Received Nov 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | UNK | U8862BA | IM |
Gullain Barre Syndrome. Vaccinated 11/3/25, developed bilateral lower extremity numbness and tingling 11/14/25, presented 11/17/25 to the emergency department. Exam consistent with GBS bilateral lower extremity weakness 4/5 diffusely with decreased light touch from the knees distally and absent reflexes. Started IVIG on 11/19 following LP. Worsening weakness on 11/20, upgraded to ICU stepdown.
none
asthma, hypertension
metoprolol succinate 25 mg ER
aspirin
LP revealed protein 300, WBC 1, CSF glucose 91 otherwise unremarkable. MRI brain WOW with increased T2 FLAIR hyperintensity bilateral thalami symmetrically. MRI C spine WOW multilevel degenerative spondylosis with moderate canal narrowing at C2-C3 and C4-C5 levels.