Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Vertebral artery dissection
Clinical narrative: 1/3 I got my first covid vaccine (Moderna shot #1) 4pm   1/4  around 1pm started with fever, body aches, headache. Very sore arm starting Tuesday morning.   1/5 my dermal fillers on the left side of my face began to swell. Went to see my dermatologist. This went down 1/7.  1/7 more fever, sinus headache and sinus face pain. I think this may have just been coincidental timing. This lasted through 1/11.  1/14 random neck pain starts at night. I assumed it was a crick in my neck.   1/16 it was worse pain at this point so i assumed it was a pinched nerve at this point. Tons of inflammation is present at this point and I also noticed numbing in my left cheek, ear and neck on this day.   1/19-21 I did some rehab/therapy on my neck at the chiropractor office trying to get some relief.   1/21 I was awake from right before midnight to 5am in intense nauseating neck pain. Woke back up at 8am in more pain. Texted a few family members who are in the medical field and they suggested an urgent care or ER visit was necessary at this point.   1/22 Being that I?m pretty anti-emergency room, I started with an urgent care. They didn?t feel comfortable seeing me with the symptoms that I explained so I went to the stand alone emergency dept?..they did a CT scan later showing seriously inflamed lymph nodes on my left side, some on my right & muscle spasms, I was released with an otherwise clean bill of health, some muscle relaxers & a steroid pack.   1/23 I begin to experience the neck pain again at night so I decide to send my CT results to a family member of mine who is also a radiologist . They immediately noticed something wasn?t right with my images (left vertebral artery) and said call tomorrow morning to be seen by a neurosurgeon.  1/24 8am I call the ER dept and tell a nurse the findings from lastnight. The ER doc from Saturday calls me to discuss & he says the radiologist from Saturday isn?t stating any of this info in his findings so if you want to make an appt for peace of mind go for it. So I decide to make an appt with a neurosurgeon for (1/25) to be seen again for ?peace of mind.?  1/24 4pm ER doc from Saturday calls me back and says after further review you need to go to the ER immediately, they?re waiting for you now. I arrive at 4:15. They do more blood work and this time a CTA scan. To discover I have a partially torn vertebral artery in my left side and they?re admitting me to neuro icu which is where I will figure out my next steps. The ER doctor also mentioned he has no idea how the radiologist from Saturday missed this.   1/25 11:30pm I get into a room on the neuro ICU floor And am monitored all night.   1/26 9am I see a neurologist who tells me they plan to treat my symptoms with aspirin and a check up in 90 days for another ct scan and that due to the status of the current tear it should begin to heal itself with the help of the aspirin and bed rest for the next 5 days.   I had to keep reminding all nurse and physician staff I didn?t see a chiropractor until 8 days in to experiencing nauseating sleepless pain so to stop focusing on this being the cause. Now I do agree seeing a chiropractor may have certainly not helped the situation given the diagnosis but it was in fact not the cause of the start of the neck pain.