Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pain, Magnetic resonance imaging abnormal, Mobility decreased, Muscle spasms
Clinical narrative: fatigue, exhaustion, left arm pain, frozen left arm, severe right hip pain, face muscles tightened & hurt,  nauseated, right knee pain, bad headache, deep pain in lower legs, neck & shoulder muscles spasmed, weak, blood pressure elevated, high heart rate-119 BPM at rest, swollen left arm.  Took 2 week to feel better but not back to normal for about a month.   detailed report: T.  Booster Shot Response  With first & second Pfizer shots, had a delayed onset headache for about an hour.  That was all.  The booster wreaked havock with my body.   Tues 10/26/21: Day 1  Symptom: Felt good, a little post nasal drip from allergies. Had a physical therapy (PT) eval of R (right) hip at 6-45 AM. Left there with no pain.  Got Covid vaccine booster at approxamently 12:12 PM.  Within 5 minutes R (right) arm (arm received injection in) hurt, pain was 4/10 (4 on scale of 10).  Felt muscles tightening up R arm, across shoulder, into neck. Then L (left) side of neck, L traps and L arm, also started to feel tight and sore.  Pain was tolerable all day on R side.  L side got worse as day went on, overriding any pain felt on R side. R hip (had a previous issue-reason for PT) became painful, also got worse as day went on.  L arm and R hip got to 10/10 pain by evening.  Self splinted L arm in sling position as that is how it felt best and I could not move L arm.   Got a bad headache.  Was very tired.  Did nothing but sit in recliner, falling asleep about 5 PM.  All night kept waking up in severe pain, trying to find a comfortable position. My testing: C7 and T3 pulled out of alignment to the R. Treatment: Moved R arm around while still at the pharmacy.  In evening adjusted C7 and T3.  Gently massaged neck, shoulders, L arm, but muscles still very tight.  In middle of the night pain was so bad, I applied Deep Blue (similar to an icy hot but more natural ingredients) to L arm.  Too painful to lay in bed, spent most the night in the recliner. Wed 10/27/21: Day 2 Symptoms: L upper arm feels hard as a rock.  L upper arm, L shoulder, and R hip, all 10/10 constant all day. Could not move L arm, upper or lower, and it felt heavy.  R arm only hurt to touch at injection site.  Sporadic R knee pain of 6/10 (no previos issues) & deep pain of both anterior lower legs of up to 9/10, Once or twice, the top of R foot felt like muscles were spasming.  Headache fluctuated 7-10/10.  Sinuses very congested.  Extremely fatigued.  Muscles felt weak. BP up to 138/83.  Slept all day as pain allowed. My testing: Tendons involved in L arm/shoulder and R hip.  Lymphatic drainage needed of L upper arm.  C7 and T3 was pulled out of alimment again.   Treatment: Deep Blue applied to L upper arm, shoulder, and neck.  Alternted Ice and heat on L upper arm, shoulders, neck, and R hip.  Light massage of L arm.  Realigned C7 and T3.   Manual Lymphatic Drainage of L arm.  Neurolink for tendons of L arm and R hip.  Eucalyptus, tea tree and oregano oils diffused to clear sinuses.   Thurs 10/28/21: Day 3 Symptoms: Some tightness in my L upper arm but it no longer felt hard as rock.  L upper arm/shoulder & R hip all 10/10 pain constant all day.  Still could not move L arm, upper or lower, and it still felt heavy.  R arm only slightly hurt to touch at injection site.  Sporadic R knee pain of 6/10 and sporadic deep pain of both anterior lower legs of up to 9/10.  Headache fluctuated 7-10/10.  Sinuses were very congested.  Face hurt.  Extremely fatigued.  Muscles felt weak.  Had trouble standing from sitting position, twice needed help to get up.  Nauseated (possibly from pain). Jaw had slight pain.  Slept all day other than when at Dr. Office and when pain awakened me. My testing: Tendons involved in L arm and R hip.  Lymphatic drainage needed of L upper arm.  C7 and T3 pulled out of alignment again.  Treatment: Copaiba essential oil (works with canaboid receptors) & Deep Blue applied to L upper arm, shoulder, and neck.  Iced and heated L upper arm, shoulders, neck, & R hip.  Light massage of L arm.  Realigned C7 and T3.  Manual Lymphatic Drainage of L arm.  Neurolink for tendons of L arm and R hip.  Eucalyptus, tea tree and oregano oils diffused to clear sinuses.  