Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal discharge
Clinical narrative: My first two doses of COVID vaccine were Feb 2021 and were Moderna.  I had a bad reaction to my second Moderna shot and was laid up for days with a fever and sick.  Since guidelines state you can mix them, I did my booster as Pfizer.   - Friday, immediately after the shot I had a significant headache; I feel this was normal as I got that with my other two shots so I just accepted it. - I was fatigued so napped that afternoon for a bit. Again, assumed this was normal. - In the evening I told my husband I felt ok physically but that the best I could describe it was "but I don't feel ok... I mean on the inside I don't feel ok".  My husband noted my anxiety was on overdrive essentially and I kept saying my head hurt and my brain felt it was racing.  Assuming it was just an anxiety issue (which I had not had like that in a long time) I pushed through.   - Overnight, I was more restless than I have been in literally years at night.  General physical discomfort, tossing and turning, inability to sleep, and my mind racing for hours on end causing anxiety and irritability.  - Next Day (Saturday) I napped a little but overall was anxious and unable to sit still physically or mentally.  Kept saying to my husband I didn't feel right inside, that my head didn't feel right and I couldn't get my mind to stop.  Unable to focus on anything all day and overall restless.  My mood shifted frequently.  Had a runny nose but no fever.   - Saturday night I went to go to the bathroom and was having a white vaginal discharge suddenly; the best I can describe it was like what a yeast infection looks like.  I had not recent changes or symptoms.  I got undressed to shower when I realized this and noticed I had a nipple discharge, an off white thigh substance.  It was minimal and I was able to get it all out of both sides.  However, I have never had children and am not pregnant.  The discharge was through the holes from previous nipple piercings.  My restlessness continued but fatigue kicked in and I slept straight through from 8 something PM to about 11 AM this morning (Sunday) which is very out of character.   - I woke up this morning feeling ok but then quickly my anxiety kicked up in a way that was not environmental and there was no reason for.  I had bouts of tearfulness, depression, anxiety, anger and overall dysregulation.  Felt very disconnected to self and my husband reports I said several things that were contradictory.  I become so angry and impulsive I hit myself, physically punched my own leg twice out of anger.  Exceptionally out of character.  My thoughts didn't seem to make sense and my affect changed again and again.  The worst of it seemed to last about 2 hours.  What I experienced seems unexplainable other than as a reaction to my vaccine.  I know that vaccines can cause an autoimmune response and trigger cytokine storms and I have immune issues already; I don't really know the why, I just know this was a very scary experience and one I wish I had known was a risk ahead of time; as I found today there seems to be data online and studies showing this can happen.  I understand it looks like online studies are showing it is short lived, just a few days, but for someone who has had long term (10 + years ) of well managed mental health, this kind of risk I wish I had known ahead of time.   We are taking safety measures the rest of today to monitor more any other cognitive symptoms.