Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Joint stiffness, Lacrimation increased, Limb discomfort
Clinical narrative: 40 minutes after injection began feeling a slight swelling feeling not in throat like throat closing, but in the thymus, thyroid area.  Mild increase in tremors and facial twitches.   8:20pm: Delayed onset pain at injection site that increased throughout the night causing extreme pain in arm and causing trouble moving arm properly with almost a paralysis type incidence up to the left shoulder and numbness in arm to the touch but not numb to the pain from injection site.  8:27pm: increased mucous production noted and peeing more than usual pretty regularly once every 30 minutes or so over last 2 hours. 9:07pm: extreme fatigue and exhaustion, unlike the normal exhaustion i feel,  11:36pm: feeling of pressure in space between nose and throat, hoarseness in voice, 11:42pm: blurred vision not resolved by use of artificial tears, slight burning sensation from eyes causing watering of eyes before administration of eye drops, also tried eye wash to no avail.  1:40am: noticed small red dots on skin that looked almost like individual chicken pox but didn't itch and were minor and not clustered but diffuse especially on arms and back of left shoulder blade,  3:40am woke up from back pain that was different than I usually feel.  I often have back pain but this was deeper than normal and seemed to radiate in the spine area almost as if it were in the center of the bone in the spinal column perhaps not even spinal cord, but connective nerves branching from the spinal cord.  Slept straight through next several hours until 12:04pm: woke up with extreme nausea, dizziness, odd hip pain centralizing around the iliopsoas area more than normal, stiffness in hips more than is normal, increase in tremors and spasticity, pain in soles of feet in arches area and big toe, trouble moving arm properly from shoulder down with pressure feeling in the fingers and increased pain in left hand only.  12:19pm: got up and was extremely unsteady more than normal, looked in mirror to check red spots and noticed their continued presence, but not more had developed remained stable as they were, felt cloudy brain wise like brain fog but times three compared to normal levels of brain fog I deal with,  Noticed on left side only from injection site up into chest area a dark blue colored vein was prominent which is usually not able to be seen in this area like it was in this instance,  urination was also back to being frequent, but not as frequent as day prior.  12:34pm: noted increased tension in legs and pain in legs, Increased exhaustion, headache but it was localized to a singular area of the head like a dot could be placed to target it in the upper left towards the middle of the upper left area if you were to go straight back from the pupil, that felt like a small increase in pressure there that resolved shortly after.  At this point I went to my appointment for the last of my iron infusions.  During he beginning I receive only IV fluids and IV pepcid for a while before Iron is even introduced.  During fluid addition, I began to feel better as far as most symptoms experienced from the onset here except for the exhaustion, pain, and nausea.  Two days later, I noted that my leg pain still had not resolved in the calf area and noted an abrupt decrease in muscle density there as well as a reduction in the amount of muscle in the calves of both legs with the left seemingly most affected.  I monitored over the next few days and continued to see a reduction in this area.  New knee pain in the center of the joints set in, and feet becoming very very cold quite constantly especially in the toes.  Hands have a slight pruned appearance to them despite not being submersed in water. On the 10th, my partner noted to me that my legs looked very different (I hadn't mentioned anything to him prior about me noticing the changes).  He felt my legs and the muscle felt very odd to the touch to him compared to normal.   Indeed it did to me as well, almost like it was more squishy and less dense, but yet still spastic.  Today (date of report) new breathing issues set in.  Feeling of pressure again in thymus and thyroid area noted in that localized region.  Feeling of almost a bubble like sensation in heart beat off and on.  Noted a warning from smartwatch (Galaxy Watch 5) of random possible atrial fibrillation in one or two instances but no others the rest of the day.   Consulted with Hematology/oncology - effects not known of this nature for iron infusion.  Looks almost as if there is an uptick in Hereditary Spastic Paraplegia symptomology and others.  Perhaps a major flare up caused by vaccine?  Unsure.  Strange increased desire for sweets, and carbohydrates is also noted but may be due to iron infusion and metabolic effects.   Continue to have a fluttering feeling occasionally in injection site area off and on and radiating pain still happening off and on.  Developed small cyst like bump under armpit that went away within a day as well.  Red dots seem to be much less pronounced and somewhat gone for the moment. Majorly increased thirst noted though but could be from dryness of weather, heating, etc. not sure.