Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of libido, Loss of personal independence in daily activities, Magnetic resonance imaging head normal, Psychotic disorder, Reading disorder
Clinical narrative: Friday, April 9 through Thursday, April 29 2021: No unique symptoms. After today, within this log of symptoms, only symptoms which were not present prior to April 9th, will be described. Friday, April 30, 2021 (21 days after the second Moderna inoculation): Patient had 4 tonic clonic seizures. She has never before had a seizure in her life. Seizure symptoms:  trembling followed by fainting, eyes rolled up, drooling, blue lips, and tongue biting. Seizure lasts for a few minutes; followed by ½ hour of unconsciousness. Seizure times: 10, 11:30, 14:00 and 16:00. Severe abdominal pain. Frequent vomiting throughout the day. After first seizure: complete disassociation and delusion. Unable to comprehend reality.  After 4th seizure, admitted patient to ER at 19:00.  Immediate blood tests were done. All tests were normal. Patient was able to speak albeit illogically. Vomiting stopped. Patient was "sleepwalking" that she was on duty in her EMT position at the hospital.  Blood tests were normal. Patient received CAT scan of brain.  Scan was unremarkable. Patient took second blood test, which was also normal. Patient was discharged at 23:00. Abdominal pain had abated. Patient stayed up until dawn, still acting and talking as if she were at work as an EMT. Patient gets terrified easily, although her environment  is calm. Saturday, May 1, 2021: Patient slept all day. Sunday, May 2, 2021: Disassociation is absent. Patient has no coherent thought process. Patient has no memory of the last three weeks in her life. No short term memory. Patient asks same questions every few minutes throughout the day. Patient cannot speak, read, nor follow a complete spoken sentence because she cannot remember prior words in each sentence.  Patient asks same questions repeatedly. Libido, sense of taste,  and appetite are absent. Frequently throughout the day and throughout the months following, field of vision is sometimes severely reduced for a few minutes in both eyes. Agoraphobia begins, but will increase in intensity over the next few weeks. Patient has loss of balance. Monday, May 3, 2021: Short term memory improved slightly from yesterday. Patient shows slight ability to have thought processes. Patient began having pain in the right rear of her head; and in the right forehead. Wednesday, May 5, 2021: Patient today is finally able to remember some answers to her repeated questions which concerned her last three weeks. For example, she cannot remember any of her seizures, but she can remember some of what we have told her about them since they had occurred. Thursday, May 6, 2021: Patient now able to use some logic to aid with her memory recall. Friday, May 7, 2021: EEG taken. Results unremarkable. Afternoon: GBS (Guillain-Barre) Neurologist, office appointment with patient. Monday, May 10, 2021: GBS Neurologist, office appointment with patient. Saturday, May 15, 2021: Able to use logic slightly more over time. Inconsistent short term memory, but getting better slowly almost every day. Wednesday, May 26, 2021: Cranial MRI taken. Results unremarkable. Sunday, May 30, 2021: Stopped  taking buproprion  Rx (after weaning away for 3 days  ½ dose then ¼ dose) Friday, June 4, 2021: Around this date, patient was able to engage in limited conversation.  That is, she can remember words and sentences which were spoken a few seconds ago.  This conversational skill will slowly improve over the next few weeks. Friday, June 11, 2021: Anxiety leaving the house and being around strangers is increased greatly Less anxious when she gets up. Very anxious at bedtime until she falls asleep  then sleeps well; Thursday, June 24, 2021: Lyme blood test is negative. Wednesday, June 30, 2021: Second Lyme blood test is negative. Thursday, July 1, 2021: Vaginal dryness and spotting begin. Saturday, July 3, 2021: Vomiting episodes resume today. Diarrhea begins. Sunday, July 11, 2021:  Patient status: Patient still, since 4/30 : cannot write sentences; cannot read sentences; lacks libido; lacks appetite; has agoraphobia; has loss of balance; has some reduction in field of vision; cannot do mental tasks which she had done easily before 4/30. Tasks such as sudoku puzzles. Monday, July 12, 2021: From this point forward, patient has been able to : 1) Begin to write sentences once again. 2) Begin to read sentences again, but without normal retention functionality. Thursday, July 29, 2021: CT brain scan taken, Findings: Maxillary sinusitis. Patient began regimen of amoxicillin-clavulanate 875-125mg bid,  to treat maxillary sinusitis. Monday, August 2, 2021: Blood tests and results: Lyme test is negative. ANA test is positive. Sunday, September 19, 2021: Patient still, since 4/30 has not returned to normalcy for these neurological functions: writing; reading; libido still lacking; appetite still lacking; still has  agoraphobia; still has loss of balance; cannot do mental tasks which she had done easily before 4/30. Tasks such as sudoku puzzles. Field of vision has greatly improved. end of Moderna vax adverse effect log