Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Magnetic resonance imaging heart, Metabolic function test, N-terminal prohormone brain natriuretic peptide, Neck pain
Clinical narrative: 5/9 PM: heart palpitations, chest pressure and left chest pains developed. BP went up to 140/99 and stayed high, heart rate normal, had loose stool/diarrhea throughout evening. Difficulty sleeping because of discomfort and anxiety over discomfort. First day of my placebo week for hormonal birth control. 5/10: Loose stool, pressure and discomfort continued throughout day, sore arm/armpit, shortness of breath when doing simple daily tasks (walking around apartment, going up a flight of stairs). Very fatigued, low energy, low appetite. 5/11: Headache developed, BP 132/98, had telehealth appt with PCP and was advised to admit myself to emergency room. All tests came back normal, I was told that ER doctor had seen 30-40 patients who felt very ill after second vaccine but that over a week they started to feel better. - continued feeling symptoms throughout week, slept 18+ hours a day, incredibly tired, no appetite, headaches, loose bowel movements, chest discomfort- 5/17: Appetite has slightly improved, bowel movements improved but not entirely back to normal, BP still high (132/94), pressure and fogginess in head, dry cough develops (coughing once every ten minutes or so), mid back around spine is very sore, neck feels sore as if head is too heavy, fatigue has improved and I'm able to stay awake all day, eyes feel very tired and dry, left armpit and left breast are very sore. Had a previous knee discomfort in 2020 but had gone to PT and recovered 100%, but suddenly right knee has a dull aching/pain like it did prior to physical therapy (hadn't felt discomfort in it since finishing PT 11/2020) 5/18: went to PCP to discuss symptoms, was told I was having a robust reaction to vaccine. PCP attributed coughing to allergies and told me to use Flonase and take Tylenol for headaches, PCP anticipated I would feel better in another 2-3 weeks. Was prescribed 10 mg of Propranolol 2x a day for high BP and anxious feeling 5/19: first solid bowel movement since vaccination, energy level is good, noticed an improvement in shortness of breath 5/20: chest discomfort/shortness of breath when carrying laundry to laundry room, sore neck and sore mid-back, armpit and left breast still sore 5/21: armpit, left breast, back and neck still sore, cough continues, chest discomfort continues 5/24: everything is still sore, chest pressure was better during the day but suddenly felt fluttery/palpitations at night out of nowhere 5/25: sore back, armpit and breast, coughing, endurance while doing laundry was good, in evening left breast was very sore and felt anxious/chest pressure 5/26: outside of left ankle is sore, mid/upper back sore, left boob sore, fluttery chest feeling in evening 5/29: tightness in chest, couldn't take a deep inhale, still coughing 5/30: very sore left breast, swollen left lymph node in throat, coughing, sore neck. Flonase doesn't seem to helping cough at all. 6/4: chest pressure in evening, felt like my breaths were deep even though I was just sitting on couch, still coughing, neck, back and breast continue to be sore. 6/6: first day of placebo week on hormonal birth control 6/10: took a Tylenol extra strength before bed for headache, woke up in middle of night and had significantly worse chest pain and palpitations. Also had shivers and BP was higher than it had been since going on Propranolol (137/97). 6/11: shortness of breath when talking, severe fatigue, chest pain and palpitations continued throughout day, felt very anxious. No appetite. Got tested for COVID at local pharmacy and tested negative. Cough continues. Had phone call with PCP and was advised to double Propranolol dosage to lower BP and help with anxiety. 6/12: very fatigued, slept most of day, no appetite, loose stool/diarrhea, coughing. BP was 128/90 in evening. 6/13: very fatigued, slept most of day, loose stool, no appetite, coughing. Went back to normal dosage of Propranolol because i was curious if the double dosage was worsening my fatigue and loss of appetite. BP was 126/88. 6/14: feeling slightly better, still have chest pressure, headache, fatigue, right knee is still bothering me. 6/18: fatigue/fogginess throughout day, low appetite but it's improving. right knee still bothering me. felt very panicked/fluttery in chest in evening and didn't feel I could go to the grocery store. BP was 115/80. 6/22: saw cardiologist for first time, he ordered an MRI and a health monitor patch. we spoke about potential inflammation issues and he suggested I go on a Motrin routine to see if that helps, as there are no adverse effects to taking it. This evening I took 400 mg of Motrin, and began taking 400 mg every morning and night. Scheduled follow-up cardio appt for 7/13. 6/25: good energy level, didn't need to nap. watched a scary movie and didn't feel any palpitations or pressure (previously I'd feel increased discomfort and pressure when stressed/scared since getting vaccinated). 6/26: solid stool, good energy level, cough seems lighter, good appetite 6/27: some slight chest pressure during day, solid stool, felt fluttery late at night, cough was worse than earlier in the day. in general didn't feel as good as last couple of days. BP was 115/70 in evening. 6/29: good energy and appetite, some coughing, noticed my knee isn't bothering me as much now. 6/30: very tired in morning, some fluttery chest feelings after getting up, knee discomfort is gone. 7/3: appetite and bowel movements have been good, good energy levels, some chest pressure/shortness of breath while standing in line at post office. incredibly sore boobs (about to start period, but they're even more sore than usual for this time of month). BP was 118/80 at night. 7/4: good energy level, not much coughing at all, first day of placebo week for birth control. 7/5: great energy level and appetite, had a very busy and long day and felt great throughout. 7/6: felt pretty tired today, started period. was in bed in evening and suddenly felt shortness of breath, some chest pressure. checked BP and it was high again (140/90). Had loose stool/diarrhea three times in a row at night after starting to feel chest pressure, continued to feel anxious/palpitations/pressure and felt shivery, noticed an increase in coughing. This is almost four weeks to the day of my last bad night when I had same symptoms, only this time the symptoms were less severe. On period both times, wondering if this has anything to do with it. 7/7: loose stool first thing in morning, feeling very disappointed that I had a bad chest episode the night before as it seemed that the Motrin routine had been working, but suddenly feeling bad again. Napped most of afternoon, slight chest pressure throughout day, but decent energy level and don't feel nearly as exhausted as I did on the day following my previous chest episode. Noticed my knee is bothering me again. 7/8: shortness of breath, very sore mid back, decent appetite, fatigue. Got MRI today. 7/10: some fatigue and palpitations but had an active day and was able to stay awake the whole time, had a decent appetite  Currently awaiting cardio follow-up appt