Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pain in extremity, Paraesthesia, Parosmia
Clinical narrative: No immediate reaction on date of injection (11/18). On 11/23, woke up feeling a repeat of the shaking, chills,  painfully cold toes, intense headache, nausea, bilateral joint pain throughout  body, fatigue but couldn?t sleep. It passed in 24 hours. This same thing happened once again on 12/21, and again passed in 24 hours.  The weeks between 12/21 and Day 0 below (11/6/2022) I had lots of sneezing for about a week, but I have chronic rhinitis so I didn't think anything of it.  Day 0 (day of onset of symptoms per CDC), 1/6/2022:  Woke up with horrible pain in upper back and shoulders, bilateral joint pain, severe headache, scratchy throat, fatigue, sniffles and congestion, and weird prickly feeling in my nasal passages. Gas/diarrhea. Intermittent tinnitus.  Day 1:  Repeat of day 0 except way more severe, along with cough, nausea, dizziness, joint pain. Couldn't sleep because of the pain and was actually crying at one point it was so bad; considered going to ER in middle of night. Throat felt like I was swallowing broken glass. Weird burning/tingling sensation in nose. Increased frequency of intermittent tinnitus. Buzzing/tingling sensation throughout body, especially legs.  Day 2 (PCR test done): repeat of Day 1 but headache is less intense, cough is worse, congestion is worse. Tinnitus still present. PCR came back negative.  Day 3: Woke up to worse congestion and sore throat, and muscle and joint pain throughout my body. No tinnitus.  Day 4: Same as the day before, except cold-like symptoms are slightly better.  Day 5: congestion completely gone and body aches are less. Fatigue still present, made it through a half workday. New symptoms: COMPLETE LOSS OF TASTE, and smells are really off. Everything smells like cigarette smoke, gasoline, natural gas leak, sulphur/sewage/garbage, or onions.  Day 6: Fatigue upon waking up, complete loss of taste and smell. Dull burning pain in my back behind my left lung, feels like something internal rather than muscle pain, and a similar dull burning sensation in what seems like my lower esophagus. Made it through half a workday before giving up due to exhaustion and brain fog.  Day 7: Still fatigued, still can't taste or smell anything. Body aches seem better.  Day 8: Total setback! Woke up today feeling about 10 times worse than yesterday. Pain between shoulders and neck is back, headache is back, feeling super spacey and fatigued even though I slept fairly OK. Still can't taste or smell anything but experiencing more phantom smells: natural gas leak, sewage or mold (like moldy towels), and lemon-scented ammonia.  Day 9: Repeat of Day 8. Headache and pain between shoulders still there.  Day 10: Slept for 10 hours last night, which is the most sleep I've gotten since getting sick. Woke up with my body feeling exhausted, headache, complete lack of taste and smell. Running very slight fever (99) on and off throughout the day.  Day 11: No taste, no smell, woke up feeling slightly less exhausted than yesterday. New symptom: sort of burning feeling in my chest, kind of like heartburn but not exactly.  Day 12: No taste, no smell, WAY more fatigued than yesterday. Headache and body aches are back. Food has started to smell really off to me - tastes like absolutely nothing, but has a vaguely spoiled/rotten smell.  Day 13: No taste, no smell. Went to bed exhausted (worked my first full day) and woke up exhausted even after 9 hours of sleep. Pain in hip joints and throughout back muscles. Burning feeling in my chest. Primary care doctor did a PCR and made sure to swab throat; it still came back negative.  Day 14: No taste, no smell, went to sleep exhausted last night, woke up exhausted this morning. Had nucleocapsid blood test; came back negative.  I stopped keeping track daily as of day 15, but here it is 4 months later and I still suffer from daily fatigue, exercise intolerance, joint pain, loss of taste and smell. My symptoms are exactly that of long COVID, but as I had 5 PCRs and one nucleocapsid and none of them were positive, I do not have a COVID diagnosis.