Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, SARS-CoV-2 test
Clinical narrative: Shortly after 1st Moderna shot on Mar 2 2021 I had what I thought was an asthma exacerbation. When breathing did not improve with previously prescribed rescue inhaler and daily oral medication, I saw my primary on Mar 26, 2021.  My primary gave me a  nebulizer treatment, prescribed a z-pack and renewed my Albuteral rescue inhaler. I got no relief from those interventions. On Mar 30, 2021 I had my 2nd Moderna vaccination. I walk daily, usually fast paced with moderate-high exertion, but while having difficulty breathing I  walked slowly with light exertion. On Apr 2nd I was on my walk, short of breath, when I experienced pain in my left chest which moved into my left arm. My left arm was tingling then numb. I stopped and rested until the pain went away, maybe 3-4 minutes. I continued walking  back to the car. My arm remained tingling and numb during that time and for about 30 minutes.  I never felt the same level of pain that I did on April 2nd, but I continued to have shortness of breath, felt twinges/pinches and sometime a quick stab in my left chest. I also had some tightness/pressure in my left neck/throat. My blood pressure was also higher than normal for me. I have had a couple of asthma attacks in my life, but my asthma has been well-controlled and any breathing issues were always able to be resolved with my acute inhaler and a Nebulizer treatment. I had never had chest pain. I saw my primary at a first available appointment who set me up with appointments for pulmonary and cardiology. During this period I also was prescribed additional medications; 1 baby aspirin/day; Symbicort; Metoprolol; nitro (if needed for chest pain). My breathing got worse with the Metoproplol after 5 days and I was given Amlodipine instead. My breathing got easier with the change in medication. I found that lying down on my side helped my breathing. I have not been wakened by not being able to breathe during sleep and feel good first thing in the morning. Once I start moving around in the morning I feel shortness of breath during normal activity. Some days are  improved, some days aren't as good. I have been avoiding even moderate exertion so I don't know if I would have chest pain like I experienced on Apr 2nd again. In addition to the shortness of breath I still feel a twinge/pinch in my left chest and a tightness/pressure on my left neck/throat area. My cardio cath Left/Right was performed Jun 14, 2021. There was no sign of any issues with my heart and no sign of pulmonary hypertension. As of this submission on  Jun 15, 2021, I am grateful that there are no problems or concerns with my heart or lungs. I'll follow my doctor's orders to increase exercise and will have a Pulmonary Function Test in July. I was a person who went from being able to walk 3 miles at a fast pace with 100 foot elevation changes within 1/4 mile to having difficulty walking from my kitchen to the bathroom in a matter of weeks. The only anomaly in that time frame was my 2 Moderna vaccine shots. I'm submitting this because I feel you should know and because I am concerned with what I should do if a booster is required in the future.