Saw Orthopedic Dr. to rule out L arm pain and lack of movement as part of any possible heart issue.  He said my heart was not involved since I could not move my arm, the symptoms were coming from shoulder.  He said heart attach pain is usually dull pain in the arm.  He was able to passively move L arm but not to full range of motion (ROM).  He did an Ultrasound which was normal except, slight possibility of a small tear in the supraspinatus.  Could not see one deep area so he ordered MRI.  X-ray was pretty much normal other than 2 spots, possible bone spur & free floating piece of bone (?).  During Dr visit & x-ray taking I was in tears with pain.  Took I aspirin in afternoon as pain was 10+/10, again to the point of tears.   Fri 10/29/21: Day 4 Symptoms:  L arm/shoulder, and R hip was still 10/10 pain in morning.  L upper arm felt heavy.  Some movement of L lower arm with only a little pain.  Had approx. 5 degrees flexion and ABduction (increased 10 degrees after bodywork session), but no extension.  By evening lower arm had much more movement, some pain free.  Anterior lower legs felt deep, aching pain.  R knee hurt sporadically 6/10.  Headache down to about 5/10 in morning, down to minimal after Cranio-sacral (CS) treatment.  Severe fatigue.  Muscles weak.  Still needed help at times to stand up.  Slept most of day.  From 7PM, then continued throughout the night, got several high heart rate alerts from smart watch.  Highest was 119 beats/min at rest. My testing: Corrections to C7 & T3 holding.  Tendons still involved in L arm/shoulder.  Lymphatic work neededed. Treatment: Copaiba essential oil and Deep Blue applied to Lupper arm, shoulder, & neck.  Bodywork from (Privacy) (trained in osteopathy in (Privacy), In (Privacy) is a nurse, Certified Healing Touch Practitioner, CS therapist, and more) included CS and lymphatic clearing.  She moved the shoulder minimally.  I was very relaxed after bodywork session. Pain overall lessened.  Later in day...Neurolink tendon protocol on L arm/shoulder performed.  Meditation and deep breathing in evening to help lower elevated resting heart rate.  Iced L shoulder/arm.  Diffused tea tree, eucalyptus, clove, thyme, and oregano essential oils. Sat 10/30/21: Day 5 Symptoms: Could only remember one high heart rate alert when resting.  Very fatigued.  Folded one load of clothes in morning & had to nap.  Later that day was able to be up for a few hours at a time, before having to nap.  Slept at least half the day.  Lower L arm so much less painful and more movement, had 100% extension.  Can now use the L arm to pull up pants.   Pain in L upper arm/shoulder & R hip lessened, fluctuated from 7-10/10.  L arm still felt full, mostly above elbow.  Several times the back of L hand felt like it just had an IV removed.  Since Tues eve (10/26), was too tired and sick to want to eat (but did eat).  Appetite started to come back late afternoon.  Leg muscles still really weak.  Stairs and standing from sitting were still difficult, occasionally needed help to stand.  Minimal headache. My testing: Immune system functioning about 55%.  Needed lymphatic and tendon work. Treatment: Diamond Technique for immune system (back to full functioning).  Neurolink tendon protocol on L shoulder.  Manual Lymphatic drainage and Lymphatic clearing of L arm.  CBD cream on L upper arm/shoulder.  Iced L upper arm/shoulder.  Diffused tea tree, eucalyptus, clove, thyme and oregano essential oils. Sun 10/31/21: Day 6 Symptoms: L upper arm shoulder pain was 6-9/10.  R hip pain 0-8/10. L arm had slight movement, but not much.  It still felt heavy & I was self splinting. In early morning did 15 min of yoga, on floor.  Felt good but needed a chair to help stand up.  After being up for 5 hours in early afternoon, hit a wall.  I suddenly started to shake, became nauseated.  Sat down & slept for an hour & then was OK.  Was able to be up about 4-5 hours at a time.  Still very tired & slept a lot. My testing: Needed lymphatic work.   Treatment: Manual Lymphatic drainage of L arm.  CBD cream on L upper arm/shoulder.  Iced L upper arm/shoulder. Diffused tea tree, eucalyptus, clove, thyme, and oregano essential oils. Mon 11/1/21: Day 7  Symptoms: At 12:30 AM L arm suddenly gained a lot more mobility: ABduction to 90 degrees, flexion to 45 degrees, extension good but arm muscles felt tight when trying to extend.  