Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paranasal sinus discomfort, Sinus pain, Skin discolouration, Small fibre neuropathy, Temperature regulation disorder
Clinical narrative: Since having the Pfizer COVID vaccine on July 31, 2021, I have experienced and continue to experience the following symptoms: ? Tingling and burning sensations all over my body - regular palm burning (received diagnosis of Small Fiber Neuropathy ? Pain in my left arm where I received the shot ? Severe Insomnia ? Temperature control problems (get very hot)  ? Hives ? Pink under my skin in my arms, stomach, legs, and neck ? Stiff and pain in my neck ? Back cramping and twitching ? Ear fullness ? Glands in throat swelling ? Tinnitus (constant) ? fluctuates between mild to severe ? Ear pain and pressure ? Head pain and pressure ? Sinus pain and pressure ? Tightness in my throat and neck ? Acid reflux ? Thick postnasal drip  ? dry mouth ? Pale stools and loose Medical diagnosis up to this point (still waiting on lab results): Small fiber neuropathy Treatment: ? Vitamins ? Antihistamines ? Steroids ? Gabapentin ? Nasal sprays ? Diet change Medical Support: ? Primary Care Physician ? Emergency room ? Allergist ? Rheumatologist ? Neurologist ? ENT Rough timeline of when symptoms started. I continue to experience all the symptoms listed above and below at varying levels of intensity. July 31, 2021: 4/4:30 received 1st Pfizer shot ? sore arm right after shot August 1, 2021: 2:30/3:00AM woke up with tingling in arms, legs, hands, and feet Mon. Aug. 2nd: Tingling in arms, legs, hands, feet, tongue, and face. Tues. Aug. 3rd: Tingling in arms, legs, hands, feet, tongue, and face and experienced extreme fatigue  Wed. Aug. 4th: Tingling in arms, legs, hands, feet, tongue, and face and tongue and throat swelling Thurs. Aug. 5th: Tingling continues, tongue swelling, ears started to feel full Friday, Aug. 6th: Tingling continued throughout the day ears started to feel full, tongue and throat swelling. I was also noticing red/light pink color under my skin on my neck, arms, legs and torso. Sat. Aug. 7th: Tingling in arms, legs, hands, feet, and face continued but increased in intensity. I also had a mild headache extremely fatigued throughout the day. Continued to have light pink/red color under my skin on my neck, arms, legs and torso. Sunday, Aug. 8th: Tingling continued, felt extreme fatigue, fullness in left ear, headache, continued to have light pink/red color under my skin on my neck, arms, legs and torso. Monday, Aug. 9th: Tingling continued.  2/3:00PM felt swelling in face, ears, and throat. Continued to have light pink/red color under my skin on my neck, arms, legs, and torso. Tuesday, Aug. 10th: 12:45AM woke up to intense tingling/burning sensation in arms, legs, hands, feet, tongue, face and lower back, so went to the ER.  Given a referral to neurologist.  Throughout the day on Aug. 10th, I was experiencing an intense tingling/burning sensation throughout my body and cramping/twitching up and down my spine.  This pain continued throughout the day and evening and into the next day. Continued to have light pink/red color under my skin on my neck, arms, legs, and torso.  Wednesday, Aug. 11th: Intense tingling and burning all over and back cramping/twitching.  Felt like I was going to die. Continued to have light pink/red color under my skin on my neck, arms, legs and torso. Thursday, Aug. 12th:  Tingling/burning sensation decreased in intensity, but was having loose stools and feeling a tightening around my waist. Continued to have light pink/red color under my skin on my neck, arms, legs, and torso.  Aug. 13th-15th: Continued to have loose stools. Continued to experience the tingling/burning sensation but not as intense.  Aug. 15th notice loud ringing in my ears. Continued to have light pink/red color under my skin on my neck, arms, legs, and torso.  Aug. 16th: Stools were not loose anymore but light in color (yellow). Continued to experience the tingling/burning sensations (varied in intensity throughout the day and night but was worse at night).  Aug. 17th ? Sept. 3rd: The tingling/burning sensations continued. This sensation varied in intensity depending on the day and time of the day. Some days, I would experience the tingling and burning everywhere including my face and head and other days I would just feel it in my arms and legs. In addition to the tingling and burning, I was also experiencing tongue and throat swelling and ear fullness off and on as well as a light pink color under my skin on my stomach, arms, legs, and neck.   Sept. 3rd: In addition to all the symptoms listed above, I noticed more severe acid reflux and severe swelling in the glands in my throat.  Sept. 4th:  In addition to all the symptoms listed above, I was noticing a lot of pain and stiffness in my neck and back as well as intense pressure in my head. I was also starting to notice more severe acid reflux. By this point, every night I was waking up many times a night in a hot sweat and having difficulty sleeping.  To date (11.7.21) I continue to experience all the symptoms listed above at varying degrees of intensity. The symptoms that are currently most severe include: tinnitus, insomnia, swollen glands in my throat, head and sinus pressure, head pressure, regulating body temperature and tingling.  Other than the small fiber neuropathy, the doctors I am working with are not sure why I am experiencing all the symptoms I am experiencing.  The antihistamines are no longer working and seem to increase the symptoms.  I have recently just started the Gabapentin for sleep, but it also seems to increase a few of the symptoms.  The steroids increased the intensity of the tingling and burning sensations I am experiencing.