Age: 36.0
Sex: F
Vaccine: COVID19-2
Symptoms: Palpitations, Paraesthesia, Presyncope, Sinus pain
Clinical narrative: She got her vaccine, about 15-30 minutes later she was having what she would describe as an anaphylactic reaction of tingling and pain up from her jaw to her inner ear, and feeling dizzy like she was going to pass out.  Kind of out of it, and having heart palpitations due to anxiety and nervousness and was also driving.  She had a similar reaction the previous year from the booster and it went away and felt that she was going to be fine.  She took her daughter to basketball practice, went home and went to bed.  The next day she had the normal body aches and chills, but nothing out of the ordinary of any of the other vaccines.  Those resolved by probably Sunday.  Then the next Monday on 11/14/22 that she went to work, was feeling very brain fog, still the pain through her upper jaw/inner ear, feeling very confused, dizzy.  She is a teacher so she told the school nurse how she was feeling and felt that she needed to go to the ER.  They did blood work, tested for POTS, Lyme disease, did an EKG and everything came back normal.  They gave her a heart monitor to make sure it was not the case and sent her home.  She dealt with brain fog/dizziness/pain in the jaw for 2 more weeks until holiday break.  She spent the week at home, and the next Monday night she was still having the brain fog so she went to the ER once again, blood work and EKG came back normal once again.  The doctor said that he did not see any trauma, nothing wrong with her heart and that she could go home.  She told him that she needed help and asked some questions about the shot, and asked if it could be inflammation and had seen her PCP that it could inflammation from the vaccine.  He gave her a prescription for Celebrex 200 mg twice daily for 7 days.  She took that and it did alleviate the brain fog and the injection site pain.  The PCP felt it was common of what they were seeing for vaccine reactions that it caused inflammation and to continue on the Celebrex if it was working.  She asked if it didn't work after the 7 days they told her that they could give her 7 more days worth.  The ER doctor had also given her Meclizine for dizziness, but did not take it.  The Celebrex was prescribed on 11/29/22.  When she came off of it she was still having the pain from her jaw to inner ear and her sinuses.  She called doctor to get another 7 day supply and it took about 4 days to get it, and was probably on and off of it for a course of 20 days.  She went back to her doctor on 12/16/22 and she did another EKG and inflammation markers blood work.  The inflammation markers came back negative, and stopped the Celebrex and started her on Prednisone and Doxycycline thinking it might be a lingering sinus infection from prior to the vaccine.  On  Saturday morning about mid-day she had a heart event, palpitations and pulse rate above 160 and could not get it down to 120 through the entire day.  She went to the ER at 8:30 that evening, they did blood work and that she was not going to die, did blood work and EKG and told her to stop taking the prednisone and Doxycycline.  She called her PCP's office and told them what happened in the ER and they told you stop taking the Prednisone but continue the Doxycycline.    She took the Doxycycline from 12/19/22 to 12/22/22, was having constant heart palpitations and stomach issues and on 12/22/22 she told her doctor that she could not take it any more and she stopped the Doxycycline and made her an APT for 12/29/22.    She did have an echocardiogram on 12/23/22 to check for myocarditis and has not gotten the results for that yet.  She is still having injection site pain, traveling up to her shoulder, and the pain in the back of her jaw and through to her sinuses is still present.  Her heart has stopped palpitating.  She had really bad chest pain yesterday, but thinking it was mostly from having so many palpitations in a week that it was really sore.    She did have COVID last May, mild case of it.  Also had flu vaccines and no AE from those.  First two vaccines no reaction other than typical symptoms.