Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Joint noise, Joint stiffness, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Malaise
Clinical narrative: Began on 3/26/21 with numbness in face. Woke up on 3/27 with numbness in feet. Spread to my feet and up legs and arms through next couple days. Fatigue increased dramatically, though it was present prior. Dizziness, sharp pains in left ear in skull, nerve issues. The following is a log from when the symptoms became most intense, so significant I have not been able to drive myself and been working from home due to balance issues, no feeling in feet, and neurological symptoms. After different a week and a half,, i sought medical care and began logging daily as follows:   Fri 4/9: fatigue was high, neuropathy present. Balance was off. Stabbing sharp pains into the left ear but behind the ear in head. Dizzy spells with static feeling rush in forehead lasting a few seconds and passing. Gate while walking feels awkward and difficult. Think walking after sprinting on a treadmill plus's stiffness   Sat 4/10: couldn't eat. General malaise. Fatigue. Neuropathy and balance issues present. Gate slightly improved. Noted increase in joint pain and popping in wrists elbows hips and knees. Needed white noise to cover ear ringing to sleep.   Sun 4/11: feeling a bit better. Able to eat. Gastric issues after eating. Slightly more energy but neuropathy and balance was frustrating like superglue on my fingers and areas of my feet with no feeling at all surrounded by pins and needles. Aching in wrists and pain shooting down through to heel of my foot. Ear ringing more noticeable. Two instances of ice pick ear pain.   Monday 4/12: neuropathy present, balance improved. No digestive issues. Feeling more stable while walking. Still numb in hands and feet and part of my face but less pronounced. Ear ringing unbearably loud and constant.   Tuesday 4/13: slightly less energy but neuropathy still seems improved and not losing balance as much. Ears obnoxious, joints popping and cracking constantly. Pain in wrists and hands. One instance of ice pick ear pain   Wednesday: same as Tuesday, but no ear pains. Had to take a nap in the middle of the day due to worn out feeling. Laying in bed felt something in my back snap, then a stabbing pain into my lower right side of my back. Aching like the skin was hurting for hours.    Thursday: other symptoms same as Tuesday. Ears ringing crazy loud, stiff in the hips more noticeably. Neuropathy present with dizzy waves/vertigo. Low back skin pain right side continue. Also right hip. Gate while walking is starting to feel like it did before after a few days of improvement.   Friday: back still hurting. Neuropathy increased. More numbness than previous few days. Very stiff throughout lower back hips and legs. Low back pain. Gate while walking feels awkward and robotic. Ears ringing. Joints throughout cracking/popping. This is not historically common for me. While washing dishes got shooting pain down my left wrist back of hand almost shooting down the veins to in between my pointer finger and thumb. Painful to touch. Immediate strong increase in the pins and needles in my hand concentrated in finger tips but now radiating up forearm too. .numbness in feet and part of my face. Whole body aching. When trying to sleep kept getting head rush static attributed to Benadryl to sleep and staying up too late.   Saturday: very tired. Back hurting in morning. Felt better after getting up. Kept feeling head rush like static in forehead continuing on and off throughout the day into the night with dizziness almost like I might pass out. Nausea and low appetite Fatigue higher than normal. Neuropathy still present. Ears ringing insanely loud and constant. Aching and stiffness in hands wrists and legs and feet in heel/sole. Chest pain in sternum. Had a few months ago almost daily for awhile. Went away til now.   Sunday- neuropathy the same. Ears ringing the same. Stiffness throughout. Dizzy spells and static in forehead. Nausea and low appetite. Fatigue. Ice pick ear pain starting in evening a few times throughout the night.   Monday. Neuropathy the same. Ears ringing the same. Slightly less pain and popping in joints. Fatigue high. No appetite. Ice pick ear pain starting in morning happening several times.    PREDNISONE STARTED WEDNESDAY  Wed April 21: feeling about the same. Ringing in ears, neuropathy same, fatigue high. Appetite improved. Ice pick ear pain a couple times. Neuropathy seemed to improve towards the end of the day, when it usually is worsening. Felt nauseas and sick to stomach before bed with digestive issues. Dizzy spells all evening with static feeling. Ears ringing constant.  Thursday: neuropathy improved, still present and noticeable but I was able to walk normally and had more feeling than previous. Joints still cracking and popping. Not as nauseas or sick feeling throughout the day. No ear pain. Dizziness occasional, less than day before. Ears ringing constant.  Friday: neuropathy still improved but present and noticeable, able to walk more normally than previous. Joins still the same. Not as nauseas or sick feeling. Chest pains in sternum and stabbing ice pick ear pains on and off all day. Very painful in the ear. Light headed/easily motionsick, but better than Wednesday worse than thursday. Ears ringing constant.  Saturday: Neuropathy still improved, joints are stiff but not in pain. Light headed easily, ears ringing constant. This is the worst day for the ice pick ear pain yet. Repetitive ?attacks? concentrated in the morning enough to make me have to drop and hold my head. It was very painful and higher frequency than ever seen previously.   Sunday: Feeling sore in my hip joints. Ears ringing constantly. Ice pick ear pain only happened twice. Neuropathy slightly more than day previous but okay and balance still improved. Chest pains in sternum present. Episodes of blurred vision/double vision towards the end of the day.