Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Injection site hypersensitivity, Injection site pain, Insomnia, Lethargy
Clinical narrative: 10/29/2021 12:00 a.m. ? Menstrual cycle began 10/29/2021 8:00 a.m. ? Took 50mg Vyvanse 10/29/2021 12:00 p.m. ? Received Pfizer booster vaccine in upper left arm. No pain noticed.  10/29/2021 8:00 p.m. ? Left arm at site and surrounding area is sore and sensitive. 10/29/2021 11:30 p.m. ? Began experiencing symptoms associated with an ocular migraine. Sensitivity to false light, TV and phone screen, motion sickness, nausea, headache.  Began experiencing malaise, excessive tiredness. Left arm continued to ache. 10/30/2021 1:00 a.m. ? Excessive tiredness, feeling of general unease, ocular migrane has worsened, motion sickness has worsened, nausea has worsened, ache in left arm the same. 10/30/2021 2:00 a.m.-3:00 a.m.- Woke up repeatedly with odd dreams, left arm pain, discomfort in back muscles, general feeling of unwellness, issues staying asleep, general discomfort. 10/30/2021 4:00 a.m. ? Woke to excessive shaking and shivering, fever at 99.5°F, excessive back muscle cramping along upper, mid, and lower back, skin sensitivity. Injection site on left arm showed increased pain that is shooting towards the shoulder blade. General unease. Dizziness. Issues concentrating. Nausea. Took 2 Tramadol for pain, fever, and sleep. Location of kidneys were extremely painful and uncomfortable.  10/30/2021 8:00 a.m.- Woke up with extreme soreness along entire back. Location of kidneys were very sore, painful, and uncomfortable.  Extreme malaise. Dizziness. Nausea. Dizziness and nausea worse upon moving too quickly or watching movements. Difficulty looking at false light, TV and phone screens.  Difficulty staying awake.  Decreased appetite. Fever did break. Difficulty in concentration.  10/30/2021 10:00 a.m. ? 8:00 p.m. ? Consistent fever never reaching over 99.8°F (took 3 200mg Ibuprofen with each fever spike), skin sensitivity along with fever, body aches, soreness, left arm at injection site consistent pain which branched into the left shoulder blade. Continuous extreme malaise. No appetite. Dizziness. Nausea. Sensitivity to false light, TV and phone screens. Dizziness and nausea worse upon moving too quickly or watching movements. Issues staying awake. Lethargy. Difficulty in concentration. At times felt confused.  10/30/2021 8:30p.m. ? Soreness in left arm causing issues in movement of arm.  Unable to lift arm past waist. Unable to use full motor function of left arm. Soreness in upper left arm and left shoulder blade.  10/30/2021 10:00 p.m.- Unable to stay awake, continued dizziness, nausea. Dizziness and nausea worse upon moving too quickly or watching movements. Difficulty looking at false light, TV and phone screens. Fever at 99.8°F (took 3 200mg ibuprofen), skin sensitivity along with fever, body aches, soreness, left arm at injection site consistent pain which branched into the left shoulder blade to elbow.  10/31/2021 8:30 a.m. - Extreme soreness in back and hips.  Issues transitioning from a sit to stand or stand to sit position. General lethargy.  10/31/2021 10:30 a.m. - Soreness lessened in back but remained an issue in hips and lower back. Issues transitioning from a sit to stand or stand to sit position. Appetite began to come back. Menstrual flow increased. Took 50mg Vyvanse. Felt more energy. Less dizziness and less nausea. Able to look at phone and TV with out feeling sensitive to it. No fever recorded. 10/31/2021 6:30 p.m. ? **Did general activities all day that were low impact** Began feeling lethargic. Slightly sore in lower back and hips. Motion sickness. Slight sensitivity to unnatural lights, TV and phone screens.  Some nausea. Some dizziness. General feeling of unwellness. Left arm injection site began to become sore under the arm towards the breast tissue.  10/31/2021 9:00 p.m. ? Dizziness and nausea began to steadily increase. General lethargy and malaise increased. Left arm injection site sore under the arm towards the breast tissue.   11/1/2021 12:00 a.m. - Dizziness. Nausea. Sensitivity to false light, TV and phone screens. Dizziness and nausea worse upon moving too quickly or watching movements. Unable to concentrate on anything for short or long periods of time. Left arm injection site sore under the arm towards the breast tissue. General feeling of unease. Chills.  11/1/2021 5:45 a.m. ? No definitive soreness noticed in back.  Some soreness in left arm. No feeling of unease. No feeling of dizziness or nausea. Was able to look at TV and phone screens.  Was able to look at unnatural light. 11/1/2021 8:00 ? Dizziness and nausea returned. Pain in lower pelvis. Menstrual flow increased heavily. Bleeding currently free flowing and bright red with occasional clots the size of a quarter. Increased inability to focus. General feeling of unease. Increase lethargy.  11/1/2021 9:45 - Took 50mg Vyvanse. Left shoulder and shoulder blade pain increased. Burning sensation when flexing the shoulder and shoulder blade muscles or lifting left arm. While in a constant sitting position, decrease in dizziness and nausea. Menstrual flow is consistently heavy and free flowing.