Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Fatigue, Gait disturbance, Impaired work ability
Clinical narrative: Received Vaccine on Friday January 15th 2021 at approximately 0715am after my Isolation and having had no symptoms for over a week.  Received injection, was observed by our Physician staff for approximately 35 minutes with no adverse reactions noted at that time.  Approximately 30 hours later on Saturday my left arm began to hurt and a very very strong fatigue came over me and I took a 2 and a half hour nap on the couch.  I was still extremely fatigued upon waking, but my arm continued to hurt more and more up to the point it wasn't usable for anything heavy and/or strenuous at all, hurting just to use it for getting up from the couch.  I was assisted to get me things like water, food and stuff.  The arm pain began to radiate towards my left shoulder and eventually throughout the day the pain was spreading from my shoulder to include my left upper thorax and left rib cage.  By Sunday, what had begun as left arm pain had now become stronger an approximate 5/10 pain.  It started to present as atypical chest pain having the pain now fully encapsulated within my left upper chest.  Felt what appeared to feel like intercostal pain and a general ache all throughout.  By Monday the pain was still all throughout and assessed the situation from a cardiac standpoint and found that the pain was mostly positional and I wasn't exhibiting any cardiac symptoms such as shortness of breath, no sub-sternal pain, no jaw pain, no back pain.  It hurt more as I would take a deep breath and began to move my left arm around and bringing it up from my side and did a stretch with my crooked elbow of my left arm I raised it to the ceiling and moved my thorax to my right side and found that this would make it hurt more, so I did some twisting of my thorax and abdomen and found that the pain would increase from movement, it was then that I began to think that it might be Pleuritic pain.  Tuesday the 19th and Wednesday the 20th I had to call in Sick because I developed a severe muscle ache below my left calf between my calf and left ankle, as if it was in constant spasm and it affected my walking, like a Charley Horse feeling and wondered if it were the same kind of feeling that I had in my chest and I found it quite odd that all my symptoms were on the left side which is the same side I received the vaccine because my right side didn't have any muscle aches.  The overall chest pain began to subside over the next couple of days, but the pleuritic pain that I described never decreased in intensity or pain level.  I saw my Personal Dr yesterday January 21st 2021 at approximately 5:15pm as he was walking out of his office and we discussed my symptoms and believing that my symptoms seemed to indicate some kind of tentative diagnosis of a pleurisy issue as he had agreed that there didn't seem to be any cardiac involvement and am scheduled to see him again tomorrow Saturday January 23rd at 4pm  As I write this the pain continues as before with no seeming end point and is not diminishing.  I had phoned and talked yesterday afternoon and felt it best to check with my primary physician because he hadn't had any reports such as mine.