Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Ear discomfort, Ear pruritus, Eye pain
Clinical narrative: Within 30 minutes of shot-Fleeting itching in both ears, fingertips, and soles of feet.  Blurred peripheral vision in left eye only.  Dizziness, wooziness.  All resolved with 35 minutes of injection, initially. Within 4 hours of shot-Exponential increase in pain from waist down, including lower back pain.  Took Motrin 600 mgs which resolved pain within 1 hour of taking it.  Felt off/not myself-Felt foggy-headed-pressure in head and ears was not normal.  2100-0000 (Evening of shot)-Moderate sporadic dizziness that became moderate constant dizziness-Took 1 25 mg chewable Meclizine with 1 cup of water.  Pain increased and Motrin wore off.  Fatigue grew worse.  1/13/21-1/14/21-SEVERE back pain.  Intense pain in legs and hips.  Upper respiratory symptoms-Nasal congestion, ear pressure, sinus pain/pressure, chest and upper back discomfort, chest congestion, irritation, and aching.  Cheeks and nose looked puffy/swollen.  Eye pain, headache on and off.  Fatigue, dragging.  Felt feverish but no actual fever.  Body aches-sides, legs-front, back, and sides, lower back, and glutes.  Felt like arthritis from waist down, including lower back.  Took nighttime cold syrup, etc. to be able to sleep and/or at least dull the pain.  Also used heating massage pad to assist with pain relief. 1/15/21-1/16/21-Pain lessened in terms of intensity.  Had longer spells of less intense pain.  Also less pain with movement after resting/lying down.  However, pain still intense at this point.  Meds more helpful with the pain at this point as well.  On Sat, felt dizzy and unwell all day, including extra tired.  Hot, sweaty on Sat.  Racing heart, chest tightness.  Used inhaler and Metoprolol. 1/17/21-Felt unwell-intense pain still, dizziness, fatigue.  Took Meclizine 25 mg that morning.  Also took another 25 mg Meclizine later that afternoon.  Nausea, dry heaving to the point I almost vomited 2x.  After napping, nausea returned slightly but immediately went away.  Felt very tired remainder of the evening. 1/18/21-Went to MD to get clearance to return to work.  Dizziness prior to visit and took 1/2 25 mg Meclizine.  Felt better until I got to doctor's office.  While waiting to be called back, dizziness started up again and got severe.  While waiting on MD to come in and talk to me, I got nauseated and felt like I might dry heave/vomit.  I took another 1/2 Meclizine 25 mg and sucked on a mentholated cough drop to help with nausea, which did subside.  Dizziness continued to be severe.  MD took blood pressure, pulse ox, checked my ears, checked my pupils, listened to me breathe, asked me about my symptoms, return to work, and advised on safety of taking 2nd COVID injection when it is time but leaving it up to me in terms of if I feel benefits outweigh possible side effects of 2nd injection.  He prescribed anti-nausea meds, pain meds, and stated he wants to see me for a follow-up visit in 1 week.  He also prescribed steroid and pain med injections to be administered in office immediately, steroid injection sometimes contains Benadryl and based on how I felt after the shot, there may have been Benadryl in this one.  He also requested I message him later in the day to let him know how I was feeling.  Injections did GREATLY assist with pain and dizziness/foggy-headed feeling, once they kicked in.  I did message him letting him know how I was feeling after napping. 1/18/21 evening-I am still feeling weak and tired and having stinging like pain in both legs along with minor lower back pain.  Some chest and throat irritation as well as stomach discomfort.  Going to take a gentle laxative as well as some of the nighttime cold medicine I purchased.  Still also having dizziness on and off.  I plan to return to work tentatively, on 1/19/21, per my return to work note from MD.  I will keep my MD notified of how I feel between now and next Monday's follow-up.