Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | MY9547 | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUCELVAX) | SEQIRUS, INC. | 7+ | 406984 | IM / LA |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | H97H2 | IM / RA |
Patient developed back pain and tingling the week of 10/6. He was seen by his PCP on 10/10/25 and had a normal neuro exam. Was given a shot of ketoralac and a script for oxycodone. The next day (10/11) he reached back out to PCP because he was weak in his legs and requiring a walker. He also complained of tingling in his arms. He was sent to ER at hospital that day and found to have absent patellar reflexes. MRI spine done which showed a cyst in the lumbar area, but Neurosurgery did not think this corresponded with his symptoms. An LP was done and showed a solo elevated protein and everything else normal. He was admitted for treatment of guillan Barre. He was started on IVIG on 10/12 and completed 5 days. His weakness worsened over the first 3 days of IVIG. He became weaker in his legs and was unable to walk, his fine motor in his arms were also extremely effective. Additionally his FVC was measuring at half of normal, signaling that his truncal muscles were weak as well. He additionally developed severe SIADH and needed to be admitted to the ICU for monitoring of Sodium. On day 6 of hospitalization(10/17) he was found to have a severe ileus. NG tube was placed and patient was placed on bowel rest. On 10/19 he was put on TPN for nutrition. Rectal tube placed the next day. On 10/24 he had his first Bowel movement. NGT clamped and Rectal tube removed. Currently doing well on full liquid diet and TPN likely to be discontinued this week and He will go to Acute rehab. Today (10/27) he was able to walk with walked and assist with PT
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Psoriasis, anxiety
Wellbutrin, alprazolam prn, Vitamin D otc
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