On (b)(6) 2014, it was reported that this vns patient was referred for revision due to pain.Clinic notes dated (b)(6) 2014 stated that no changes were made to patient¿s medications as she was tolerating her medications well.The patient¿s device settings were increased during the visit.The patient presented with increased chest pain during an office visit on (b)(6) 2014.A chest ct was reported by the physician to be unremarkable.The patient¿s device settings were lowered during the office visit.The patient complained of persistent pain in her left chest and her left upper extremities during an office visit on (b)(6) 2014.The patient¿s device was programmed off, and it was noted that the pain was also occurring without stimulation.The patient reported that she was still feeling electricity-like pain in her arm and palm.The patient had previously reported that she began feeling pain in the vns area of the chest along with a headache and slight fever after entering a building and passing through a metal detector in (b)(6) 2013.It was confirmed that the events are occurring continuously as well as with stimulation.She also stated that she has been experiencing voice alteration with stimulation which she did not experience previously.Additionally, she was seizure-free for a while and had one seizure.At that time, diagnostics were normal and the battery was reported to be fine as well.Attempts for additional relevant information were made but have been unsuccessful to date.
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