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Administered by: Unknown Purchased by: Other
Life Threatening? No
Write-up: 9/21/2009 Sent home from school bad headache, nausea, muscle aches, weakness. 9/29/2009 not allowed to give blood came home early from school nausea & vomiting weak feels numbness all over 9/30/2009 stayed home from school, weak nausea & vomiting feels weak, numbness in legs, difficulty walking 10/1/2009 home from school tingling from trunk into legs, weak, nausea vomiting, difficulty walking 10/2/2009 Back to school, tired weak, numbness 10/3/2009 Resumed vomiting again in the evening 10/5/2009 to pediatrician difficulty walking, nausea, weakness 10/6/2009 ER RX Zofran for nausea sent home 10/7/2009 ER IV hydration sent home 10/8/2009 weakness worsens 10/9/2009 to pediatrician vomiting dehydrated admitted to hospital from pediatrician''s office unable to walk/stand. Dr. noted enlarged thyroid U/S thyroid and abdominal -- normal Ct Scan abdomen -- normal 10/10 Blurred vision in left eye 10/11/2009 MRI back -- transverse myelitis 10/12/2009 MRI brain--lesions in brain consistent with A.D.E.M. Spinal tap and start IV Steroids transfer to Hospital 10/13/2009 Diagnosed with Acute Disseminated Encephalomyelitis and Transverse Myelitis Infectious Disease ruled out a viral cause and states consistent with vaccination reaction. 11/05/2009 Consultation at Hospital Multiple Sclerosis Center and A.D.E.M. diagnosis confirmed by pediatric neurologist. 1/6/2010 ED records for 10/6 and 10/8/2009 patient with c/o''s nausea/vomiting and diarrhea, IVF, IV Zofran 1/6 and 1/7/2010 MR for 10/9-10/12/2009 patient admitted nausea. vomiting and progressive weakness transferred to another facility for continued care on 10/12/2009 1/6/2010 MR and DC summary for 10/12-10/16/2009, patient with c/o''s numbness, weakness, ataxia, nausea/vomiting, tingling and hand tremors, diplopia LP, Neuro and Opthalmology, ID consults, IV Solu-Medrol x 5 days with resolution of sx. dc''d home on steroid taper and f/up with PCP DC DX: Weakness, improving. Ataxia, improving. Numbness improving. Demyelinating disease of CNS.
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