Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Nasal congestion, Nausea, Nerve conduction studies normal, Palpitations
Clinical narrative: EXTREME FATIGUE ESP IN BACK, STUFFY HEAD, HEAVY EYES, FELT LIKE VIRUS. Waited 11 days with no improvement.  3/9/21 Video visit with Dr., rec Covid test which was negative. 3/11/21Video visit Dr., 3/12/21 Office Visit Dr., thought maybe sinus so went on antibiotics. No change. 3/20, 31 Office ordered blood tests- (4/4/21) referred to immunology 3/23/21  Endocrinology Dr.  all blood work normal 4/2/21 Video visit Dr., immunology-ordered tests 4/6/21 Office visit Dr.    4/15/21 Office visit Dr. Tests for many diseases, turning out negative HEAVY FEELING IN EYES, ESPECIALLY L, HEAD NOT STUFF Additional information for Item 18:  LAYING DOWN ABOUT 6 HOURS PER DAY; SLEEPING 10 HOURS PER NIGHT LOSS OF APPETITE WHEN EXTREMELY FATIGUED  Explained in 4/6/21 office visit to Dr. IN MIDDLE OF NIGHT HAD BURNING/PRICKLING SENSATION START ON INSIDE OF L UPPER ARM, SPREAD ACROSS CHEST AND BREASTS/NIPPLES TO OTHER ARM UP TO THE ELBOW. This eventually waned and would come and go over the next month. Then at times there was  PRICKLING SENSATION ON UPPER CHEEKS, BACK OF HANDS AND FRONT OF FOREARMS that would come and go. All tests being done were normal.  STANDING STILL MORE FATIGUING THAN MOVING-Kept trying to do short bike rides as I was extremely active and very fit. CONSTANTLY MEASURING ENERGY INPUT AND OUTPUT--IE TAKING A SHOWER = 45-60 MINUTES LAYING DOWN AFTER, CLEANIG UP KITCHEN = 30, minutes EXERCISE SUCH AS A SHORT BIKE RIDE OR WALK=3 hours  NEEDING TO LIE DOWN IMMEDIATELY WHERE EVER I WAS- SITTING DID NOT TAKE CARE OF IT--ALMOST LIKE ALL THE FATIGUE HAD TO DISTRIBUTE THROUGHOUT MY CELLS--THIS WENT ON FOR MONTHS-RESOLVED NOW AT 9 MONTHS POST AND SITTING WILL HELP  4/15/21 VIdeo visit Dr.  sometimes thought I was getting better- HEART AND PULSE OFTEN RACING, SOMETIMES MILDLY NAUSEOUS  4/22-26/21 traveled - needed REST but did OK-came home and NEEDED TO LIE DOWN FOR ABOUT A WEEK-RELAPSED 4/29/21 Office Visit Dr.  follow up-rBACK PAIN-TINGLING BOTH SIDES   asked about antidepressants Went on Antidepressants for 2 days-HUGE INCREASE IN BLOOD PRESSURE, COULD NOT EAT , CRYING, FELT WORTHLESS, SCARED Then went off, Kept BP record for a month after that and BP WAS WITHIN NORMAL RANGE DAILY.  Thought I was getting better MAY--started keeping daily journal where I rated physical and mental health 5/7/21 had lumbar spine imaging--turned out normal 5/13/21  Dr. follow up referred for cardiology as still not getting better 5/14/21 Dr. -- heart workup including wearing a monitor for a week--all normal 5/27/21  Dr.-fFELT I WAS STARTING TO GET BETTER BUT AT ABOUT 30-40 % OF MY USUAL  JUNE -Getting better but still BURNING in upper body, back and face at  times but back much reduced.  still LYING DOWN 4-5 HOURS PER DAY 6/21/21 VERTIGO started and remained OFF AND ON  for about a month  DIZZINESS UPON STANDING; HEART RACING UPON LAYING DOWN 7/11/21 Dr. for questions re vertigo 7/22/21 Dr. Neurology- I almost canceled as I felt I was getting better- 7/25/21 Very alarmed as while standing in the kitchen THIGHS FELT LIKE THEY WERE FILLING UP-LASTED FOR A FEW HOURS, GOT BETTER FOR A FEW DAYS AND THEN CONTINUED OFF AND ON FOR THE NEXT MONTH--MOVED INTO MY CALVES AND EVENTUALLY BOTH THIGHS AND CALVES TWITCHED  8/5/21 Muscle and nerve study in Dr. office--all normal 8/19/21 Brain scan--normal 9/7/21  Dr. Endocrinology--stated there is nothing physiologically wrong with me--I disagree-would say that no one has found what is wrong with me-still LYING DOWN 3-4 HOURS PER DAY but getting better overall--no other symptoms except fatigue  9/21/21 Finally able to see my primary Dr. to review  10/12/21 Last episode of having to LIE DOWN IMMEDIATELY-ONE THE PREVIOUS WEEK WHILE EATING   NOVEMBER-FEELING ALMOST NORMAL SINCE MID OCTOBER ! BUT NOT BUILT UP ENDURANCE--LYING DOWN  3 HOURS A DAY UNLESS I RIDE MY BIKE OR TAKE A LONGER WALK WHICH REQUIRES ABOUT 4 -5 HOURS TOTAL IN THE DAY DESPITE WHAT ANY RECORDS SAY I ALWAYS FELT I HAD STRONG MUSCLES. PEOPLE JUST ASSOCIATE FATIGUE WITH WEAKNESS AND I NEVER FELT WEAK. ALSO ALWAYS FELT MENTALLY ALERT.