Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sinusitis, Viral infection
Clinical narrative: I got my second Pfizer booster for COVID-19 on 4/6/2022. On 5/20/2022, I caught a virus, but it was not COVID-19. I then developed a secondary bacterial sinus infection with bronchitis. Over the holiday, I went to an urgent care clinic, and the NP prescribed doxycycline (6-day course), benzonatate (to use as needed), and an albuterol inhaler. The symptoms improved while I was on the doxycycline. However, about 3 days after the last doxycycline pill, the sinus infection and cough reappeared. On 6/14/2022, I had a telehealth appointment with my PCP. He told me I needed a stronger antibiotic to take for a longer period of time, so he prescribed Augmentin (875 mg), which I was to take twice a day for 10 days. I then began to feel better for a while. On 6/25/2022, I went on a trip abroad. While I was on vacation, I began to feel worse. I had the same symptoms as I did previously.  On 6/28/2022, I also developed chills, rigors, fever, and sweats, which I had never had before with the aforementioned current illnesses. I called my doctor while I was on vacation, and he recommended that I see an otolaryngologist, because there was nothing else he could do for me. I then called my ENT and arranged for an appointment on 7/5/2022. It was around this time that my ears became clogged; at the time of this writing, I have a great deal of difficulty hearing. On 6/30/2022, we returned home from vacation. On 7/1/2022, my husband took an at-home test for COVID-19, and the result was positive. Within 15 minutes after he got his result, I also took an at-home test and also got a positive result. On account of my COVID-19-positive status, my appointment with the ENT has had be rescheduled for 7/14/2022. Since I was unable to see a doctor for the treatment of my sinus infection, bronchitis, ear congestion, and COVID-19, I ended up going to the ER on 7/3/2022. At the ER, a chest X-ray was performed, and my lungs were clear.  An EKG was also performed, and the results were normal. I explained my situation to the ER doctor, and I was prescribed another 10-day course of Augmentin. I was also given dexamethasone, which has really helped clear my sinus passages. As a result, my coughs and my nose blowing are now more productive. However, I still do have the sinus infection, ear congestion, a deep cough, and chest congestion. On 7/6/2022, I woke up with conjunctivitis in both eyes, with the right eye being the more affected. I called my PCP, and he prescribed me ciprofloxacin. I have at this point only used it a few times, but I am seeing improvement. However, the mucus I expel maintains a greenish color with pus. My ear congestion and loss of hearing still persists. My sense of smell at the time of this writing is tenuous. I have lost 12 lbs. since 5/20/2022, because I've lost much of my appetite. I'm also very fatigued; I'm normally a very active and energetic person, but at this point, I usually have to rest frequently throughout the day. I've also been sleeping 12 hours at night, but whenever I get out of bed, I can easily migrate to the sofa and doze off again.