Age: 70.0
Sex: F
Vaccine: PNC20
Symptoms: Photophobia, Pulmonary pain, Renal pain, Sensory disturbance, Tension headache
Clinical narrative: She got her vaccine, nothing at that point.  She did some errands and came home and did some chores and decided that she felt punky, slow and was going to relax.  She read a magazine for a little bit, turned on the TV and then things flared up.  The first thing was that she felt like somebody was squeezing was inside her chest, heart and lung area, caught her breath, could feel her heart flutter and be irregular and then ran up the back of her head.  At that point she got hot, so she decided to check her VS as she has pulse ox and BP at home, and they continued to change and get worse.  Her pulse rate went up to 123, and she was reclining on the couch and watching TV and it shot up.  The first time she took her BP it was 122/106, about 20 minutes later it was 161/101.  Then it dropped down a little and the pulse rate had dropped to 117.  She then felt like she got hit in the back of her head, a big knot, her ears starting ringing, her vision was blurry and felt like there was somebody running around with an ice pick.  It was different from her fibromyalgia pain.  It was in the back, lung area, lower right kidney area, and just all over.  Very uncomfortable.  During that time she had tightness in her chest, it was different.  She did have angina from a chemical thing several years ago, but this was a different type of discomfort.    She had called the doctor/nurses line and told the nurse what was happening, and she said that she would call her back.  She did CB and the doctor wanted her to go to UC, which she did.  At UC she said that she should have been sent to the ER.  She went to Hospital.  At the ER she was then admitted for a heart attack work up, and was admitted for 2 days and was released on Wednesday, 6/7/23.    When she first went to the ER she was taken for an EKG right away, but there was nothing too crazy to show.  She did have blood work done with the enzyme draw which was negative as well.  She was diagnosed with chest pain, not heart related, ruled out a heart attack.  It flared up post nasal drip which she had not been having as her medicine was keeping that under control.  Part of why they kept her was that she had such a bad headache, and when she would get up she was dizzy and wobbly so part of the observation  had to do with the intensity of the headache.  Once they ruled out anything that had to do with her heart they focused on the headache.  The headache has not still gone away 100%, but in the beginning she felt like somebody had hit her in the back of the head, but now it is sort of a banding across her forehead and feels tight.  Her eyes are still a little more light sensitive than usual.  They told her that if the headache had not subsided by this weekend to call the doctor on Monday and to take Tylenol as needed.  They felt that her reaction was an allergic reaction to the vaccine itself.   The headache is uncomfortable, but not a pain where she is not able to function.  The lights made the headache worse in the beginning, but not like it was.    The arm itself did not hurt at the injection site localized reaction at that area at all.    She was told that her lungs were clear but she would have some coughing spasms, which is why they felt it was more a reaction to the vaccine.  This has eased up but has not totally gone, but is staking Mucinex and using her inhalers and that is helping her.