Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Impaired work ability, Joint stiffness, Lipoprotein increased, Loss of personal independence in daily activities
Clinical narrative: Got covid vaccine, had 2nd dose on March 3rd.  Had about 2 days of fevers, aches, night sweats and fatigue.  About 1 1/2 weeks after the dose, he started to get significant fatigue.  He started to sleep poorly.  He developed arthralgias described as bilateral, distal joints (hip down, wrists mainly).  He developed tingling sensations in his arms and legs.  He has had mental fog.  He had some HA and eye pain.  His PCP sent him to the ED for evaluation.  He was evaluated by neuro consult on 4/4, had an LP.  THe LP only showed some elevated protein (somewhat traumatic tap based on 10 RBC in tube 4).  MRI brain, cervical/thoracic spine was unremarkable.  He was dx w/ possible post-infectious polyneurophathy, and suggested f/u w/ neuro clinic for further eval.  Pt reports his paresthesias lasted 2 days and has since resolved.  He has not been seen by outpatient neuro clinic yet.  He did have a post LP HA which he returned to the ED for.  He reports that the HA has resolved.   In the past 2-3 days he has had felt less fatigue.  He still has arthralgias, continuous.  They do not seem to be worse in AM or PM.  He can do most activities and just tired working out this week.  Activity does not seem to make it better or worse.  The joints are not red or swollen but feel "tight".  He has not noticed any fevers but gets occasional nightsweats or sometimes feels flush and measures only a low grade temp that does not last (<100F).  He has had slight decrease in wt but no change in appetite.  No n/v/d.  NO cough, sob, CT/CP, wheezes. No rash. He does have some sinus sx's which he thinks could be c/w seasonal allergies. Got covid vaccine, had 2nd dose on March 3rd.  Had about 2 days of fevers, aches, night sweats and fatigue.  About 1 1/2 weeks after the dose, he started to get significant fatigue.  He started to sleep poorly.  He developed arthralgias described as bilateral, distal joints (hip down, wrists mainly).  He developed tingling sensations in his arms and legs.  He has had mental fog.  He had some HA and eye pain.  His PCP sent him to the ED for evaluation.  He was evaluated by neuro consult on 4/4, had an LP.  THe LP only showed some elevated protein (somewhat traumatic tap based on 10 RBC in tube 4).  MRI brain, cervical/thoracic spine was unremarkable.  He was dx w/ possible post-infectious polyneurophathy, and suggested f/u w/ neuro clinic for further eval.  Pt reports his paresthesias lasted 2 days and has since resolved.  He has not been seen by outpatient neuro clinic yet.  He did have a post LP HA which he returned to the ED for.  He reports that the HA has resolved.   In the past 2-3 days he has had felt less fatigue.  He still has arthralgias, continuous.  They do not seem to be worse in AM or PM.  He can do most activities and just tired working out this week.  Activity does not seem to make it better or worse.  The joints are not red or swollen but feel "tight".  He has not noticed any fevers but gets occasional nightsweats or sometimes feels flush and measures only a low grade temp that does not last (<100F).  He has had slight decrease in wt but no change in appetite.  No n/v/d.  NO cough, sob, CT/CP, wheezes. No rash. He does have some sinus sx's which he thinks could be c/w seasonal allergies. Got covid vaccine, had 2nd dose on March 3rd.  Had about 2 days of fevers, aches, night sweats and fatigue.  About 1 1/2 weeks after the dose, he started to get significant fatigue.  He started to sleep poorly.  He developed arthralgias described as bilateral, distal joints (hip down, wrists mainly).  He developed tingling sensations in his arms and legs.  He has had mental fog.  He had some HA and eye pain.   He was dx w/ possible post-infectious polyneurophathy, and suggested f/u w/ neuro clinic for further eval.  Pt reports his paresthesias lasted 2 days and has since resolved.  He has not been seen by outpatient neuro clinic yet.  He did have a post LP HA which he returned to the ED for.  He reports that the HA has resolved.   In the past 2-3 days he has had felt less fatigue.  He still has arthralgias, continuous.  They do not seem to be worse in AM or PM.  He can do most activities and just tired working out this week.  Activity does not seem to make it better or worse.  The joints are not red or swollen but feel "tight".  He has not noticed any fevers but gets occasional nightsweats or sometimes feels flush and measures only a low grade temp that does not last (<100F).  He has had slight decrease in wt but no change in appetite.  No n/v/d.  NO cough, sob, CT/CP, wheezes. No rash. He does have some sinus sx's which he thinks could be c/w seasonal allergies. Now experiencing  substantial disruption of the ability to conduct normal life functions, including the ability to work.