Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dyspnoea, Groin pain, Headache, Joint swelling, Loss of personal independence in daily activities
Clinical narrative: On 3/19/20 approx 2:30 pm Pfizer COVID vaccination.  Felt fine, no obvious side effects On 3/20/21, late afternoon, the following adverse reactions occurred: Back pain & spasms Right knee swollen and sore  Shoulder, clavicle, trapezius pain  Shoulder/Clavicle Pain: Sharp pain started in left shoulder joint, then moved a little further in to settle underneath my clavicle. Pain exactly like after abdominal surgery when they insufflate you with Co2 and your body develops that horrible, sharp pain under your collar bone and in your shoulder joint as you off-gas. From 3/20 to 3/27, the shoulder joint/clavicle pain was mild to moderate, becoming more intense when I lay down.  It kept moving up and down specific spots in my shoulder area, from the shoulder joint to the base of my neck and back again, not spread out through the whole shoulder area.  Shoulder pain level 1-4, so nothing compared to the level 8 of my back.  The shoulder pain was the least of my worries in comparison at the time. It seemed to be getting milder as my back pain subsided At 12:30 am on 3/28, I woke with excruciating stabbing pain in the middle of my left shoulder area, specifically halfway between my neck and my shoulder joint.  Pain level 8.  The pain gets worse when I inhale.  The pain moves from the middle of my shoulder/clavicle area to the base of my neck, and back to the shoulder joint.  It continues to travel up and down my shoulder area and makes it very hard to breathe as it?s so painful to inhale at 7:30 am on 3/28, the pain started snaking down the front of my chest towards my heart and up my neck into the left side of my head.  I now have a mild pulsing headache on the left and sharp stabbing pain in my heart area and down the ribs on that side, as well as the sharp pain in the middle of my shoulder/trapezius area.  The left side of my head feels heavy  Using my left arm and lifting my head from the pillow intensifies the pain.  Inhaling, Leaning forward to put on socks, leaning forward to clean the litter box, hiccuping, burping, going to the bathroom??..anything that requires abdominal pressure or pressure to the top of my body, like leaning over, intensifies the pain incredibly. . 9:30 3/28 ? pain has settled in mid clavicle region and has dropped to pain level 6  3/29 ? pain pretty much the same as on 3/28.  I was able to get some sleep by sitting up in my recliner?.lying down increases the pressure in my shoulder/clavicle region, thus intensifying the pain incredibly so I can?t inhale without intense pain and can?t sleep. Cleaning the litter box, putting on shoes or socks, going #2, hiccuping, taking a deep breath?..all cause incredible sharp pain at mid clavicle?.level 8.  Lying down brings the pain to the front of the clavicle, sitting upright or standing moves the pain more towards my trapezius. I want to make clear this is not a muscle pain?.I haven?t strained or sprained any muscle and this is not that.  I?m not sure what this is?..possibly a nerve pain?  Feels exactly like off-gassing from Co2 insufflation, only more intense.  Something to do with my abdomen? 3/30 ? pain seems to be a little less intense.  Still had to sleep with my upper body elevated last night, but I was able to sleep.   3/30 ? 10:15 pain is less?.I?m able to inhale at level 5 instead of 8. 3/31 ? Pain much less, level 3 overall and staying put at center clavicle 4/1 ? 10:15 Sudden, Sharp, stabbing pain moved from center clavicle to shoulder joint and then moved down my left side and over into my abdomen below my ribcage.  Worse on left side, but reaching across mid abdomen and mildly into the right side.  Level 6 11:15 pain in abdomen subsiding, shoulder joint pain level 3 4/2-4/7 ? clavicle/shoulder pain improved each day, fluctuating between pain level 1-3.   4/8 ? clavicle/shoulder pain has almost resolved itself.  Pain level 0-1  Back Pain: On 3/20 -  lower back sudden excruciating pain, radiated to right hip on Sunday, then switched to left hip on Monday and Tuesday.  Also right groin painful.  Pain level 7 Tuesday night 3-23 ? pain moved from lower back to mid back with bad spasms.  Pain level 8.  Fever 99.9. pain also in left groin & lower abdomen today. Weds morning 3-24 ? pain has lessened in mid back somewhat, but is much worse on right side center back.  Still having spasms.  Pain level 7, 8 when I engage back muscles at all.  Leaning forward, sitting, standing, and wiping extremely painful.  It?s slightly better when lying down or in anti-gravity chair.  Fever 99.9.  pain has also moved to under my ribs on right front and more into my abdominals.  Thursday morning 3-25 ? pain has lessened somewhat overall, but has spread more fully across my mid back, so both sides of my mid back are painful.  Sharp pain in right side isn?t as bad, but now I have a sharp pain snaking down from mid back toward lower along the right side spine.  Fever has broken.  Pain level 6-7.  Groin and abdominal pain much less 3/25 ? Saw my Spine Dr. She agrees that this is an adverse reaction to the Covid vaccination.  Prescribed muscle relaxers to help with spasms. Evening 3/25 ? pain horrible across my mid back, wrapping around my rib cage, snaking down along my spine. Pain Level 8 3/26 ? pain and spasms bad upon awaking, but began to subside mid morning.  Pain level reduced from 8 to 5 over the course of the day.  By evening, pain level reduced to 4 and stabbing pains almost gone when moving and breathing. 3/27 ? mid back, ribcage, groin and abdominal pain almost gone, pain level 3.  Lumbar region pain my ?normal? 3-4 pain level.  Lumbar pain improves with rest.  By evening, all pain except lumbar down to level 1-2.  Lumbar level 3 3/28 - mid back, ribcage, groin and abdominal pain almost gone, pain level 1-2.  Lumbar region pain my ?normal? 3 pain level.  Lumbar pain improves with rest.   3/29 ? shoulder/ clavicle/trap pain level 8 starting at 12:30 am  Knee Pain: Right knee swelled up and painful Knee stays moderately swollen, stiff and painful throughout this ordeal from 3/20-3/28 so far.  Pain level 3 My knee replacement recovery was going great prior to this.  I had minimal swelling and pain until 3/20 3/30 ? knee still stiff, but not as swollen. Pain 3 3/31 ? 4/8 ? knee swelling and pain still present, but has been slowly improving each day.  I?m continuing to do my knee rehab exercises and ride my recumbent bike.