Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia, Pyrexia, Rheumatoid factor negative
Clinical narrative: ***adverse events continued through 2nd vaccine dose and are included below. Day of 1st vaccine (1/29/21): that evening, sore arm, extreme fatigue, diarrhea 1/30/21: extreme fatigue, headache, body aches, chills 1/31/21: body and muscle aches, diarrhea 2/1/21: migraine, agitation, fatigue, joint aches, chills, feverish, weak 2/2/21: severe neck, head ache, body/muscle pain, joint aches, chills, weak 2/3/21: symptoms easing up some 2/4/21: symptoms continue easing 2/5/21: very achy - especially hands and knees (arthritis spots) 2/6/21: mildly achy, almost normal, no Tylenol needed for first time in a week 2/7/21: mildly achy 2/8/21: mildly achy, took Tylenol 2/9/21: mildly achy, extreme fatigue, p.m. chills, diarrhea 2/10/21: mildly achy, mild headache, diarrhea 2/11/21: mildly achy - especially hands and knees (arthritis spots) 2/11/21: virtual doctor appointment with my Rheumatologist; she said all the symptoms I was having was due to the vaccine, which was also causing a Fibromyalgia flare and aggravating my Arthritis; ordered bloodwork (done on 2/16/21: cbc, tested for RA and Lupus) to confirm there was nothing else new going on with me; recommended palliative care, given prescription for Flexeril (muscle relaxer); advised waiting as long as possible before getting vaccine dose #2 2/12/21 - 2/17/21: mildly achy - hands and knees 2/18/21: achy, extreme fatigue, chills 2/19/21: feeling "normal"  2/24/21: knee pain (both)/burning, difficulty walking 2/25/21 - 3/2/21: knee pain (both)/burning, stiffness, difficulty walking took Tylenol and Flexeril, icepacks 3/2/21: in-person doctor appointment with Rheumatologist; she assured me my knees were not in fact swollen, pain was related to Fibromyalgia and Arthritis; bloodwork was all normal and I was cleared to get the 2nd vaccine dose on 3/5/21 (5 weeks after 1st dose) 3/3/21 - 3/5/21: knees improved. new symptoms: right chest/arm muscle aches (lymphatic reaction [I had lumpectomy and sentinal lymph node biopsy, chemo, and radiation for right-breast cancer in 2011-2012])  3/5/21: vaccine dose #2, lot EN6198 @ same place/location as dose #1, and also in left arm 3/5/21: sore arm, p.m. tingling/burning sensation in whole torso, fatigue, nausea; took Zofran and Tylenol 3/6/21: extreme fatigue, headache, arm pain, achy, diarrhea, nausea; took Zofran and Tylenol 3/7/21: extreme fatigue, headache, sore arm, increasing achy, diarrhea, sore all over, back/neck ache, mild nausea, felt feverish; took Zofran and Tylenol 3/8/21: migraine, nausea, achy muscles, felt feverish, diarrhea; took Zofran and Tylenol 3/9/21: migraine worse, extreme fatigue (slept all day), weak all over, nausea improved; took Tylenol 3/10/21: woozy, bad headache, extreme fatigue, achy, diarrhea with severe cramps,99.0 fever with flush/burning sensation in cheeks 3/11/21: extreme fatigue, no restful sleep, sore "guts", headache decreased, felt feverish 3/12/21: headache, fatigue, diarrhea 3/13/21: felt "normal"  Since March, my Fibromyalgia and Arthritis have flared more frequently, I often get under arm lymph node aches, and have more frequent headaches