Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Lip swelling, Magnetic resonance imaging head, Magnetic resonance imaging neck, Magnetic resonance imaging normal
Clinical narrative: After the first shot at 2 30pm on February 10th 2021, Wednesday my left arm hurt all night. the nurse said not to take any Tylenol after the shot so I didn't. My left knee and other joints also hurt, I was unable to sleep. Left arm was very sore all the next day on Thursday  2/11/2021. Chest tightness as well, but that was over by Friday.  On Friday, I took Tylenol that night and didn't feel as sore but I had a mild headache. That Saturday I woke up with a headache, I took some Advil to help with the body ache as well. Did not sleep very well that night. Woke up at 4 am unable to breathe, I think I was extremely congested. Went to bed with slight nausea feeling. Took Advil again on Sunday 2/14. Headache finally went away and overall body soreness went away, but I had another bloody nose. I don't remember what day the first bloody nose happened. Monday February 15th, I had two bloody noses and felt nauseous before and after I ate. I didn't write it in my notes, but I remember that I also had a fever at this time.  After the 2nd dose of Pfizer, two weeks later, It was not as bad. I had more arm soreness, lethargy for a few days. No fever or previous symptoms. Joints really hurt again. I got a COVID-19 test, negative. I noticed some numbness and tingly in my left foot and left hand. I had previously had a cortisone shot for my knee and after the 2nd dose Vaccine it negated the effectiveness of it. On May 26th 2021 I had an annual visit with my doctor and briefly discussed everything but didn't raise any alarms. A few weeks after that, on June 7th, I was instructed to go to ER my left face, from my mouth and ear it was numb and tingling. I had woken up and my upper left lip was slightly swollen and burning. The left part of my throat was numb. I also had left arm numbness starting from upper arm all the way down to hands. The ER ruled out a stroke, did not know what caused the numbness. While at the ER I also started to feel it in my right arm and foot. When I left ER I still had the numbness. Possible migraine explanation, but no definite answer from ER Doctor. Saw dentist on June 8th, he did not see any type of nerve damage, some slight gum redness. No medications prescribed. On June 9th I saw my doctor again for the numbness in my face, and she wasn't sure what it was. Possibly signs of shingles or bells palsy but no other rashes or drooping. Prescribed a virus medication for Bells Palsy and Shingles to help with numbness and an ointment for dryness and redness around corner of mouth. Follow up tele-health visit and wanted a cervical MRI. Vision became more blurry. Numbness in the right arm after taking antiviral on June 10th. By Thursday June 17th the right forearm and left forearm were matched in numbness. July 19th, had another MRI. Didn't really find anything significant that would explain the numbness. July 26th 2021- still having numbness continual in hands and feet and face, affecting my work and sleep. Doctor ordered EMG, everything was fine, no nerves were blocked. In March of 2022 I was still speaking with Neurologists, and she still was at a loss.