Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tilt table test normal, Vascular pain, Vein collapse
Clinical narrative: Starting 04/23/2021, I got my period early and it was heavier than normal and lasted longer. This progressively worsened with each consecutive month until I was having an almost constant period. I went to ER in 07/2021 and they thought I might be in perimenopause and thought I should start the progesterone only pill or IUD; however, due to my history of BRVO I was reluctant to start it. They tested for other causes of menorrhagia and all came back normal including the uterine biopsy and hormone levels which contraindicated the perimenopause. In 10/2021, my doctor felt the progestin only pill would be safe even with hx of BRVO. So, I started it, but the period continued and at this point I was becoming anemic and I started taking a higher dose of iron daily. In early November, my dysautonomia symptoms started: heart palpitations, severe insomnia, body buzzing, costochondritis, pins and needles in extremities, left eye pain and burning, severe headaches, panic attacks, face flushing moreso on the left side of my face, GI spasms, night sweats, inability to sleep on left side or my heart would start racing and body buzzing would increase. All of my dysautonomia symptoms worsened if I laid on my left side (at this time I did not know I had dysautonomia). I saw my  PCP who said it was likely dysautonomia after seeing a cardiologist, the gastroenterologist and the electrophysiologist. They referred me to a dysautonomia specialist which I had to wait for. I started to see a nucca chiropractor to treat my upper cervical spine and I started seeing an acupuncturist and a naturopath which helped tremendously as long as I went very frequently. Also, I saw a GI specialist who said I had borderline gallbladder issues. Also, I had at one point gotten gastroenteritis and 2 small hernias. Also, I developed issues with taking my blood where my veins would collapse and it would be painful. My PCP  switched the medicines from famotidine to omeprazole then back to famotidine. The naturopathic doctor put me on SAM-E, Acetyl-N-Cysteine, Vitamin C with Bioflavonoids, increased my Omega 3s and my acupuncturist put me on prosymbiotic probiotics, Catalyn, Vitamin B-6 and Vitamin B12. After asking my doc, I started taking collagen peptides, turkey pail mushroom supplement and melatonin for my sleeping, and I increased my magnesium. I got put on prozac first then xanax but didn't tolerate either of them well. Taking all these supplements have been progressively helping. The menorrhagia stopped in 11/2021 or 12/2021. By 01/2022, my period returned to normal and has been normal since. The dysautonomia has gotten better but its still present. I saw the dysautonomia doctor on 04/29/2022 and he confirmed I had dysautonomia and that it was likely "post vaccine dysautonomia". He agreed that seeing the naturopath, nucca chiropractor and acupuncturist could reverse this and by the time I saw him my symptoms were already doing much better. I still get mini flare ups but they are improving. I have developed heat intolerance, and I still get heart palpitations and other symptoms I experienced previously but they are more mild and less frequent. I developed high blood pressure issues and high cholesterol issues; however, the high blood pressure issues improved as my symptoms improved. I have yet to check my cholesterol since the last time.