Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Burning sensation when vaccine was administered (same as with 1st dose). Soreness in upper arm/shoulder following vaccine (same as 1st dose). The evening of the vaccination, I had a sudden, severe headache that was a 10 (same as 1st dose). Took 800 mg of Ibuprofen at 3 pm. Throughout the night and into the next day (4/28), I started having joint pain, bone pain, muscle cramping, nerve pain (feeling like being stabbed with needles all over my body), a rolling pain where it was like a wave of pain going through my body, swelling on the right side of my neck, swelling on right side between collarbone and neck, all lymph nodes in my neck and shoulders on both sides were inflamed and sensitive to touch, and nausea. Lymph nodes in underarm were slightly swollen but not sensitive to touch. Severe abdominal cramping and activation of ulcerative colitis began around 3 am (frequent, small bowel movements with blood). Fever developed around 10 or 11 am on 4/28. Took 2 Hydrocodone/Acetaminophen 5-325 mg at 11:30 am (old prescription from 4/11/14 to treat concussion). Lymph node swelling continued to grow, fever reduced, and pain dulled (bone pain and nerve pain stopped, joint pain and muscle cramping dulled, headache pain went from a 10 to a 9 with less frequent sharp pains in head). I would alternate from having extreme chills to extended hot flashes (lasting about 1-2 hours). Pain began to return to initial intensity around 5 or 6 pm. I took 2 Hydrocodone/Acetaminophen 5-325 mg at 7:00 pm (old prescription from 4/11/14 to treat concussion). Lymph node swelling had now stabilized but was not going down.  Pain receded as before but returned around 2:30 am on 4/29. I took 1 Hydrocodone/Acetaminophen 5-325 mg at 3 am. There was a more significant pain reduction and while pain started to increase again, its intensity was a lot lower than before, although headache was back up to a 10. I took 800 mg Ibuprofen at 11 am on 4/29 (because I know addiction risk of opiates and stopped it as soon as I thought something else would help). At this point, nerve pain and bone pain were gone. For the rest of the day on 4/29, occasional muscle cramping occurred and joint pain persisted but in less intensity. Lymph node swelling began to go down in neck. Fever was coming and going along with continued alteration between chills and hot flashes, but chills were not as intense. Occasional bouts of lightheadedness occurred throughout the day. Headache remained at a 10 all day on 4/29. Took 800 mg Ibuprofen at 11 pm on 4/29. As of this report submission time (10:30 am on 4/30), lymph node swelling is gone in neck, slight swelling remains above collarbone, slight swelling of lymph nodes in under arm remains, some muscle discomfort throughout my body (but no cramping), some mild joint pain remains, mobility in right shoulder has returned, headache is still at a 10, nausea has subsided (nausea had been ongoing until this point), fever has been gone for several hours, and I still feel lightheaded. I plan to take 200 mg Ibuprofen after I eat lunch today. While I still have mild symptoms, I believe I have recovered from the adverse aspects at this point and should keep improving with time. A couple things to note, the headaches were not like my typical chronic migraines. I did not have any visual auras nor blindness that I typically have. The headaches beginning on 4/27 did have piercing, sudden sharp pains on top of the steady throbbing/crushing pain. In addition, on 4/29 I had menstrual spotting start and continue to today. I do not think this is related to the vaccine because I was due on May 3 and am going through perimenopause so I never know what is going to happen from month to month. Lastly, my normal body temperature is around 96 degrees. My temperature varied between 98 to 102 for the past few days but I do not recall the exact times and temps for those times. My temperature now is 96.2 degrees.