Could only lay in bed 3 hours, rest of night on recliner as L arm was very painful.  At 9 AM mobility of L arm same as at 12:30 AM.  Peripheral portion of lower arm felt like it was about to go numb, but felt normal on interior.  At times when sitting, L arm/shoulder pain was at 0.  Got some external rotation of upper arm for first time since Tues night (10/26).  Pain with that was 4/10.  Felt really tight in posterior shoulder, shoulder blade, and upper arm.  Tired.  Many naps per day.  R hip almost back to how it was before the booster shot.  Went for MRI of L shoulder.  Drove for first time since booster shot, but drove one handed. My testing: Needed lymphatic work.   Treatment: Manual Lymphatic drainage of L arm.  MRI done of L shoulder. Iced L arm/shoulder.  Deep Blue on L arm/shoulder. Diffused tea tree, eucalyptus, clove, thyme, and oregano essential oils. Tues 11/2/21: Day 8 Symptoms: R hip pain 0-8/10.  L arm/shoulder pain 1-8/10.  L arm:  ABduction was greater than 90 degrees; flexion greater than 135 degrees;  full extension.  First time since booster shot, I could put some weight on the L arm and use the L arm for some things.  Lower left arm had weird sensation, felt like it was in a vice.  Tried to join my online yoga class, at 30 min-hit a wall. So tired and exhausted I could hardly get to the recliner to nap.  Could not make it a whole day out of bed yet.  Tired easily.  Overall felt better but no where near normal.  Sinus headache. My testing: L arm/shoulder neeed lymphatic work. Treatment: Lymphatic work of L arm/shoulder.  Diffused tea tree, eucalyptus, clove, thyme, and oregano essential oils. Wed 11/3/21: Day 9 Symptoms: Had trouble finding a position to sleep in last night that did not cause pain.  Slept half the night on the recliner.  L shoulder joint (first time joint hurt) was little achy.   Shoulder girdle felt tight.  ROM about same as yesterday.  Very tight in shoulders, neck, and L arm and had a headache upon waking.  Had to take a myocalm (natural muscle relaxant).  As muscles relaxed, sinuses drained, headache went away.  Joined the yoga class.  Had to improvise a lot but made it the whole hour.  Very tired when done & needed a nap.  Later in day, fingers of L hand were tingling after computer usage.  Had more use of L arm, most since Tues night 10/26.  My testing: Inflammation in L shoulder/arm & R hip.  Tendons need neurolink. Treatment: Diffused Tea Tree, oregano, thyme, & clove.  Iced L arm/shoulder.  Manual lymphatic drainage of L arm/shoulder.  Neurolink for tendons of L arm/shoulder & R hip.  Myocalm.  Deep Blue on L upper arm/shoulder. Thurs 11/4/21: Day 10 Symptoms: Headache pain 3/10.  Full extension of L shoulder.  ABduction was 160 degrees, flexion was 150 degrees, both very tight at end of passive motion.  Could move farther but painful & did't want to irritate the joint.  Upper body muscles all tight.  Very tired.  Was able to do 1 hr yoga with improvisations.  Rested after yoga. My testing: Neurolink for tendons of L arm/shoulder and anterior R hip. Treatment: Neurolink for tendons of L arm/shoulder and anterior R hip.  Myocalm.  Diffiused Eucalyptus, Tea Tree, Oregano, thyme, and clove. Fri 11/5/21: Day 11 Symptoms: Full extension of L. shoulder.  ABduction & flexion about 90% normal ROM with tight muscles at end of passive motion with both.  Deltoids & bicepts tightest.  Arm /shoulder muscles painful.  Upper body muscles all tight.  Still extremely tired, exhausted.  Took many naps to get through the day.  Did little other than rest & sleep.  Had trouble sleeping in bed at night, slept half the night in a recliner. After cancelling 3 sessions, went to PT.  That made me a bit tired even though the therapist did most the work. My testing: Neurolink for tendons of L arm/shoulder and anterior R hip needed. Treatment:  Neurolink for tendons of L arm/shoulder and anterior R hip.  Myocalm.  Diffused eucalyptus, tea tree, oregano, thyme, & clove oils.  PT of R hip.  also did myofascial release & some orthopedic movements. Sat 11/6/21: Day 12 Symptoms: Full extension, abduction & flexion of L shoulder.  Muscles tight at end of passive motion-mostly deltoids & bicepts.  Arm/shoulder muscles less painful than yesterday.  