Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Polyarthritis, Pyrexia, Rash erythematous, Rash morbilliform
Clinical narrative: On 1/21/21, approximately 59 hours after I received the Pfizer\BioNTech COVID19 Vaccine #2 without any immediate adverse events, I woke up in the middle of the night with subjective fevers, sweats, chills,  generalized weakness with dizziness and feeling faint, nausea, diarrhea, and severe pelvic/lower abdominal pain (though I was also in the process of starting my menstrual cycle).  I also vaguely noticed an erythematous rash on my chest and abdomen at that time.  I took a dose of ondansetron for nausea and acetaminophen for pain.  Later that morning (1/21/21), I continued to have generalized weakness, subjective fevers and chills, extreme fatigue, nausea, and a morbilliform-type rash most prominently on my torso (chest, abdomen, back) and some areas of my upper arms and thighs, as well as bright red and hyperemic palms and soles that had a prickly sensation throughout.  I no longer had abdominal pain, but did have significant polyarthritis with difficulty moving my joints without pain.  This included my knees, elbows, ankles, wrists, as well as fingers/hands especially.  My fingers and toes felt very swollen and I had trouble putting my normal enclosed shoes on.  I took ibuprofen and Tylenol during this time for symptom control.  Later I added diphenhydramine, loratadine, and famotidine.  These symptoms waxed and waned in intensity for at least 8 days with continued spread of rash, extreme fatigue, ongoing joint pain, and subjective fevers.  The only measured fever was on 1/23/21 when I had access to a thermometer - my oral temperature was 100.7F if I recall correctly.  I never had any respiratory symptoms. On 1/29/21 I saw Hospital Allergist Dr in order to participate in a research study on adverse vaccine reactions; I did not have a formally documented medical appointment with her for my medical records.  By that time, my energy level was slowly improving and I was able to return to work.  My arthritis symptoms had nearly fully resolved, however, my rash had gone from not particularly bothersome to very diffusely pruritic.  I began to take cetirizine for symptoms instead of loratidine. In addition, the skin along my L palm began to slough and peel off, most notably in the webspaces between my thumb and index finger bilaterally and the tip of my L thumb and L ring finger.  These areas of my palm had the most notable peeling and sloughing around 2/2/21 and by 2/7/21 my R palm was also peeling in similar fashion to the L.  On 2/11/21, I noticed that the skin along my L sole, particularly between all five digits had begun to peel quite markedly; large connected pieces of skin were sloughing off.  The sloughing on the L foot spread from between the toes and the ball of the foot to the arch and then the heel over several days.  On 2/14/21, the R foot/sole began having the same findings, with large amounts of sloughing first between the toes and then extending to the ball of the foot, arch, and ultimately the heel.  Some sort of foot/sole peeling continued through the final week of February 2021 and into early March.