Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Laboratory test, Laboratory test normal, Lethargy, Lipids
Clinical narrative: Please note the first vaccine listed above was conducted at different location, however the reaction only began after the second vaccine. (First Vaccination Location: Pharmacy # (Privacy) (Moderna) Appointment Time: 4/2/2021 2:00 PM)   I believe my body is having an autoimmune response to my second vaccine due to test results and the below symptoms.  After my second vaccine on 4/30/21, I developed a rash on my arms and legs and random eye twitching. This turned into a major event with new symptoms, around 5pm on Wednesday, 5/12/21 the left side of my face and my left arm and leg went tingly then numb, having random flares, causing me to visit urgent care. During my time in urgent care, nerve flares continued (like a electro charges moving through a web) on my head and limbs, as well as a migraine developed. Multiple tests were conducted all appearing normal.  Since the chin tingling and facial numbness continued daily (and for many hours at a time) and migraines 2-5x a month, I followed up with my primary care physician (5/20), and saw a neurologist (5/21). MRI of brain and brainstem were normal so no real recommendations provided. As these issues persisted, new symptoms developed including fatigue, brain fog, confusion, and short term memory loss. My ability to concentrate in general, but particularly at work has been greatly effected, in addition to getting brain fatigue much earlier in the day. I've had to call out of work on numerous occasions due to these issues, including debilitating migraines, which I had no previous history with.   Mentally it's like someone turned a light switch. Everyday I?m facing brain fog, the inability to remember the simplest of things or concentrate for normal amounts.   Before I could tell you what I did on a random day within the last 2-3 years. I could remember the most specific details. Numbers from work from months before. Now, the forgetfulness has gotten out of control; I locked myself out of my apartment more than two dozen times in the course of 8 months, when I had only ever done that once before. About 10x a day I have fleeting thoughts that I go to take action on ? like look something up on my phone, do something personally or professionally, tell someone something, and it takes me a very long time to remember what I was doing, if I?m even able to recover it.   Concentration levels are not what they used to be ? before I could work 14-hour days (not that I like to do with regularity) but I can handle 5, maybe 6 hours of work. When (Privacy) requires more, I make mistakes. I cannot stop and go like I used to. I can?t accomplish meaningful work between meetings, and I usually cannot concentrate on anything past 4pm. Having the ability to work a full 8-hour day of concentration is rare.   When I get migraines (2-5x a month), I?m off my feet and can?t do anything, look at anything, listen to anything. I basically have to go to bed to heal. Feels like my brain is swollen and too big for my skull and it lasts hours (~3-5). After bad migraines I feel almost hungover/out of sorts for days. The last thing to note, is when I wake up most days, I am often confused about what day it is, where I am, sometimes it takes me a minute to remember who I am. Also I feel weird nerve/brain activity, like my brain needs/wants more time to recover and doesn?t want to wake up.   Physically, I had always been very active,  I used to constantly be on the go, doing yoga, pilates, long fast paced walks, hikes, paddleboarding, etc. It ebbed and flowed a bit due to multiple shoulder dislocations, but I generally felt good physically and mentally. Once I got the second vaccine, my energy levels went way down. Exercises I used to do with ease took a lot of energy from me, in addition to me feeling weaker and out of breath easier. My exercise at the moment is limited to 2-3 walks daily with my dog, each is at least a mile(3+ miles on a good day). Sometimes I do light yoga but nothing like the frequency before due to constant lethargy / low energy.   Sharing medical meetings / tests / and treatments below: May 12 - Urgent care ? CT SCAN HEAD OR BRAIN  ? URINE PREGNANCY TEST ? CALCIUM ? MAGNESIUM ? BORRELIA BURGDORFERI ANTIBODY ? CBC (COMPLETE BLOOD COUNT) ? WHITE BLOOD CELL DIFFERENTIAL ? CHEMISTRY PANEL ? EKG 12 OR MORE LEADS W INT & RPT May 20 - Primary Care Physician   May 21 - Neurologist  ? MRI BRAIN AND BRAINSTEM Aug 5 ? started acupuncture with to cope with symptoms Aug 20 - Acupuncture  Sept 21 - Acupuncture  Oct 8 - Acupuncture  Oct 15 - Requested Neurology Appointment Nov 3 - Acupuncture  Nov 18 - Acupuncture  Nov 22 - Requested blood tests  Dec 6 - Acupuncture Dec 6 - Blood Tests (all normal except positive ANTINUCLEAR ANTIBODY, IFA and Speckled Antinuclear Antibody Pattern) ? DOUBLE STRANDED DNA ANTIBODY  ? SARS-COV-2 (COVID-19), MOLECULAR ASSAY, NAA/PCR  ? VITAMIN B12 (COBALAMIN)  ? ANTINUCLEAR ANTIBODY TITER AND PATTERN  ? THYROID STIMULATING HORMONE  ? BORRELIA BURGDORFERI ANTIBODY  ? LIPID PANEL  ? GLUCOSE  ? ASPARTATE AMINOTRANSFERASE (AST)  ? ALANINE AMINOTRANSFERASE (ALT)  ? METHYLMALONIC ACID  ? ANTINUCLEAR ANTIBODY  ? CHEMISTRY PANEL ? AM CORTISOL ? CBC (COMPLETE BLOOD COUNT) Dec 10 ? Neurologist (he retired this day) all additional tests below normal/negative ? SJOGREN SYNDROME A ANTIBODY (SS-A) AND SJOGREN SYNDROME B ANTIBODY (SS-B)  ? SERUM IMMUNOFIXATION  ? ANGIOTENSIN CONVERTING ENZYME  ? CREATINE KINASE  ? C-REACTIVE PROTEIN  ? EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY  Dec 14 ? Started working with an anti-inflammatory nutritionist as discussed with neurologist Dec 17 ? Primary Care Physician  Dec 17 ? Rheumatologist ? - symptoms don't identify as any known autoimmune diseases - ordered new tests ? SCLERODERMA ANTIBODY PANEL ? EXTRACTABLE NUCLEAR ANTIMMUNOGLOBULIN (ENA) ANTIBODY PANEL Dec 27 - Acupuncture  Jan 12 - Acupuncture  Feb 1 - Acupuncture   Elimination diet has slightly helped but if I eat anything that is slightly inflammatory (gluten, sugar, dairy, etc) all my symptoms return.   Please note that on item 21 I am selecting disability as I feel I have not been able to live a normal life since this began. I even left the city I lived in for nearly 8 years to move back in with my parents for support after living on my own for 14+ years.