Upper body muscles all tight.  Still tired but was able to wash 4 windows and make dinner.  Sinuses bad.  Bad headache.  R hip was more sore & sore more often.  Walked 500 feet to waterfront.  Coming back was difficult to walk up small hill to house. Stayed in recliner after 5:30PM.  Was exhausted.  Husband brought me dinner in the recliner (I was too tired to get it & would have slept through dinner otherwise). My testing: Neurolink for tendons of L arm/shoulder anterior R hip needed.  Treatment: Neurolink for tendons of L arm/shoulder and anterior R hip.  Took Myocalm & D-hist (decongestant-did not want to take any earlier in case it could prevent full effect of the booster shot).  Diffused eucalyptus, tea tree, oregano, thyme, and clove.  Deep Blue on L and R arms/shoulders.   Sun 11/7/21: Day 13 Symptoms: Full ROM of L shoulder.  Muscles much less tight at end of passive motion.  Upper body muscles all tight.  Still tired.  Sinuses bad.  Bad headache.  R hip more sore & sore more often.  Did a lot of work (dust mopped & vacuumed floors, laundry, dishes, & washed 4 windows & 2 sliders). Walked across street & to back of yard. Was exhausted by 5 PM. Stayed in recliner after that. My testing: Neurolink for tendons of L arm/shoulder &  anterior R hip needed.  Treatment: Neurolink for tendons of L arm/shoulder and anterior R hip.  Took Myocalm and D-hist.  Diffused eucalyptus, tea tree, oregano, thyme, and clove.  Deep Blue on L and R arms/shoulders.  Light massage of shoulders/arms.   Mon 11/8/21: Day 14 Symptoms:  Was able to sleep in bed the entire night - first time since the booster shot.  Full ROM of L shoulder.  Muscles tight at end of passive motion-mostly deltoids & bicepts still.  Upper body muscles all tight (washing windows yesterday probably contributed).  Still tired.  Sinuses bad. Slight sinus headache.  R hip OK in morning, little sore from Yoga.  Very little improvising in yoga-mostly for hip (same as before booster), with very minimal improvising for L arm.  Muscles felt very weak from yoga, felt like I just run a few miles. Took a few hours to recover. My testing: Neurolink for tendons of L arm/shoulder and anterior R hip.   Treatment: Neurolink for tendons of L arm/shoulder and lateral R hip.  Light massage of shoulders/arms. Took Natural D-hist.  Diffused eucalyptus, tea tree, oregano, thyme, and clove.   Tues 11/9/21: Day 15 Summarize & after D15, will only report changes Symptoms: Still tired most the day.  Can sometimes make it through the day without a nap, but usually have to at least sit or lay & rest a few times.  Exercises and PT really tire me out.  After I hour yoga today I felt like I just ran 2 miles.  Other than fatigue and sore deltoid muscles on full ABduction & flexion, I'm back where I was before the booster shot. My testing: On & off Neurolink for tendons of R hip, occasionally L shoulder/arm.  Myocalm taken when I do something strenuous (yard work, washing windows, sometimes from exercising).  Occasional manual lymphatic drainage needed. Treatment (if needed): Neurolink for tendons of L arm/shoulder & lateral R hip.  Massage.  Natural D-hist.  Myocalm.  Diffuse eucalyptus, tea tree, oregano, thyme, & clove.  Vitamin complex (took several times this week but did not record which days).  Back to yoga Mon-Fri in AM, PT 2 times a week, at home exercises daily for PT, strength exercises twice a week.  Naps and sleep longer than normal at night as needed. Wed 11/10/21: Day 16 Blood pressure was about 138/83 on Day 2.  Slowly it went down. More of my normal today at 106/64.  Resting heart rate has also gone down but fluctuates a lot.  Mostly around 80 BPM (beats per minute). Wed 2/1/22: 14 weeks after booster Blood pressure has stayed more normal, 116/68 today.  Only issue still lingering is fatique but much milder. It fluctuates a lot but overall keeps improving.  Some days I am back to normal, other days I still need a nap.  I still sleep 7-8 hours a night.  Before the booster, my normal was 5-6 hours, no naps.  PT ended Dec 29, 2021 but still do other exercises listed above.  Take 1-2 mile walks as many days as possible (usually only few times a week in winter-depends on how much snow is on the roads).  Back to throwing in corn hole league.  Plan to add pickle ball back to routine soon.