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Report #2832295

Received Mar 19, 2025

ER / ED visitOffice visit
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Overview

Sex
Female
Age
61 yrs
State
WI
Recovered
Not recovered
Vaccinated
Nov 2, 2024
Onset
Nov 11, 2024
Days to onset
9
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLULAVAL)GLAXOSMITHKLINE BIOLOGICALSUNK—IM / LA

Symptoms (15)

ArthralgiaAxillary painComputerised tomogram headComputerised tomogram thoraxElectrocardiogramElectromyogramHypoaesthesiaMagnetic resonance imaging headMuscular weaknessMusculoskeletal painNeuralgic amyotrophyPain in extremityRadiculitis brachialScan with contrastUltrasound scan

Symptom narrative

Diagnosed as Brachial Neuritis/ Neuralgic Amyotrophy. Symptoms: severe pain in left armpit, left shoulder blade, left arm, left wrist, weakness of left arm, left hand and fingers, numbness in fingers 4 and 5. Symptoms lasting for 2months (2 flares 5 weeks apart), then decreasing in severity to mild weakness and low grade pain over 2 more months. Treatment was tapered prednisone during the 2 flares (from 60mg/day to 0.5mg/day); gabapentin 900mg/day, tapered to 300mg/day across 4 months; tylenol 2g/day during the first 2 months; ibuprofen, vitamin B12, occupational therapy, physical therapy. Mild weakness in left hand and fingers persist after 4 months.

Current illness

none

Medical history

none

Other medications

none

Allergies

dust, pollen, latex

Lab data

11/13/2024: Head MRI with contrast, head CT scan with contrast, chest CD scan no contrast, EKG and all lab tests of emergency department checking for heart attack, stroke, etc. 11/15/2024: left arm vascular ultrasound; 01/06/2025: EMG left arm, muscle/nerve ultrasound left arm