Age: 29.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Impaired driving ability, Impaired work ability, Laboratory test normal, Loss of personal independence in daily activities, Migraine
Clinical narrative: On 9/17/21 I was positive for Covid-19. Once most side effects were gone I was left with no taste/smell and I experienced slight problems with sounds and lights causing minor flashes of dizziness that were manageable until I received my vaccine. On 1/18/22 I had my first dose of the Pfizer Covid-19 vaccine. From this point until my second dose my sensitivity to lights and sounds got worse, causing more frequent dizziness. This was still manageable and didn't alter my day to day activities. On 2/08/22 I received my second dose of the Pfizer Covid-19 vaccine. On 2/10/22 I started to get symptoms of light headedness that got progressively worse until my vertigo attack, on 2/15/22. This lasted for several hours with a continuous migraine. I also had fullness of the ears especially present in the left ear, the side I received the vaccine in. Ever since then until present day, 3/27/22 I have had a constant headache on the temples, fullness in my ears, and dizziness. The symptoms get worse with the presence of; lights, sounds and even slight movements and motions, causing my daily life to be abundantly hindered. I also have a constant feeling of nausea , although I have found some relief with my new Chiropractor. I am unable to drive or work due to the symptoms. I went to my family doctor on 2/16/22 where I was prescribed Antivert, Flonase and got blood work done. Antivert helped when vertigo was present, but not prevent it. Vertigo, dizziness and the lingering migraine were still present. My blood work results came back within the normal ranges and nothing was out of the ordinary, still no explanation to my symptoms. On 2/18/22 I went to a local Audiologist to have my hearing tested, the clinician stated everything was within normal ranges, besides some hearing loss in the left ear. Their office referred me to Otolaryngologist, for further testing, and suggested I talk with my Family Dr about Meniere?s Disease. On 2/22/22 I had my second visit with primary care Doctor who referred me to Physical Therapy for BPPV. On 2/26/22 the second vertigo attack occurred this time for about an hour again with a constant migraine. On 2/28/22 I had Physical Therapy for BPPV, all tests came back negative. The Physical Therapist suggested I take Claritin to see if that cleared anything up. The Claritin did not do anything. On 3/1/22 I had my third primary care visit. This time I was prescribed a 5 day trial of Prednisone. On 3/1/22 I went to an Optometrist to rule out a problem with my vision. My vision had not changed since my last exam, three years prior. On 3/2/22 I had my third vertigo attack that only lasted maybe 40 mins, with a migraine present yet again. On 3/3/22 I had my first chiropractor appointment. From the X-Rays taken at the office, they stated my neck was off to one side which could be adding to the migraines. From this day forward, I haven?t had a migraine or the constant nausea. On 3/8/22 I saw my neurologist about my constant headache and dizziness symptoms. He had blood work done for my Dilantin levels and told me to take ibuprofen for a week and see how I feel. Blood work came back low for Dilantin so that wasn?t the cause and Ibuprofen stopped the headache mostly but not the dizziness. At around the four hour mark, both symptoms were back to being constant. On 3/15/22 I had my second Neurology visit. I was prescribed Inderal LA and told if this doesn?t help we will schedule a MRI. The Inderal LA gave me tightness of the chest and tingling of the face so this medication was only taken for a week. On 3/23/22 Otolaryngologist tested hearing again, confirmed hearing loss in left ear, prescribed me stronger dosage of Prednisone and Nortriptyline Hydrochloride. If this doesn?t fix the fullness in ears will have to go with steroid shot in the left ear. The rest of my appointments are currently ongoing and waiting to be scheduled.