Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pallor, Panic attack, Pyrexia, SARS-CoV-2 antibody test negative
Clinical narrative: Reporting primary symptoms: headache, fever, lightheadedness, elevated heart rate, arm soreness, muscle soreness, back pain, nausea, suppressed appetite, anxiety, and panic attacks. (see below for more information) Initially, felt faint and lightheaded. Stood up and the feeling worsened. Within five minutes, felt nauseated and clammy. Also, appeared pale in the face. Was given instructions to sit, close eyes, and take deep breaths. Applied a cool, wet rag to the face and neck as needed. Was anxious and may have had a panic attack triggered by the experience. Heart rate had elevated, but not to a concerning level. Within 30 minutes of initial vaccine administration, face was no longer pale and heart rate was lowering. Other symptoms mostly subsided within 90 minutes of the vaccine administration. The next morning (5/19/21), woke with a mild headache, low grade fever, some fatigue, slight nasal congestion, and very sore arm. Took Tylenol for fever and it was mostly gone by the next day (5/20/21). Felt well enough Saturday (5/22/21) morning for lots of physical activity (push-mowed lawn in humid conditions) and only had a mild headache and mild fatigue afterward. No notable symptoms on Sunday (5/23/21) morning, but had indigestion, gas pain, and some soreness (back muscle) late that night. Stayed up a little later than normal. Woke a few hours early (around 4:30 am) on Monday (5/24/21) with throbbing low-to-mid, left-side back pain and worsened indigestion and gas pain. Had anxiety that led to a panic attack. Did not feel well and tried stretching, taking Tums, deep breathing, used the bathroom, and walked around. This was helpful enough to return to sleep. Woke up again at 8:45 am and had a mild headache, some soreness in neck/shoulders, and anxiety about the situation. Took a shower, did some deep breathing, and tried to relax. Drank some caffeine at noon, but the headache was not relieved. Appetite was somewhat suppressed and was mildly lightheaded. Stomach became more unsettle by night. Stopped all caffeine intake and NSAID usage (and still no intake/usage at the time of this report). At night, anxiety over the situation worsened, so tried deep breathing, talking to others about the situation, and stretching. Panic attack occurred, but was able to manage with the aforementioned techniques. Woke the next day (5/25/21) with mild headache, muscle soreness in mid-to-upper back, shoulders, and neck, suppressed appetite, and anxiety. Was able to manage most symptoms with breathing, stretching, relaxing,  and talking through the situation. No panic attack on 5/25/21. Went to bed earlier than normal (around 9:30 pm) and woke on 5/26/21 around 9:30 am. Had similar symptoms, but appetite was more decreased and worsened anxiety. Decided to see doctor that afternoon (see item 19 for more information on testing from that visit) and was told to give more time to recover from vaccine side effects. Did not give doctor information about anxiety or panic attacks at that time.  Had a panic attack (less severe than previous) Wednesday night and managed with the aforementioned techniques. Thursday (5/27/21) morning woke with no headache and no fever, but still some soreness in neck/shoulder area, suppressed appetite, mild fatigue, and mild anxiety about the situation. No panic attack on 5/27/21. Friday (5/28/21) woke with similar symptoms and decided to visit doctor again about anxiety. Was prescribed Buspar and Zoloft. After taking Buspar (first time ever) at 2:30 pm, experienced an increased heart rate up to 160bpm and a low fever up to 100.2F. Experienced another panic attack during this time. Sought medical assistance from local ER around 3:30 pm. Was seen and monitored until discharge at about 11:45 pm. During stay, tests and levels were mostly normal except during a panic attack that was triggered after blood was drawn. Treated with Vistaril around 11:20 pm and monitored for about 20 minutes before being discharged. Anxiety was relieved after deep breathing and relaxing. Did not take Zoloft. Slept and woke on 5/29/21 with mild headache, unsettled stomach, and mild anxiety. Anxiety is more manageable so far and other symptoms were somewhat improved after eating breakfast. Currently, no plans to continue taking Buspar, but will consult doctor.