Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Periorbital swelling, Photophobia, Sleep disorder, Tremor
Clinical narrative: 6/23/2020 6:25 AM: got Pfizer Covid 19 vaccine in left arm, nearly immediate soreness in arm within a couple minutes which progressively got more sore throughout the AM. 2:30 PM: body aching all over, feeling very tired and low energy, took 600 mg Ibupforn to help with pain. 2:45 PM: applied ice to Left shoulder x 10 min. to help with soreness (didn?t help)  3:45 PM: seemed like Ibupforn helped some but for less than 30 min, now pain already as bad as before I took the medication.  Eyes burning, headache increasing 5:45 PM: sensitivity to light when driving home, found myself squinting and watching the white line on the side of the road more than usual because lights of oncoming traffic was bothering my eyes. Eyes burning. Still have headaches and moderate level of body aches all over. 7:30 PM: tired, just went to bed early. Fell asleep around 8 PM. 9:15 PM: woke up with severe pain, could barely move my left arm. Took 600 mg Ibuprofen. Body shaking and tears running down my face due to severe pain in my entire body especially in back, arms, neck and headache 9:45 PM: no improvement with Ibuprofen, constant body shakes from pain since 9:15. Took a Norco (which I had left over from a knee surgery > 2 years ago), in attempt to decrease the pain and also took Melatonin (which I don?t normally take) to try to get some sleep.  About 20 min. after taking Norco body shaking stopped and pain was more bearable but still severe all over body. 10:30- after midnight: off and on applied ice packs to back, head, arms, neck to attempt to help or numb the pain.  Barely got any sleep, waking up frequently due to pain. 6/24/2020: 6 AM: got up to get ready for work but was very sensitive to light, watery eyes, very puffy eyelids and under eye area to the point I was unable to fully open either eye. Eyes burning. Called my boss at work to let her know I wasn?t sure how I was going to handle bright lights at work could barely keep my eyes open in a room with the light on.  She told me to stay home and contact Employee Health.  I followed instruction and left message with Employee Health.  I also tried taking 1 tablet generic version of Sudafed PE to see if that would help with watery eyes and headache.  10 AM: Employee health representative, (a nurse) spoke with me & said it sounded like a systemic response to vaccine. Recommended I inform my PCP, continue taking Ibuprofen and try Benadryl for puffy, watery eyes.  Followed instruction called PCP office which was closed and only had an option to leave a message for the doctor in case of emergency.  Thinking it was not an Emergency I didn?t leave a message.  Called employee health back. They recommended going to Urgent Care if symptoms worsened. Told me I should ask PCP about taking the 2nd dose of the vaccine or not before taking it. 2 PM: took 400 mg Ibuprofen again about 1 hour ago and 1 tablet of Benadryl, less puffy eyes but still some sensitivity to light. Back and arm pain 3/10 or so with medication.   Eye less puffy and watery.  Decreased swelling of eyelids.  Feeling like I?m starting to improve. Still pretty tired and low energy. Laid in bed most of the AM but moving around more this PM and can tolerate being in room with lights on.  Mild eye burning persists.