Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Exposure to SARS-CoV-2, Fall, Feeling abnormal, Headache
Clinical narrative: Sunday, the 30th of January in the evening, I had what felt like an ice pick in my right eye- that sort of headache. It was sudden and out of the blue. I got up and took migraine medicine and took the Imitrex and Zofran. Historically the migraines always came with nausea. So I went to bed and slept Sunday night, and when I woke up on the 01/31/2022, I had cloudy vision in my right eye. But I did not have a typical migraine headache, I just had a pain in my eyebrow and change in my vision. That day, I felt well enough to go to physical therapy which I go to twice a week. So I went and that night, Monday- late Monday, early Tuesday morning (2/1/2022), around 1AM, I woke up feeling strange. Not sick, but strange. I went into the bathroom and I must have collapsed at some point because I woke up on the floor. I did not recall falling, with no bruises or anything and I was confused. First thing that came to mind was that I didn't remember getting back into bed. I'm on the floor. So I managed to get myself up and turned around and face the other direction and I was confused. The same thing happened a 2nd time, and I woke up and I was on the floor again. But I have no recollection of collapsing or falling. I just woke up and it just happened again. I brought myself back up and I had severe pain at the right side of my stomach and thought I needed to go to the bathroom. I went over to the toilet and was sick to my stomach but never able to throw up. Just dry heaving. At that point, my husband heard and came in. and I said I needed to try to go to the bathroom. I believe I did go to the bathroom and ended up on the floor. This was very strange. My husband asked if I had a headache and I said no because my stomach was painful. I was afraid that I may have had a small stroke or something. I continued to have dry heaves and my husband tried to help me up and I was unable to get my feet under me. At this point, he called an ambulance and they came 15 minutes later and they took me out of the bathroom and took me to the local hospital. They gave me fluids and Benadryl and Compazine. They did a CAT scan and nothing was detected. We came back home around 4:30AM. By that time, I was feeling better and the day before, 1/31/2022, I even called my eye doctor because I've never had distinctive change in vision. So I went back to sleep. Went to my eye doctor on 2/1/2022 and everything checked out. Told her about the symptoms and she said it sounded like a cluster headache. My husband's doctor even noted maybe an ocular headache. Came back home and I rested because it was an exhausting day on that early morning 2/1/2022. Later that afternoon, that's when my son in law brought us COVID tests. My husband tested positive and I was negative on 2/1/2022. He went on one side of the house and I went on the other. I felt okay. I didn't feel terrible. I still had this dull headache in my right eye brow, wasn't getting worse but it was there daily. Wasn't severe. On Friday, 2/5/2022- I had symptoms and tested positive late afternoon. Runny nose, sneezing, coughing, fatigue, body aches. On the 7th, I called my doctor and on Tuesday we did a telemedicine visit to tell her I had tested positive for COVID. I still felt poorly and talked to her and just told her my symptoms. By the end of that week, I did test myself again 2/11/2022 and I was still positive. My husband also tested himself and he was still positive. By 2/15, I felt good enough and my tests were negative. It had been so many days since symptoms or a positive and it was safe for me to go. 02/16/2022- I went back to PT but didn't feel well when I got there. One of the physical therapists took my blood pressure: 172/110 noon. I called my PCP and I had a scheduled appointment with her 2/17/2022. Came back to normal once I went home on the 16th and rested 2-3 hours later. Still 156/105 and by the evening on 2/16/2022- 114/79. Saw doctor on 2/17/2022- she thought all of these were maybe COVID related, which is possible. But she said we can't just write it off as COVID, so she ordered other tests. She wanted me to have a corroded ultrasound, mobile telemetry for 2 weeks (until 3/10/2022), and MRA scan. Had all of that done on Thursday 2/24/2022. I've talked with my doctor since then and the corroded artery has nothing worrisome. MRA scan questionable, radiologist recommended further studies and referral neurologist. It could have something to do with COVID, but unsure at this time. Another symptom: had sensation of racing heart and shortness of breath, physical sensation of my heart palpating. Couldn't catch breath (not in relation to anxiety)