Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Cheilitis, Chest pain, Chills, Confusional state
Clinical narrative: Day of inoculation: [I note that the nurse didn't pull before injecting] Afternoon: heavy drowsiness and tiredness, arm soreness, no redness. Evening: fever (<40C), chills, worst malaise of my life, trembling, weakness, muscle aches all over the body, exhaustion, confusion, sleep disturbance, agitation. Frecuent urination. This lasted until day 3 post inoculation. There were feelings of depression in April in the morning, with oral temperature measurements slightly below 36 C, which I had never seen before (I take my oral temperature regularly: it goes from 36.4-5, to 37.5) even after mild exercise on a rebounder. This lasted a few (at least 3) days, then the morning low temperature disappeared.  On june 1 I wrote to my therapist about my pain on my forearms. I had been trying to hang in there with it, but now it was very frequent, and I used lidocaine cream that day. I was waking up tired and on pain often, with diffuse, mild body aches, and depression. I often felt a need to stretch in the morning, for my muscles (particularly my legs) felt stiff. On july 4 I woke up with strong diffuse body aches. I wanted to rush to the doctor, but realized I couldn't drive in such pain. It was Sunday. After about 1-2 hours the pain mostly subsided. I drove to an Urgent Care. My blood pressure was 144, over what I don't remember. My usual systolic is 120-125. We talked about my PTSD, aches and feelings of depression. He prescribed cyclobenzaprine 5mg, orally, every night. I asked for my blood pressure to be taken again. Now it was 158, over 91, I think (using a manual pump this time). I take the medication that night, the next day I feel much better, and my blood pressure was back to normal. July 25 I am emotionally unstable (from being well to sadness), with chest aches, frequent dissociation (depersonalization and derealization, but never sensory flashbacks), and sudden changes in energy levels, which I blame on having been recently triggered and hormonal changes. I have increasing trouble speaking, which I also blame on anxiety, despite it being far more than usual. At some point I go to health center, where it is dismissed as psychogenic. During august I keep waking up very tired, and now speech difficulties make fluent conversation practically impossible for most of my waking time: I know what I want to say, I understand language, I can read and write, but I cannot get my muscles to respond, or to respond at reasonable speeds. This starts happening to me for a couple of days after getting triggered (which didn't use to be that way) and then the problem kept showing up even when triggers were not involved. I get a sore throat, at take a picture of it. It is just reddened. I go to Health center, and request to be referred to a speech pathologist (the person, sadly, has been unreachable ever since). September: by mid september I am still waking up with stiff muscles, sore legs, feeling tired, and by september 14 (a few days after, I notice, I had several almost non-painful sores in my throat, which then disappeared before the other symptoms showed up) I am woken up numerous times by leg movements that involve dosiflexion of one of my feet at a time (usually my left), extension of the toes, fanning of the toes, and varying degrees of flexion of the knee, sometimes to the point of raising the leg to the height of the abdomen. This may happen 10 times a night. I start to feel scared. I try cyclobenzaprine 5mg for one night. It doesn't make a difference. Almost two weeks in I decide to try to find explanations for the phenomenon. At this point, I am experiencing trembling when I genuflect or kneel at church (a daily activity for years now), I need to use my hand to help myself get up, I still have trouble speaking early in the morning and late at night, and often forget words. I have trouble bringing my laundry basket up the steps i have to: my arms won't respond enough to attempt to raise the basket, even though  I can otherwise move them normally. I end up using my fingers as hooks and going up the steps walking backwards pushing with my legs. I lose the ability to put the recliner of the pew back into place with a flick of my foot as always, even though I can put it down (I don't have a vieo of the event, I think, but I did record a video later of what that motion is supposed to be like). By october 15 I had discovered the human plantar foot reflex, and tested mine following the example of doctors in social media repeatedly. The result was dorsiflexion of the foot, with raising of the big toe, fanning of the other toes, and flexion of the knee on my left leg, no response on my right leg. I have a video about that. It kept holding true on different days, using different objects to elicit the response. I also tried other "equivalent" reflex tests, with same results. I get reffered to a neurologist. Lowering my room temperature helps reduce the frequency of the episodes. I get a referral to a neurologist. About a week later, I accidentally discover something: upon stretching my neck diagonally as far as I can and looking forward again, my teeth chatter. This stops after I push my chin on my chest. It hapens bilaterally, and it is consistently repeatable. I update my doctor about it. I am terrified.  