multiple allergies ( a lot of ) , pneumonia ( issues ) and blood pressure high .
[ "O", "O", "O", "O", "O", "B-other_AE", "O", "O", "O", "O", "O", "O", "B-other_AE", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "O" ]
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "O", "B-nervous_AE", "O" ]
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Per eemr notes , he did receive extensive testing all of which was negative .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-investigation", "O", "O", "O", "O", "O", "O" ]
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Patient admitted to hospital with ascending polyneuropathy consistent with Guillain Barre Syndrome .
[ "O", "O", "O", "B-procedure", "O", "B-nervous_AE", "I-nervous_AE", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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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Unclear if related to Influenza Vaccine or not .
[ "O", "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O" ]
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Multiple sclerosis .
[ "B-nervous_AE", "I-nervous_AE", "O" ]
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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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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", "O" ]
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Rheumatology Consultation : Pt developed new onset lower extremity muscle weakness and knee pain .
[ "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "O" ]
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LP with elevated protein and no pleocytosis and EMG revealed prologed nerve conduction velocities .
[ "B-investigation", "O", "O", "O", "O", "O", "O", "O", "B-investigation", "O", "B-investigation", "I-investigation", "I-investigation", "I-investigation", "O" ]
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11 / 27 / 09 diagnosis , GUILLAIN - BARRE Syndrome .
[ "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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There is some handyman type work .
[ "O", "O", "O", "O", "O", "O", "O" ]
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Received influenza immunizations on 11 / 10 / 06 ( Lot # U2255 AA given by LPN ) and 12 / 21 / 06 ( administered by RN ) .
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Telephone call from employee , stating she was diagnosed with Guillian - Barre Syndrome .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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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 .
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O" ]
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EMG testing done in ER strongly suggestive of GBS .
[ "B-investigation", "O", "O", "O", "B-procedure", "O", "O", "O", "B-nervous_AE", "O" ]
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Previously administered products included FLULAVAL vaccine ( batch number AFLLA591BA ) .
[ "O", "O", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O", "O" ]
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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Transferred to rehab .
[ "O", "O", "B-procedure", "O" ]
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1 week after receiving H1N1 the patient developed his first symptom of Guillain - Barre syndrome ( GBS ) .
[ "O", "O", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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Deep tendon reflexes ( DTRs ) diminished to 1 + throughout and worsened to areflexia .
[ "B-nervous_AE", "I-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-nervous_AE", "O" ]
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On 12 / 27 / 00 , the patient had tingling and prickly feeling in his hands and feet .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O" ]
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ICU and mechanical ventilation on 11 / 08 .
[ "B-procedure", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O" ]
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He was subsequently discharge home with a walker .
[ "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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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 .
[ "O", "O", "O", "B-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "B-nervous_AE", "O" ]
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The patient ' s cerebrospinal fluid ( CSF ) protein was 82mg / dl which was considered elevated .
[ "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", "O", "O", "O", "O" ]
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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 .
[ "O", "O", "O", "O", "O", "B-other_AE", "I-other_AE", "I-other_AE", "I-other_AE", "O", "O", "O", "O", "O", "B-other_AE", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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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 .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "I-nervous_AE", "O", "O", "B-procedure", "I-procedure", "O", "O", "O", "O", "O" ]
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Symptoms worsened , given IVIG and he was transferred to tertiary care center for plasmapheresis .
[ "B-other_AE", "I-other_AE", "O", "O", "B-procedure", "O", "O", "O", "O", "O", "B-procedure", "I-procedure", "I-procedure", "O", "B-procedure", "O" ]
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On 10 - 08 - 2015 , the numbness and tingling was " more intense , " and the sensation had moved up to his abdomen .
[ "O", "O", "O", "O", "O", "O", "O", "O", "B-nervous_AE", "O", "B-nervous_AE", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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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", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O", "O" ]
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