The patient has had no nausea, vomiting or back pain. No chills, fatigue, fever, decreased vision or double vision. No ear drainage or hearing loss, epistaxis or runny nose. No sore throat, calf pain, chest pain, cough or difficulty breathing. No pedal edema, palpitations, black stools, ****** stools or constipation. No diarrhea, urinary frequency, laceration, skin rash or depression. No dizziness, headache, head injury, weakness or enlarged lymph nodes. All systems negative