Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Rheumatoid factor negative, Swelling face, Thyroxine free normal, Thyroxine normal
Clinical narrative: I received my first vaccine in March 5th, 2021. Ten minutes after I received vaccine my heart began pounding and racing. The Nurse checked my blood pressure and my heart rate and both were very high. I was advised to stay and be monitored. After a while I started to feel better my blood pressure and rate were coming down but still a little high but I went home. I felt ok after that. My second dose on March 26th, 2021 I had the same outcome. Ten minutes after vaccine my heart began to pound and race. Again my blood pressure was checked and both my blood pressure and heart rate were high. I was monitored for 30 mins. and sent home when my vitals were lowering. About 1 hour after the vaccine,I experienced nausea, dry mouth and fatigue.  Later that evening, I had body aches, low grade fever and fatigue.  March 27th- woke up at 5:00am, heart racing, bounding with chest pains. I felt like I couldn?t breath. All other symptoms continued, fever spiked to 102 and throat pain. March 28th-all symptoms still present  March 29th- woke up at 3:00am with night sweats, symptoms still present, unable to fall back to sleep, every time I would start dozing off my body would jerk and I would feel an electrical wave/impulse start in my head and move down my body. Hand tremors present.  Very fatigued I tried to sleep, I dozed off for a little bit, when I woke up I was very dizzy and just felt generally unwell. I sat on the sofa and felt a surge of anxiety rush through my body. Unable to control acute severe anxiety, I was still nauseous, heart rate still elevated, still unable to eat, chest pains lingered, debilitating dry mouth, had fatigue, fever broke later  March 30th-3:00am still unable to sleep, with jerks, electrical impulses and severe anxiety, I went to ER. Treated for anxiety and insomnia and sent home.  Still unable to sleep due to electrical implieses called PCP in AM and scheduled appointment, informed PA all symptoms started after second dose of vaccine, as I was still having all other symptoms minus fever. Treated me for anxiety and insomnia. Facial swelling  appeared and rash on arm Finally able to fall asleep with Trazadone (but it did make my heart bound more and increase rate)  Fell asleep around 4pm after being up for 36 hours. Woke up at 9pm able to drink some chicken broth. Went back to sleep  March 31st- woke up at 6:00am, started Sertraline, nausea, dry mouth, debilitating anxiety, fatigue, body aches, hand tremors, brain fog and night sweats continue  April 4th- all symptoms continue until today except dry mouth, nausea; first day I was able to eat a meal.  April 9th- anxiety decreasing, all other symptoms still present  April 26th- follow up with PCP, increased Sertraline, informed of easy brushing. Prescribed Propanlol for tremors  Labs done- CBC, Graves markers (t3, TSH, t4) PT-INR *All within range* May 5th- Petechiae getting worse, all other symptoms still present (body aches, fatigue, electrical impulses, jerks and night sweats, unable to sleep)  May 12th- Rash to right arm, red bumpy and itchy  May 14th- reached out to PCP about petechiae and rash to right arm with joint pain in elbow and shoulder, continue to have night sweats, fatigue, body aches, anxiety has decreased  May 17th- Appointment with PCP, not concerned with rash, TB testing for night sweats, C-reactive protein done for possible vasculitis, Sed rate by modified westergren (all within normal limits) no inflammation  Titration off Sertraline start Buspar  June 3rd- Endocrinologist appt. (Graves markers checked again, all within normal limits)  June 21st- symptoms of fatigue, body aches (neck and back pain), rash, joint pain still present, pain/pressure on left side of chest  Appt, with PA- labs done CMP, TSH w/ reflux to Ft4, CBC, Rheumatoid factor (all within normal limits)  ANA IFA screen w/ refl to titer and pattern Positive ANA, ANA titer 1:160, ANA pattern nuclear dense fine speckled, cream to rash x 7 days, cleared up   Weight fluctuates, hair loss, fatigue, joint pain, stiffness and body aches (muscle pain/burning and weakness), eye pain, floaters and bright floaters now   Sent to rheumatologist, put on muscle relaxers for the severe muscle aches, meloxicam for joint pain Blood work for ANA now 1:320 Cascade negative   **As of today I continue to have residual affects of the vaccine. I was completely fine before vaccine and the vaccine negatively impacted my life. I was not able to work for a month after second dose. I continue to have drenching night sweats, unable to sleep good, internal tremors, menstrual cycle issues, and  electrical wave impulses.  Sore throat present for months.