Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Fibromyalgia, Hypoaesthesia, Impaired work ability, Inflammation, Joint swelling
Clinical narrative: She got her vaccine at about 6:30, and the bottom of her foot started swelling, then the to of her foot, ankle, tingling of her feet (both), neuropathy pain came back which she hadn't had in a long time.    The spinal stenosis pain came back very strongly and her fibromyalgia pain came back and they were all pretty well managed prior to the vaccine.   She is still having that pain.  She is on a pain management regimen to control her pain prior to the vaccine, and then it has worsened and was scheduled for an epidural spinal shot and not able to get off the Eliquis due to the vaccine and that has been postponed.  She was on Duloxetine for the neuropathy pain and it had been being managed and then all of a sudden that pain has worsened and the medicine she was taking for that did not work anymore.  She went to the ER on 5/5/21, and they gave her Morphine for the pain, and discharged her home with Tramadol.  The 2nd ER visit was on 5/15/21, as when she woke up both of her legs were numb, and could not feel her legs from her ankle to her hip/waste area.  When she opened her eyes she thought she was looking at the side wall and was looking at the ceiling and could not discern where she was, was disoriented and called her doctor and told to go to the ER.   She went to the ER and they finally took it seriously and they suggested that she had inflammation in her system that was causing her other problems to flare up.  She made appointments with her specialists to see where the inflammation was.  She then saw a rheumatologist as when she went to the ER the 2nd time they wanted to put her on steroids and she did not want to be put on it due to her diabetes.  She did have drug-induced lupus at one point from isoniazid.  Her rheumatologist confirmed she did have inflammation on blood work and told her to take the steroids.   The steroids have taken down some of the pain, but not completely.  She did have a lumbar epidural steroid injection yesterday 6/9/21 at L4 bilaterally, which has helped as of today.   She was put on Tramadol after the first ER visit by her pain management doctor and that did not work.  After that she was switched to Hydrocodone which has helped her.    Her cardiologist, rheumatologist and PCP told her that it hit things that impacted her nervous system and that she has inflammation in her system, does not know exactly where it is and it has impacted her system and caused intensity of her spinal stenosis, neuropathy and fibromyalgia.  She is still undergoing treatment for these symptoms.    She was not feeling her neuropathy pain hardly at all prior to the vaccine.   On She woke up and both of her legs were numb, and could not feel her legs from her ankle to her hip/waste area.  When she opened her eyes she thought she was looking at the side wall and was looking at the ceiling and could not discern where she was, was disoriented and called her doctor and told to go to the ER.    She has not been able to return to work as a teacher due to the reaction she has been having.  She wants to know what the efficacy is now that she has had a reaction or has it lessened or does she have any protection at all now.