Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Swelling face, Swollen tongue
Clinical narrative: 12/31/20 10:30a Vaccine given 10:48a Left the vaccine observation room 11:30a Started feeling warm like maybe my temp was increasing, face was red 12:00p had what felt like an adrenaline spike through my body became hot and jittery feeling. 12:30p The spikes started coming in waves, like a full body hot flash. Was very shaky and my tongue felt itchy and tight; not swollen just tight 12:40p made it home and took Benadryl 1:00p symptoms dissipated, ate a chicken salad sandwich thinking that would help with the jittery feeling. 1:25p The whole body flash came back and the tightness in the tongue increased. 1:27p Called employee health for information on this type of reaction. Wanted to call me an ambulance, I declined. After much discussion they suggested I come back to the vaccination observation room where they have epi, then decided it best that I go to Urgent Care. 1:40 on the way to town I told my husband to take me to the ED instead as my bottom lip felt swollen and tight, and my tongue felt thick like it was a bit swollen too. Was not short of breath, airway did not feel compromised, breathing normal, and heart rate normal. 3:01 Was given 40mg Methylpredinisone (solumedrol) & 20mg famotidine (Pepcid) given- immediate improvement in tongue thickness and swollen lips. 440p 50mg Diphenhydramine (Benadryl), 10mg loratadine (Claritin), & 40mg prednisone given prior to discharge 8:20p Top lip started to swell just before my next dose of Benadryl 8:30p Took next dose of Benadryl, once it kicked in had quick resolution of lip swelling 9:00p joint pain started setting in, was uncomfortable but not too painful 1/121 Joint pain is still present but not uncomfortable. Injection arm a little sore, no redness or swelling at site of injection. Swelling of mouth, face and tongue is persistent as it nears the 4-hour mark for 50mg of Benadryl. 1p ate a couple of bites of chicken fried steak, face is increasing in redness and swelling, and mild tongue swelling. At max dose of Benadryl per box states to only take 6 doses in a 24 hour period. 2p Mouth and face swelling not relieved with Benadryl 2:52p checked into ED for 2nd time. 4:08 Given 10mg dexamethasone (decadron), 20mg famotidine (Pepcid), 10mg montelukast (singular) Swelling improved. 5:54p Potassium low on lab work given 40 mEq of potassium chloride 6:00p discharge with scripts for famotidine, epi pen, montelukast 7:00p taken 25mg of Benadryl 8:20p lips feel mildly swollen again. 8:45p next dose of 25mg Benadryl. Did not have complete resolution of swelling but did improve. Mild hives, swelling of hands and feet. 1/2/21 All joint pain is gone, and injection site pain is only noticeable if someone bumps into my arm. 6a 25mg Benadryl & Pepcid 10a 25mg Benadryl 2p 25mg of Benadryl 3:30pm felt fine all day with only mild swelling and redness to hands, ate chicken nachos. Face became very hot (like my face was too close to the oven when I open it), redness from eyes down, lips swollen, mild itchiness too the tongue but nothing too concerning. 4p 25mg Benadryl I strongly believe the exacerbating factor is eating as all times the symptoms increased in intensity I had just eaten. After discussion with Dr. will be cutting out chicken (chicken was eaten before all 3 instances) and all other meats until complete resolution of symptoms and will avoid any inflammatory foods such as nuts, berries and shellfish. 7p 25mg Benadryl & Claritin taken 7:30p ate a banana, no reaction 8p Singular taken 9:30p put Vaseline on my lips, face & ears flamed hot and swelling and redness followed. 9:45p took 25mg Benadryl 10:25p tongue thick feeling 11p took 25mg Benadryl tongue still feels thick 1/3/21 Fevers 101.6 and chills started in the night Face and lips are permanently swollen and red despite all the meds I?m taking.Lymph nodes are all swollen. I?m too afraid to eat for fear of more swelling while my face is already so swollen.