Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dissociation, Disturbance in attention, Dizziness, Dyspnoea, Echocardiogram normal
Clinical narrative: 05/2020 - Umbilical hernia repair (no mesh) and appendectomy. Smooth surgery, smooth recovery, no issues at all except hernia recurring 6 weeks later. 12/2020 - Covid. I had fever, cough, horrible headache, loss of taste/smell, etc. Negative covid test, wife tested positive. I?m 100% sure I had it and I had a false negative. Recovered fully from what I could tell in about 2-4 wks. Mid 03/2021 - 2nd Pfizer vaccination. A few days later - playing tennis with a friend. Not overly warm out (maybe 80-85 degrees no humidity). Had to stop mid game because i felt like I absolutely could not catch my breath and i felt like a slight pain in my chest. Had an EKG done a week later and it was fine. Early 04/2021 - Step-father inlaw passed away pretty unexpectedly. 04/13/2021 - Hernia repair (mesh used). I was totally fine, not concerned at all before the surgery. Woke up in the recovery room in a panic, couldn?t breathe. I remember gasping for air. They were able to stabilize me I guess? Sent me home that day and I only really remember a couple things the rest of that day, and I think I was fairly normal. 04/14/2021 - When everything really went to shit. Every 6 hours after the 10am surgery the previous day I was taking 5mg of oxycodone. On the 5th and final dose that I took at around 4:30p, I went into a serious panic attack with horrible like air hunger/shortness of breath. Went to the ER said all my vitals and stuff were fine and sent me home. Had another panic attack I think later that night. I remember like my head just feeling like immense pressure, and my mind doing/seeing things it never had before. Like I was just seeing stars and I for sure felt like I was going to die. Eventually I was able to fall asleep around 3am. Had continued air hunger/shortness of breath every day around the clock for the next two months. Constantly felt like I wasn?t getting enough air. I think the lowest my O2 went to was 90 or 91. Another panic attack early May. Which was when I stopped working. Late 05/2021 - Went to a psychiatrist and was given Zoloft. Took for 4 or 5 days. Didn?t sleep for 4 days straight. Early 06/2021 - Between the insomnia and suicidal thoughts I asked my family to get me some help. I was tired and delirious and having some intense frequent thoughts about hurting myself. I?ve never had thoughts like these ever before. Discontinued Zoloft while I was in the ER. Early 06/2021 - ER sent me to a mental hospital for a 72 hour hold.  This was hands down the worst experience and time of my life. I received no help at all while I was there and it felt like I was in prison. They tried giving me a few different pills and none helped. I got about 12 hours combined of sleep while I was there. 06/10/2021 - Went to this mental health outpatient treatment facility. Was absolutely reeling at the time. Most of the people there were nice but had radically different backgrounds I had (abusive or completely dysfunctional home), and it was obvious that all of their problems were rooted in their families. Now my family isn?t perfect, but I?ve always had 100% loving parents. Didn?t find the program very helpful. 6/15/2021 - Started on Prozac 10mg, went up to 20mg. At this time I absolutely couldn?t do anything (most days for the previous 2 weeks prior to this I sat in one spot and had no desire to do anything, it was the worst feeling ever). Late 06/2021 - Psych told me to go up to 40mg of Prozac. Nearly got serotonin syndrome, went to urgent care and went back down to 20mg. Mid 07/2021 - Went back to home with my mom and wife. Late 07/2021 - titrated up to 30mg because 20mg didn?t seem to be doing much. Early 08/2021 - Stumbled upon a r/covidlonghaulers sub-Reddit and discovered that all this shit seems to be covid related. The only differences between my surgery last year and this year from a biological standpoint was the mesh and having gotten covid in 12/2020. Early 08/2021 - moved to the mountains with my wife and her mom. A week later - evacuated from our house for 3 weeks because of wildfires. Mid 09/2021 - evac lifted went back to our house. Late 09/2021 - family decided I should come back home for a little while. List of symptoms throughout all of this (bolded are the ones still lingering to this day): Constant headaches. Sleep problems / chronic insomnia (never had a problem with sleeping in my life prior to all of this). Earlier on in April, May, June I?d get either brain zap feelings or a shot of adrenaline that would jolt me awake when I was trying to fall asleep. For a long time it was hard to get to sleep and stay asleep. Thankfully now it?s easier to fall asleep, but I usually wake up 3-6x per night. Difficulty Breathing (this mostly went away in June). Dissociation/Derealization/Depersonalization; Dizziness; Hand Tremors (I have a video I can text if you?d like); Anhedonia; General brain fog; Difficulty thinking; reading; concentrating; forgetfulness; nausea and appetite loss; Acid Reflux; Chest pain/tightness/discomfort (few EKG?s, a CT of my chest and an echo done. All show my heart/lungs are fine) Palpitations every so often Orthostatic / Tachycardia problems (BP drops 20-30 systolic when I go from laying down to standing and 10-15 diastolic). Heart rate usually goes up by 25+, (usually from 70 ish to 100ish); Disorientation (especially after sleep) Low energy most of the time, but I can do almost all tasks without any physical inabilities; Difficulty exercising and honestly maybe PEM; Exercising makes me feel shitty. I recently (late september) did a kind of test where I cycled for 30 mins one day. The next day I felt horrible. A little over 24 hours later I was absolutely balling for about 20-30 mins. Muscle twitches; Anxiety/PTSD/Depression/Intrusive thoughts; Body aches; Muscle soreness or stiffness with minimal activity; No pre-existing physical or mental health issues.