Age: 49.0
Sex: F
Vaccine: COVID19-2
Symptoms: Immunodeficiency, Irritability, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: I received the Moderna Bivalent booster for COVID-19 on 9/10/2022. On the morning of 11/11/2022, I woke up with a scratchy throat. I gargled with some salt water to soothe it. I then ran some errands and was sure to mask when I went out. On 11/12/2022, I woke up feeling fine and went to the gym. On the same day, I went to a pharmacy and underwent a PCR test, because my husband had tested positive on 2 at-home tests. While we awaited the results of the PCR test, I took an at-home test, which yielded a negative result. My husband then isolated in a separate part of the home. I took another at-home test on 11/14/2022, which yielded a negative result. I also got the results of the PCR I had taken, and it also yielded a negative result. I had a sore throat, and it wasn't getting better. I also started to feel achy. I thought that maybe I just had a cold, since I had tested negative for COVID-19 and I wasn't feverish or congested. While I slept that night, I began to feel worse; I developed a little bit of chest congestion and a slight headache around the occipital area, from one ear to the other. At 11 AM on 11/15/2022, I took another home test and got a positive result. I then took another PCR test, so I could get into the clinic's system and obtain a telehealth appointment. I got a positive result on the PCR test. My condition rapidly worsened, and I worried that I would possibly have to be hospitalized, not only because I had COVID-19, but also because I am immunocompromised. On 11/15/2022, I had a telehealth visit with a doctor and was prescribed molnupiravir, which I started taking that evening. My symptoms rapidly got worse. I felt like I was burning up and had a fever of 100.8 the first time I took my temperature. Later that evening, I took it again and had a temperature of 100.9. I also had a chill I couldn't get rid of, along with body aches. I spent most the evening sleeping, because I was weak and fatigued. After I took the molnupiravir, I stayed up for a little while before going to bed. By the time I went to bed a couple of hours later, I began to feel better and I was able to sleep pretty well. Not only that, but I began to feel that maybe I wouldn't have to go to the hospital, after all. The next morning, on 11/16/2022, I woke up feeling weak. The chill and fever were gone, but I began to have nasal congestion, a runny nose, and sneezing. I had lost my appetite the day before, but my husband fed me juice and toast. I spoke to my PCP via telehealth that day, and she was fine with my taking the molnupiravir, which had been prescribed to me by another doctor. On the 11/16/2022, I had a bad night, because my nose was clogged and I was fussy. I was again afraid that I would need to be hospitalized, but my temperature was only 99 and my blood oxygen level was about 95%. I went to sleep on the couch for about half an hour. I then later went to bed and found a comfortable sleeping position and slept for about 6 hours. When I woke up on 11/17/2022, I was covered in sweat, but I felt less ill and like I had taken a positive turn. I also took OTC MUCINEX, which I think also helped, and I was able to sleep pretty well. I had a light breakfast of sausage, toast, and juice; I have been eating light meals, because although my appetite is returning, it's not completely back. I took my doctor's advice and began moving around. I did as many household chores as I could and rested when I needed to. At the time of this writing, I don't have a sore throat, though I do have chest congestion. My nose isn't running as much and I'm not sneezing as much. I'm also not feverish. My blood oxygen level was a little bit low (95%) when I took it earlier, but it reads low in the morning. At this point, I feel like I just have a bad cold or flu, but it's not as scary as it was in the beginning. My doctor has told me that my isolation should end sometime between 11/20/2022 and 11/22/2022, depending on how I feel at the time.