Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Headache, Impaired work ability, Loss of personal independence in daily activities
Clinical narrative: She got her vaccine, she started tasting the medicine first, and then her mouth got watery and started having little chest pains.   She waited the 15 minutes and left, and did tell the pharmacy lady her symptoms.  Her arm was red, and had a headache, but didn't think anything of it.  After 2 weeks she had a red arm, hot, shiny and swollen.  She went back to the store, and had the pharmacy lady look at it who told her she had an allergic reaction, take some Benadryl and go to her doctor.  She took that and went to her doctor as the symptoms did not go away.   She sent her to an allergy specialist.  She did blood work and went to the specialist and still taking the Benadryl.  It was kind of going away, but the rash was warm and he did allergy testing and told her that she had allergies to trees, grasses, etc.   During the time of waiting for the test results of the allergy testing she continued to have the headaches and her mouth started getting dizzy.  She thought maybe it was just allergies.  She was at work cutting hair and almost cut a child as she felt dizzy and fatigued and it gradually came on her.  She had to sit down for a while and that feeling did not go away.  Her boss told her to finish and she was about to cut a child and went to her car, and laid in the car all day as she could not drive home.  She was feeling that it was just some allergies.  Called her husband and went to a store within walking distance, and she was holding onto the basket and feeling dizzy and fatigued and was facetiming her husband and then she felt lost, did not know why she was in the store.  She didn't remember where the car was, and walked around for an hour not knowing what to do or why she was there.  She then sat down to try and get her senses and took something for her headache.  She got to the car and zoned out and tried to drive home and was not able to due to the dizziness and fatigue, but could not remember to drive and telling herself to push the gas and was only going about 5 miles an hour.  She called her husband and told him that she could not drive home, and stayed in the parking lot a little bit longer.  It took her 3 hours to get home, which was normally at 20 minute commute.   She went back to her PCP and told her what happened and told her that she did not feel safe, confused, watery mouth and headache.   She then ordered an MRI to see what was going on.  She then tried to get home again and had another episode and was not able to make it home.  She went to the ER and they ran a lot of tests, CT scan, x-rays and told her that all tests were normal.  He then looked at her and did a neurologic test and told her hat he could not send her home and told her that she did not look fine.  She told him that she did not feel safe, and was not able to function.  She gave him a description of how she felt, and told him that she has short term memory problems, and that if she is driving she does not realize that she is.  She was then admitted to the hospital and did 2 more  CT scans, an MRI, blood work and ended up having a neurologist see her, and told her that all her tests were negative.  It was even hard for her to walk and she had to see a therapist for that, and they put her on some medicine for the dizziness and fatigue.  She was in the hospital for 3 days.    She went back to the doctor on Monday and still having the symptoms, but the medicine did help some.  The doctor saw that she could not walk and fell over.  She called the neurologist again and did another blood tests to see if she had COVID prior to the vaccine and doubled up on the medicine for the dizziness which did help with that but the other symptoms were still there, but she was able to walk but not drive.   She had her go to another neurologist to do an MRI of the brain with contrast of the ear part, and she is to go to the doctor today for those results.  From 2/26/21 until now 5/3/21 she has been taking the medicine to function and be able to walk.  She tried to wean herself off the medicine but she is not able to walk and the fatigue comes back.  She still is not able to drive as the short term memory hits her and she forgets where she is and not able to keep up with the speed of the freeway and driving only 10 miles an hour.     She then called the doctor again as she was still having the episodes, she has not been able to work and was told that she probably had to see a neuropsychologist.   She also was filing out paperwork at one point and got a headache and was not able to fill out the paperwork correctly, and did not remember her 16 year olds information.  She is not able to return to work as the company she was working sold the company and she is not able to cut 2 haircuts a day without breathing hard and used to be able to cut 30 a day.  Her body hurts so bad that it feels like if you touch her skin it?s like she had a full work up.  Her doctor told her that she did not have COVID but her body is reacting as if she did.  She is also used to taking care of special needs and autism kids cutting their hair and is upset that she cannot provide for her family and used to work 7 days a week, 7 hours a day.   She is supposed to go to the neurologist today for the results of her MRI (while talking to me she could not remember why she was supposed to go to that doctor).   She was also having an episode and not able to speak to me, starting babbling.  I told her to take a deep breath and she did collect herself.  They are still trying to determine what is going on and why she is having these side effects which she did not have prior to the vaccine.  The tests results are showing that she is okay, but the doctors know that she is not.