Age: 38.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Pain in extremity, Pallor, Raynaud's phenomenon, Skin discolouration
Clinical narrative: I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon returning inside to warmer air, the bilateral fingertips of both hands were pale white, numb, and painful. The time was 06:30 pm on January 6, 2021. At 06:47 pm, I felt a different feeling in the bilateral tips of my fingertips, and could see the color changing from pale white to a mixture of purple/black.  January 6, 2021 at 06:32 pm was the first time I have ever had my hands respond in this manner to cold temperatures. I have felt one fingertip go numb and turn white for a split second, only one time in my life but it was not a repeat occurrence, and it only lasted for about a second when it occurred. This experience and reaction I currently have lasts from 15-30 minutes of bilateral fingertip numbness and discoloration with pain. The bilateral fingertips of both hands now respond in this manner every time they are exposed to cold temperatures. I signed up for a health checker and did state that I was having this symptom through the Vaccine reporting system on a health checker under ?other'' multiple times. Treatment I received from a health provider are as follows; I had a telemedicine visit on January 14, 2021 at 12:51 pm to address my concern of ?reaction to Covid vaccine, fingertips were numb, lasting 30 mins?. On 1/14/2021, I received a primary diagnosis of Raynaud's Syndrome by my Primary Care Provider.  On 1/28/2021, I was seen in person by my Primary Care Provider for a Well Visit to complete a physical with my primary care provider. I was provided with a referral to a Rheumatologist for further advice about receiving the additional second Covid vaccination in the series. I also was ordered to do lab work. On 2/2/2021, I was seen by a Rheumatologist for new diagnosis of Raynaud?s Syndrome, and advised that risk outweighed the benefits in regards to receiving the second vaccination in the Moderna Covid-19 series. On 2/3/2021 at approximately 1:45 pm, I received the second Moderna Covid-19 vaccination.  On 2//10/2021, small red, itchy bumps started to appear on both sides of my neck. On 2/15/2021, a bump appeared above my right eyebrow with what felt like a pimple. On 2/21/2021, the ?pimple? had spread towards my inner eye and above my right eyebrow making my right eyelid swell. I received telemedicine care via an e-visit over telehealth with an urgent care and was provided an antibiotic for facial cellulitis. On 2/22/2021, I had one episode of emesis, and went in person to an urgent care. I received a different prescription of an antibiotic, and was provided with instructions of signs and symptoms of what to look for when to report to the emergency room. On 2/25/2021, my right eye started tearing up and the pain began to intensify. I was provided medical care by a Neuro-ophthalmologist and given a primary diagnosis of herpes zoster ophthalmicus. Presently, I have multiple areas of herpes zoster appearing on various areas of my head, shoulder, and chest that do not follow specific dermatomes.