Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Viral infection, White blood cell count increased
Clinical narrative: Symptoms started on 3/14/22 in the evening  with a low grade fever of 99.2, aching body and cold chills. On 3/15/22 the fever increased to 100.2, continued body aches and cold chills.  Morning of 3/16/22 fore arms and elbows started to break out into mild hives and joints (arms, elbows and knees) became hot to the touch. Started to take Benadryl to manage the hives. Evening of 3/16/22 hives started to spread to upper arms, forearms, elbows, knees and lower legs. Joints started to swell specifically elbows, hands and knees. Morning of 3/17/22 started hives and swelling were still apparent on arms, knees and legs. pressure on chest/racing heart beat. Went into Family clinic and Emergency care had blood work done and sent off, EKG done and came back normal. Was prescribed Prednisone and an antihistamine and told to take the rest of the day off. Was told I was either having an allergic reaction to something or a viral infection. Evening of 3/17/22 hives covered entire legs and arms and were more apparent. Had severe joint swelling and pain. Pain was so extreme I had a hard time moving. Morning of 3/18/22 was taken to the Hospital ER around 6:30 am and was given a room. Blood pressure was normal, heart rate was elevated, hives and joint pain. Throughout the day of 3/18/22 hives started to spread to my stomach, chest and face and were very apparent. Joint and ligament pain was severe (it was painful to text on a phone) was unable to raise arms over my head due to pain and no muscle strength. Had difficulty swallowing due to throat pain every time I swallowed. Two rounds of blood work were done (one to check for regular infections and abnormalities, second was to check for specific viral infections), IV/saline drip was administered along with a dose of morphine. Contrast CT scan was done which came back normal.  On 3/18/22 was given a second dose of morphine around 3:30 pm and was released from the ER around 4:00 pm with a diagnosis of a viral infection and was given prescriptions for a delayed release prednisone and pain medication. Was told to also take Benadryl as needed to manage the hives. Took pain prednisone, Benadryl and the pain medication before going to bed that evening. On 3/19/22 I woke with some joint pain but it was manageable and I regained some mobility without as much pain. Hives were still present but were subsiding. I didn?t want to take the heavy pain medication that was prescribed as I didn?t feel it was needed. I called the hospital and spoke to the pharmacist to see if I could take Tylenol instead and was told that was fine. Took one dose of Tylenol that morning and did not need anything for the rest of the day. Continued and completed my pack of prednisone and took Benadryl as needed until the hives were no longer present. A few days later, Family clinic and Emergency care called with my blood test results, they said I had low calcium and needed to take a supplement and slightly elevated white blood count which was consistent with fighting an infection but they did suggest coming back in for another blood test in about 6 months. A few days after stopping the antihistamine, I did come down with a sinus infection and eventually went back to Family clinic and Emergency care and was given a z-pack and some cough medicine to help with the congestion.