Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Mobility decreased, Musculoskeletal pain, Pain, Pain in extremity
Clinical narrative: She got her vaccine, she came home, little soreness in the arm, was otherwise OK.  She cooks all the time, and at about 6:30 she felt really sleepy, weak.  She sat on the couch and told him that she felt weird, and started having chills.  It was 90 that day and she was freezing, put an electric blanket on her and was feeling worse and worse.  She called her husband at 9:30 as she was weak, dehydrated, severe banging headache not able to lift her head, weakness and she took 2 Tylenol.  She kept freezing throughout the night and then going into sweats.  She was out of it.  She was hallucinating and seeing people that had already died in her life, her mother, father, sister and woke up not knowing where she was.  She felt like she had to go to the bathroom, but her bottom was sore too.  About 24 hours later when she tried to  move from the couch to go to the bathroom which is 8 steps, she had shooting sharp pains in her lower back.  She felt it was inflammation and she slowly got to the bathroom, and she is now in agony as she cannot sit to use the restroom.  She is now having problems with her stomach and is constipated, and it got worse and worse.  Her husband has a cane and he went to get it, and she is having a hard time to sit up to even move as the pain is unbearable.  The pain got worse and worse, and she laid down all Saturday and they brought her food and drink as she cannot make any food, cannot bed, stretch or get into the shower as it is upstairs and she is not able to go up stairs.  She feels terrible due to the pain that is in the lower back and shoots down to her legs, and having problems stretching her arm to reach, lift or bend.  She feels crippled at this point.  She went to her rheumatologist on Monday and got her Orencia shot for her RA.  She is a walker, walks everywhere and is used to moving around, cooking and very mobile and now she cannot do anything of that.  She is scared, wanting to know if she is going to get better or is she going to get worse.  She lives on $1000.00 a month and cannot afford the copays to get her medicines and visits to her doctor and does not have the money to be able to take care of herself.  Her regular PCP died in a car accident 3 weeks ago and is not able to see a doctor as she owes everybody due to the copays.  She is now wondering where to go from there.    She went to the ER yesterday and they were honest with her and told her that they did not know what to call it.  They took x-rays of her spine and they saw inflammation and they told her that if she continues to have the symptoms that she needed to return to the ER.  She said she would not go back as she has such severe pain and it is a struggle to get in and out of the car and the potholes cause severe pain.  They gave her steroids and to get Lidocaine patches.  She did not have this problem before the vaccine.  She was very active and could dance, paint, etc., and has been doing the same thing for years ago and had to use a cane 8 years ago when she had minor knee surgery and now cannot walk without one.