Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Chest discomfort, Chest pain, Costochondritis
Clinical narrative: I woke up in the morning around 6am with excruciating pain in my left shoulder blade and it wrapped around my chest and neck and arm. All on the left side. I meditated in bed and fell asleep again hoping the pain would go away. Got out of bed around 8am to try some yoga.  I'm a yoga teacher, I tried to do some gentle movement but it felt so uncomfortable. I paced around and didn't know what to do with myself. I called a couple chiropractors. I got one scheduled for noon. That didn't help relieve any of the pain.   So finally around 5pm, my friend suggested I reach out to my doctor. I emailed through MyChart hoping to get a video call and explained to them just as I have here. They called right away. I was put in touch with the Covid Vaccine research team and talked to a Triage nurse. After explaining the chest discomfort and that my dad died of a heart attack, after he spent a long month in the hospital I tried to explain, she urged me to get off the phone and call 911.   I ended up driving myself to hospital down the street. After 5 hours in the Emergency Room I was told my EKG / Xray / blood work all looked normal. They suggested it was muscular skeletal. I have mild scoliosis.  Relieved, yet I was still experiencing pain. Though not as much as when the day began. I still felt stabbing pains in my chest that came and went. I got home and did some gentle yoga.   After a month of still feeling tightness/compression in my chest, doing gentle yoga, talking walks, May 26th, I scheduled Physical Therapy and a video appointment  I spoke with Doctor who didn't think it was vaccine related. He reviewed my lab work but didn't have the actual EKG/Xray and was only able to view the notes. He said to continue with my PT treatment and go from there.   May 30th I couldn't lay down I felt compression in my chest. I ended up sleeping upright. Every time I tried to lay down it hurt. I took Tylenol and propped myself up on pillows and fell asleep like that.   June 3rd I had my second vaccine dose. I just remember having a sore arm and hyperawareness.   June 8th at PT I had a panic attack and my heart rate reached 175bpm. I had done an exercise pulling a rope up and down, and didn't understand why my head hurt I felt a sorta strain in the back of my head. So as I tried to meditate I realized I couldn't let go of that sensation and when I looked at my Apple watch I saw my heart rate was up to 140 and after seeing that I panicked and that's why it continued to go up. My PT talked me through it, and I was able to get through it.   I've been very anxious and I don't ever recall feeling this much anxiety, especially since I don't know why I'm having these pains.   I had Physical Therapist  on May 26th - it was my first PT appointment. My PT told me I have costrocondritis. Inflammation in the chest area. So we've been working on more abdominal breathing, strengthening the back, focusing on my posture alignment and other exercises and stretches. I've been going 1-2x a week for the last month now. I feel better although I still have soreness and bruising sensation in my rib cage area in the abdominal area on the left side. My chest still hurts occasionally. I've been practicing yoga every day for 3.5 years, lately my practices have been more gentle. I went from working out 7x a week where I was also strength training and doing cardio, to only doing gentle yoga and working on my posture and alignment.    As of recent, my PT has suggested I start trying to do a little more so we've added some more strengthening exercises.