Age: 71.0
Sex: F
Vaccine: COVID19-2
Symptoms: Exposure to SARS-CoV-2, Fatigue, Insomnia, Musculoskeletal chest pain, Myalgia
Clinical narrative: On Wednesday 12/28/2022, in the evening I started having a painful sore throat which is unusual for me. My husband had tested positive for COVID-19 on 12/26/2022 although he had been sick already for 4 days. I suspected even though we isolated from each other that I had COVID-19. At night, I had a lot of nasal congestion, coughing, sneezing and continued sore throat. I had a slight fever that was 2 or 3 tenths higher than usual. I did take a home test right away on the morning of the 29th and it was negative. I was also experiencing a lot of body aches, joint aches and tiredness. Those same symptoms continued into 12/30/2020. I took another at home COVID-19 test and that was also negative. I went through the clinic symptom checker online and I was eligible to come in for a PCR test and I went in to take the test. They noted that if the test was positive that someone would contact me regarding treatment. The results came back later that night and I waited for the clinic to call me. On 12/31/2022, the clinic called me and I was still having the same symptoms. My temperature was about 8 tenths of a degree higher than usual. I was still having joint and body aches, fatigue, sore throat, coughing, runny nose, congestion. When the clinic office called me, I asked about a prescription for PAXLOVID and they sent that in. That prescription was ready that same day so I started taking it in the afternoon of the 31st. My symptoms continued about the same with a lot of joint aches and other unusual pains. I would have excruciating pain in 2 fingers on my left hand and sometimes in my right foot in my toes. I also had an unpleasant bitter taste in my mouth as well from taking PAXLOVID. Still just a lot of fatigue, congestion. I had a lot of trouble sleeping on 12/30 and 12/31. On 01/01/2023, it was more the same body aches and sneezing and coughing. For me, the coughing was a dry cough, not productive. My temperature was still about 8 tenths of a degree higher than usual. Fatigue, feeling tired. On 01/02, all the same symptoms were there but they were less intense. I continued taking the PAXLOVID every day, then on Tuesday 01/03, same symptoms but less intense. There was sneezing and started to cough a little bit up, but the symptoms were much less. Wednesday, my temperature went down to 4 tenths of a degree of what it usually is. In general, there was less muscle aches and pains and less fatigue. I was still having PAXLOVID mouth every day and it was unpleasant. I finished the PAXLOVID on 01/04 and on the 5th, I was still having the bitter taste in my mouth. My temperature went down again to 2 tenths of a degree. I was still having nasal congestion and a slightly hoarse voice. Today, the PAXLOVID mouth is gone and my body pains are gone. I'm still having some fatigue and my temperature is back to normal. I'm not sneezing anymore and just a little bit of nasal congestion. I also had some swelling of my spleen and that started on 12/29/2022. I had discomfort under my left rib cage and I did discuss with the clinic nurse, but we noted that I didn't need to be seen for that at that time. She just noted to watch it and if it turned into excruciating pain to go visit the emergency room.