Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal pain, Toothache, Urine analysis, Urine ketone body present, Viral test
Clinical narrative: 11/06/2021-First started as dental discomfort in my left upper/lower teeth (same location for upper an lower).  Went to dentist, nothing found in xray.  Pain in tooth slowly increased, but I assumed it was just a sensitivity issue (pain when inhaling through mouth) At some point in following few weeks, felt like my left subocular sinus cavity was completely dry and was painful 12/11-teeth pains to the point I can barely eat or drink and shocks of pain so severe all I can do is cry 12/13-go to employee health (I work at hospital)-nothing is identified, but started on bactrim and flonase just to try due to the severe pain 12/15-Diarrhea starts, feels like a knot in my gut just below the xyphoid 12/18-wake up with HA and pin pricks all over body, that evening the pin pricks change to a feeling of overall body sunburn and my joints hurt all over, that night my stomach is cramping so severely that I am worried that my intestines are about to rupture so I go to the ED 12/19-get CT scan that finds possible duedonal inflammation, get placed on bland diet and medications 12/20-Diarrhea starts, temp 101.5, sleeping all day, body still burns and is cramping and joint pains continues.   Body burning and abd cramping stops after diarrhea starts 12/21-Start having chest discomfort and palpitations when lying down.  HR quickly elevates to 125 (my norm is around 60).  PCR test at Pharmacy is negative.  Burning/cramping/diarrhea resolved.  That night start having neck and spinal pain.  Burns when trying to take deep breath, pulse ox reads 93-96% 12/23-Go to urgent care clinic at work that is first to comment that it sounds like long covid, although I have never had symptoms of covid and never tested positive.  Pain in TMP and submaxiallary area when I yawn/eat, burns when I drink water, legs very sore, energy completly gone (have to lay down after sitting for 30 inutes).  HA all day, neck pain not as bad.  Chest discomfort not as bad.  Lung issues resolved 12/24-realize lost of taste fo sweets/salts.  Pain has moved to thighs/knees/wrists (seems to be moving from central to extremities) 12/25-Pain now in knees/wrists, hearing issues (decreased hearing and sounds like cicadas), very poor sleep 12/26-Pain now in wrist/elbows/knees/calves, super cold sensitive for the teeth that initially hurt at the start 12/27-Pain to feet/hands, so bad it is hard to walk.  Itching started to torso, pretty extrememe, have never seen a real rash. 01/03-Burning starts around abdomen, feels like someone has rubbed me with sandpaper and still super itchy.  01/06-HR at rest 90-100, jumps to 140 when walking 10 feed and causes dizziness.  Salt/Sweet taste have returned 01/08-cardiac issues resolved 01/09-Coughing fits start-nothing productive, just feels like something is stuck on my epiglottis.  Results in gasping and almost vomiting.  Happening almost hourly.   01/13-Visit to rheumatologist-no significant findings for lab tests, Start medrol dose pack, no changes 01/29-No changes to this point (pains still in hands, abdomen discomfort/coughing) but now I get chills down right side and realize anything that deals w/ my hair follicles is almost painful.  2/13-New stabbing pains between toes and right wrist 2/15-GI consult finds nothing abnormal 3/02-New Internal Med consult that now testing medications to try to handle my symptoms.  At the time of this, 1 month on cymbalta has not effect.  Pain still around abdomen, hands, lower legs, coughing fits.  (Having to move on so system doesn't log me off)