Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site pruritus, Injection site rash
Clinical narrative: 11/16/20: Received shot about 11 AM in left arm. Felt unusually tired beginning early afternoon, progressively worsening. After 6 PM was very cold with temperature of 99°. Full body muscle pain: arms, legs, upper back. Side effects at their worst from 8 PM - 8 AM on 11/17/20.     Worsening headache, shivering and teeth chattering. Unsteady while walking due to severe shivering. Shivering was so bad that I couldn't control my hands to unbutton my clothes and went to be fully dressed.       Fever was just under 102° at 2:15 AM with severe headache. Placed a cold pack from the freezer on my head throughout the night. Shivering and teeth chattering stopped about 4 AM.   11/17/20: Woke with severe headache with possible hive below left eye approx. 6:30 - 7AM. Temperature was 98.8° at 8 AM. Took 2 at 8:15 AM after my husband went out to get extra strength Tylenol.     Slept until noon. Upon waking: only aching in upper left arm, no other side effects, possible hive cleared. No further unsteadiness while walking. Mild headache returned around 1:30 PM. Took 1 extra strength Tylenol at 2:20 PM. Temperature 99° at 3 PM. Tiredness gradually decreased.      Called Dr to describe side effects. Was instructed to continue Tylenol thru Tues night only. Took 1 extra strength Tylenol at 6:20 PM. Temperature remained 99°. Took last 1 extra strength Tylenol at 12:08 AM 11/18/20.  11/18/20: Woke with mild headache and body aches approx. 6:30 - 7AM. Temperature was 96° at 11 AM. Intermittent mild headache and mild full body aches continued. Temperature was 98.6° at 1 PM and 4 PM. Tiredness continued to decrease, temperature was 99° at 8 PM and 12:05 AM 11/19.   11/19/20:  Woke with headache, mild upper left arm ache and Itchy rash on upper left arm approx. 6:30 - 7AM.  Temperature was 98.6° at 10:30 AM.     Intermittent mild headache and mild upper left arm ache continued.     Intermittent itchy rash with spread to lower left back with hives, temperature was 98.4° at 1:30 PM and 4:30 PM. Rash on left arm examined by Dr. hives on back had cleared. Prescribed Prednisone 20 mg tabs to be taken 2 tabs once daily for 2 days. Tiredness gradually decreased. Temperature was 98.2° at 8 PM. Temperature was 98.4° 12:05 AM on 11/20.   11/20/20: Woke with headache approx. 6:30 - 7AM, temperature was 96° at 11 AM. Rash on upper left arm fading, lower back began itching early afternoon with flat red areas with no hives. Intermittent mild headache with no arm or body aches. Temperature was 98.6° at 1:45 PM, tiredness continued to decrease. Took 2 Prednisone 20 mg tabs at 2 PM. Headache, rash and back itching gone by 4 PM. Intermittent mild headache returned about 6 PM, sporadically continued. Temperature was 98° at 7 PM.  Temperature was 97°at 11 PM.   11/21/20: Woke to mild headache and itchy back and right side about 7 AM, subsided about 9 AM. Temperature was 98° at 8:20 AM. Rash on upper left arm had returned. Intermittent mild headache, itching returned to back, nape of neck, behind both ears, right side and forearm. Temperature was 98° at 11:30 AM. Took last 2 Prednisone 20 mg tabs at 1 PM with only headache relieved after 3 PM but returned at 4 PM. Itching spread to thighs, scalp, face, tops of feet, both forearms and rash on upper left arm. Headache and itch remain constant and varies in intensity.      Temperature was 99.2° at 4:30 PM     Temperature was 98° at 8 PM     Temperature was 97° at 11:30 PM and no headache or itch   11/22/20: Woke with no headache, mild itching began at rash on upper left arm and then spread to more parts of the body. Temperature was 98.4° at 10 AM. Temperature was 97.4° at 3 PM. Temperature was 97.2° at 11:30 PM. Widespread mild itching continued.  11/23/20: Woke with no headache, mild itching began at rash on upper left arm and then spread to more parts of the body. Temperature was 98.4° at 10:30 AM.