At this point my legs are often feeling sore, particularly my thigh (frontal part). I speak to my parish priest. He gievs me the annointment of the sick. My anxiety got muh better. I start taking a multivitamin for women that doesn't contain iron, looking for a good source of B vitamins. Over the next week, gradually, I had better nights, and symptom improvement, but the Babinski was still there, the leg contractions at night were still there (just not usually wasking me up after my bedroom temperature was moved from 74 to 70F) , an with that my leg trembling has disappeared. My attempt to perform the Romberg test resulted in lack of balance becoming evident. I spoke to a friend doctor, who asked me to stand on one leg. I would stand on my right leg properly, but not on my left (lose balance). OCtober:  I have been having  tender spots all over my body. I take pictures of my touching the sponts that hurt. I also have a mouth sore in my upper lip (picture taken). Sometime I went to urgent care and was told it was probably because I was sleeping so poorly. I was prescribed antidepressants, but I dnd't take them, because I wasn't feelng depressed, and I didn't want meds that carry suicide  thought risk. I also drew and took a picture of the drwaing representing painful areas My neurologist appointment came on nove 17. She reported to not having read my history because she couldn't understand my GPs handwriting. She repeated the Romberg test, my capacity to walk with one foot in foront of the other, both resulted with me losing balance. She looked for something in my eye, but said nothing.  She tested several of my deep tendon reflexes, without any reported findings. She asked me to run my heel pver my shins: that resulted in no respnse on my right leg, but in dorsiflexion of the foot and raising of the big toe and fanning of the toes in my left foot. The same when I asked her to test for a Babinski sign. She ordered a B12 measurement, a thyroid hormone measurement, and a ferriting measurement. My ferritin level was 4.4 (4 something, that's for sure), if I remember correctly, and I was avised to talk to my GP bout iron supplementation or infusions. I started taking 65mg of iron a day since the day after the appointment. All else was great. Since that very night my legs have been awakening me again (particularly my left) with the same moveements as before. I demonstrated the chatter to a psichatric nurse yesterday )I was volunteering for something), and this time the chattering didn't stop through the usual mechanisms. I have a recording of the chatttering the day I went to the neurologist and of yesterday. This time the chattering lasted more than 5 minutes. After it didn't stop the suual way, Ithe nurse recommended that I should record it, and so I did, for more than 5 minutes. The chattering didn't end by the end of the vieo, but it did stop eventually, maybe within 10 minutes of the start. This had never happened befor I also recor mysef eating during the episode, and speaking. The phenomenon doesn't make itdifficult to eat, or swallow, and is not painful. It doesn't feel like the chattering from cold, and can happen at any temperature. I haven't been successful at trying to trigger it while lying down. I can make it stop by tensing some different muscles, but it comes back if I relax my jaw during an episode. I noticed in the video that, even whenI stop it like this, my face doesn't look quite right. I also noticed that I blinked a lot, but I don't remember if the wind was causing that. It did make it difficul for me to speak at some point, which is evidenced in the video. The mechanisms that I used and work for me when I am having difficulty speaking due to anxiety had absolutely no effect in this case. I may note that the leg movements aren't only present while I sleep, but also when I am close to falling asleep. Also, that sometimes (occassionally) they involve a rather circular motion of the foot, resulting in the foot "climbimg" up the bed, flesing upwards, thento the left, then downard as if rgoing back to the neutral position, releatedly and wuickly in a successive motion about three times or two.. Also that the contractions last a few seconds. I don't feel that I have any control over the foot during those moments. Another note, which I don't know how relevant it may be, is that I shiver very strongly:my whole back sways, my butt moves widely, my head goes out of position, and I have never seen anyone shiver like that. It hasn't always been this way, but I don't remember how long this has been. My doctor, listed here, I think, was not at the Health center when I had the severe and almost constant difficulty speaking. My academic advisor has seen it. A lot of the content of this long text has been based, not only on memory, but on writings that I directed to my therapist or friends reporting to her what was going on soon after the events took place, so when dates are stated or numbers are given they are accurate unless doubt is expressed, to  the best of my ability. I would be happy to make the videos available to you, also, if you may find them to be of help. I also had some headaches during october, but don't remember the dates. They were migraine-like, but not very intense 9except, sometimes, for a few seconds), no nausea or dizziness, or fainting, or loss of consciousness.. At some point, on a few days, I also tried using the rebounder to try to regain a bit of balance and muscle strength. I am a female, virgin, no contraceptives ever, no smoker nor do I consume any other drug, except as described, I am 5'3", 157 pounds by now (my weight has been increasing, but not suspisciously quickly). I had anemia last year due to iron deficiency, but had been corrected before. I have heavy period, which may explain, current low iron levels.