Age: 59.0
Sex: F
Vaccine: PNC20
Symptoms: Diplopia, Dry eye, Dysgeusia, Eye pain, Fatigue
Clinical narrative: She got her vaccine, didn't have any immediate reaction other than the pain and tenderness from the injection.  That evening she became extreme fatigued.  The following day she was still extremely fatigued, no appetite, metallic taste in her mouth.  Laying down that evening she had heart racing, chest pressure and sweating upon laying down only.  She was pretty much in bed due to the fatigue and no appetite, she did drink a lot of water.   By about Sunday on 9/4/22 she was having panic attacks because of the extreme fatigue and not eating.  During the day she was OK , she was not sleeping as she was afraid to go to sleep.  By Tuesday she started having eye pain, she went to the local ER because the eye pain was extreme on the right, had a CT scan on 9/6/22 which was normal.  The pain was in the crease of the eyelid, behind up to the eyebrow.  They did not come up with anything other than telling her that nothing was wrong with her.  She continued to have the feeling like a tremor in her chest area, that was a few days after the eye pain began.  She then started having double vision on 9/9/22, she started to drive herself to the ER and was seeing vertical traffic and had to cover one eye to be able to see single vision . She went to the ER due to the chest tremor and they could only address one thing, so she decided to go for the double vision.  They did same blood work again, and nothing done.  On 9/11/22 she bothered a neighbor due to blurry vision to where she almost fell like she had loss of vision.  She again went to the same ER and same lab work, and they did not come up with anything other than to FU with her PCP.    Her daughter picked her up from the ER, she had still not been eating, did not feel weak but felt fatigued with the chest pressure, fast heart beat, lying down she would have the tremors and sweating.  On Monday 9/12/22 she had some appointments and went to the ER, covering one eye so she would be able to have single vision making her own eye patch from mask.  She went to the ER and at about 8:00 AM on 9/13/22 she was admitted by the Neurology department.  They continued to do lab work repeatedly, had an MRI which was normal.  She begged to be discharged due to the numerous vein sticks that were painful and felt that the student did not how to draw blood and had to have a massage to be able to use her arm again as she was not able to use it.  They did not find anything that they told her about.  She is now having ringing in both ears, and has an APT with an ENT on 10/26/22.    The fatigue still continues, they did not go over any instructions when she left the hospital, gave her some papers that was in small print, and told her to read it when she gets home as she had blurry vision and double vision still.  She did not feel that they knew what they were doing, learned that it was a training hospital and felt that she had bad care.  By about Sunday on 9/4/22 she was having panic attacks because of the extreme fatigue and not eating.  During the day she was OK , she was not sleeping as she was afraid to go to sleep.    She started taking B12 which has helped with her fatigue in the last 3-4 days, and also started taking an eye vitamin which seems to be helping as well.  Last Monday she went to the doctor and diagnosed with a sinus infection and it took a week to a prescription of Azithromycin.   They have never told her a diagnosis, and has been seen by an eye doctor, did not talk with her or anything.  She was told she had dry eyes, and still does not have any answers to what is wrong with her, and now has an ENT referral.  Neurology did not schedule her for a FU appointment even though they admitted her.    She did start eating again about 2 weeks ago, and her medications that she was taking prior are helping her.  She does not have the double vision, which pretty much stopped last weekend, and has not had to cover her eye.  She would get up to walk and would have to lie back down due to the fatigue and the vision issues.    She was not given her blood thinner while she was there on time, was getting it 4 hours too late and was afraid that she would get a blood clot and that was one reason due to the contagious people did not want to walk around the hospital.