Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Impaired work ability, Intervertebral disc degeneration, Magnetic resonance imaging abnormal, Mobility decreased
Clinical narrative: At. 10 PM I rolled over in bed and had right hip pain. At about 11:30 PM, developed severe spasm in the pyriformis region that ran all the way down to my foot. The pain was so severe, I thought I was going to faint. Stood up to try to relieve the "cramp". The nerve going down my leg to my foot felt like it was being strangled to death. My husband was trying to help me stand up and rubbing the leg.  There was an additional cramp on the lateral side  of my calf and it felt like it was squeezing the nerves in my foot. By the next morning I had numbness in my right foot in the big toe, in the area underneath the toes and the skin on top of my foot around my big toe. Took a cyclobenzaprine and norco with no relief. The pain and spasm continued until some relief on 1/24/2021. Tried heating pad, vibrating massager, and muscle rubs also. I could not walk even 20 feet without having to sit down as the pain was so bad. Called my employer who is a physician on the 22nd and she prescribed prednisone, and gabapentin 300 mg tid. Nothing stopped the pain until mid day on the 24th. Went to work on the 25th and 26th but on the 27th the pain came back. During this time I am even taking my heating pad and massager to work. The pain on the 27th wasn't as bad and was able to work on the 28th but spent the rest of the weekend on the heating pad in the recliner. I was sleeping in the recliner the whole time as it was more comfortable. This is related to the first shot. Was driving home from work on  2/1/2021 and had a nose bleed that was so bad and I couldn't get it to stop so I had to call my husband to come pick me up as I couldn't drive and hold pressure and add tissues. It took us an hour to get it to stop. My car both the inside and where I got out of the car to get more tissues looked like a blood bath. My last nose bleed before that was probably age 6. I started seeing a chiropractor on 2/2/21 and have spent a fortune since then with PT, medications, chiropractor visits-(the only thing that gives some relief), and other expenses. I still have problems with my right hip and leg pain and numbness on the right lateral area of my calf and my right foot.  It is changing the way I walk and I have developed 3 corns that I am treating due to not being able to feel my foot in areas and causing friction on the side of my foot.  I got my second Moderna shot on 2/18/2021 and that weekend some on the pain in my leg returned but not as severe. The major side effect was an electric like jolt going off continuously in my right big toe. Interesting as that is about the only thing I have felt in my right big toe since the first vaccine. I again experienced an attack like the first but far worse on 5/6/2021. I stood up after eating dinner and my back had started hurting. I took a cyclobenzaprine and my usual medications, muscle rub, and went to bed. When I awoke on the 7th and tried to stand up my right leg was in excruciating pain when I tried to walk on it. The pain was worse than the first time. I could not walk. Started back on prednisone and was taking norco with absolutely no relief. I could not walk even 5 steps to try to go to the bathroom. I literally had my husband help me into a crawl and I crawled to the bathroom. We then got a wheelchair and I was in the wheel chair for about 10 days. I saw the chiropractor and my physician. He gave me percocets and increased my neurontin to 400 mg tid and prednisone.  This was in addition to the cyclobenzaprine tylenol and ibuprofen. I knew I could not go to work. My doctor gave my three weeks off and I applied for temporary disability. Little did I know I would need every day of it. I was referred to pain management and on 5/26/2021, I had my first spinal injection. It reduced the pain by about  half.  I have another injection scheduled for 6/16/2021. I went back to work on 6/1/2021 but by the time I came home I was in pain even though I am still taking the neurontin, cyclobenzaprine 5 mg, tylenol arthritis, and ibuprofen. I don't take the percocet if working.  I am concerned that this pain may be permanent and my employer is not going to be happy if I need 3 weeks off of work every 6-8 weeks. My plan right now is to try to work but I do realize that I very well may need to apply for permanent disability. I work as a nurse practitioner and it is really hard when my foot is numb and I ham having such severe nerve pain, hip pain and sometimes back pain to recommend getting COVID shots.