Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Impaired work ability, Injection site pain, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: 1) 2nd dose Moderna administered 09:39 a.m., Wednesday, 24 Feb a) Within 5 hours of the 2nd vaccine  i) Dizziness ii) Slight nausea iii) Extreme soreness at injection site iv) Muscle aches v) Weakness, unable to lift injected arm b) After 8 hours post 2nd vaccine / overnight i) Chills / uncontrollable shaking / teeth chattering ii) Dehydration  iii) Severe headache iv) Tinnitus v) Increased nausea vi) Delirium vii) Cold sweats viii) Whole body pain ix) Unable to sleep (due to pain) x) Too weak and too painful to move xi) Cold sweats xii) Chest pulsations- felt like air bubbles in blood line pumping through heart 2) Thursday, 25 Feb a) Unable to rise from bed b) Extreme weakness c) Hard to breathe d) Took one+ hour 2) Thursday, 25 Feb a) Unable to rise from bed b) Extreme weakness c) Hard to breathe d) Took one+ hour to gain strength to reach arm's length to get phone from nightstand. e) Extreme weakness, dizziness f) Extreme light sensitivity g) Lack of balance h) Confusion i) Extreme dry mouth j) Nausea continues, (sips of H2O throughout day = 1 qt. only) k) No food interest / no hunger l) Pain on sitting, pain in lying down m) Urine is brown (not just concentrated from lack of liquid  it was beef broth brown!) 3) Evening (Thursday) a) Muscle and bone pain increases lightly b) Able to eat a bit of soup (tasted like campfire smoke) c) Cold sweats d) Hot then cold in waves e) Slight nausea continues f) Slept a few hours, but rose at 3am  4) Friday 26 Feb a) Headache subsiding; no longer affects vision b) Still dehydrated c) Chest pulsations subsiding d) Tinnitus continues to be loud e) Able to brush teeth; drink ½ glass H2O f) Still weak and unsteady on feet g) Continued slight shaking and quaking h) Able to eat a bit of fruit yogurt i) Urine still brown j) Continue to use heat blanket for chills k) Cold sweats continue l) Stool is jaundice yellow m) Still somewhat hard to breathe (probably due to the muscle pain) n) Lost 11 pounds o) Muscle aches continue, some are from the contractions over the past few days p) Realized memory of Wednesday eve through Friday midday is very foggy, almost like missing time. 5) Saturday (went to chiropractor  very helpful) a) Confusion, hard to concentrate b) Mild headache c) Medium level tinnitus d) Nose is runny e) Slight cough  f) Neck tension subsiding slightly g) No appetite, but taste and smell are functioning h) Able to rehydrate,(2.5 qts liquid throughout day) i) Very weak and fatigued kept nodding off during day j) Slept soundly for approx 4 hours k) Intermittent chills and body tremors, some teeth chattering l) Hands so cold unable to hold items intermittently m) Feet cold all day n) Hot showers helped  ? Evidence around apartment that I made efforts to keep warm on Wednesday night / Thursday morning but no solid memory of taking these actions:  i) Unpacked heating blanket from storage closet, packing materials and cord ties strewn from closet, bedroom, hall and living room, where the blanket was plugged in and on floor set to high.    ii) Pet's heating bed pad was with my heating blanket on the living room floor turned to high iii) Thermostat set at 74°; normal for the house is 68° for the day and 62° at night. iv) Spoke w/ work manager on Saturday; learned she had called on Thursday at 9a and we had a brief conversation.  She commented that I sounded "awful". I have no memory of her call v) I recall trying to reach the phone on the nightstand when the morning alarm sounded on Thursday at 7a, but just had to let it snooze through 3 cycles. Moving even an inch caused extreme waves of pain. vi) I must have reached the phone though, the log shows I called a colleague at 8a (I learned later that I left a message that I could not work). I have no memory of making that call, just a sense of debilitating pain that morning as I lay in bed. 6) Sunday, 28 Feb a) Fully awake by 6:30a b) Mild body tremors in the morning, two short bouts of teeth chattering  c) Fatigue and mild brain fog" continue d) Physically weak; unable to manage simple stretching exercises. e) Mild headache, mild tinnitus f) Slight cough, some minor chest congestion g) Nose runny h) Hands and feet remain cold i) Urine getting a bit lighter, still pronounced brown tint, very strong odor despite hydration j) Stool almost normal in size, shape color, odor slightly "off" k) No chores completed, total couch potato all day l) Low appetite m) Able to drink coffee w/ cream n) Ate toast and bacon for breakfast but ability to swallow slightly compromised o) Able to eat small lunch and light supper p) Unable to swallow vitamins 7) Thursday 8 April a) In the weeks since, I have noted one interesting item: b) I have almost eliminated my daily dose of B-6, (200mg  300mg daily).  I have used B-6 to boost serotonin for decades, having been diagnosed with a variety of "conditions" which always led to prescriptions for mood elevators, anti-depressants and other brain chemistry alternates, which I refuse to use.  In the past, if I missed taking a daily dose of B-6 for 3 days or more, I would become "emotional".  I would cry for no reason and experience a hard time controlling my emotions, The emotions that presented without B-6 were sadness, anxiety and grief (without logical reason) and on rare occasions, anger. I realized last week that I had forgotten to or avoided my daily vitamins for over seven days  I still have trouble swallowing - and am not experiencing the sadness that might devolve to anger and other negative personality interferences. 8) Friday, 30 April a) Most negative symptoms have resolved. b) I am still on lowered doses of B-6 with no negative experience. c) Since the 2nd vaccination, I developed bromhidrosis which has yet to resolve. It is most noticeable from the apocrine glands, especially in underarm and groin.  Before the vaccine, and since puberty, I rarely perspired and almost never experienced offensive body odor when I did perspire. This is frustrating as the condition persists. 9) Sunday, 11 July 2021 a) Bromhidrosis still not back to pre-vaccine state. Application of potassium alum several times daily helps to control odor unless I exercise / exert.  Then, only shower and soap help. b) Skin tags have slowed and are not growing / flushing at the rate they were in March through May. c) I continue to see positive emotional results in reduction of B-6 doses. (See 7b) End