Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, SARS-CoV-2 test negative, Weight increased
Clinical narrative: Initial onset around 10 minutes causing numbness, tingling and  what pt describes as " painful dull  throbbing/like symptoms beginning left medial bicep injection site, gradually radiating distally to the distal phalanges. Pt experienced severe dull throbbing pain in the left extremity that had exacerbated since driving home,about 30- 45 mins post JJ injection at pharmacy administered via staff pharmacist. Symptoms had subsided per pt response after around 6-8 hours . Pt did not seek medical attention, pt stated that they didn't feel things were "right, something is really wrong" but didn't want to burden anyone to drive them to the hospital. Pt states they had contracted covid prior and post injection. Prior from  from kissing an infected partner unknowingly. Symptoms included fatigue, and  faint  early"flu like symptoms" starting about 5 days post exposure, negative rapid and ppr tests. High fever onset 6 days around 101-102 fahrenheit, lasting about 2-3 days total, only other symptom was fatigue, no cough, SOB, cardiac abnormalities/any other deviations. PT was allowed back to work after the mandatory 10 day  isolation period, back to the hospital floor working as a staff nurse on a medical surgical infectious disease unit, predominantly caring for pts with a secondary covid dx.  Post injection PT was infected with COVID while providing child care for a family member. Pt states they felt flu like symptoms, became extremely fatigued/tired, fell asleep, 5 days later was awake. Family checked on pt after being asleep for 2 days discovering 103 fever, pt family stated they used ice packs and cold compress to decrease body temperature. PT has no recollection of these events, family has provided video document verifying, concerns. Pt states they have no recollection of about 4 days, after day 5-7, pt can't recall, had a systemic reaction, "broke out with red, itchy hives head to toe", mild to moderate respiratory difficulties. Pt states there were other complications but were " insignificant, it took almost 3 months to fully recover from how sick I was. Work (at the hospital) didn't have COVID leave anymore either. If you're sick with covid, wear your mandated surgical mask and wash your hands.". Pt provided positive rapid and PCR. Pt sated they began experiencing differences in menstrual cycles, off schedule, heavier, longer, intermittent unexpected menstruation. PT states they have a phone application that tracks menstrual cycles, which also allows user input for mood, physical symptoms, and menstrual flow etc.  based on the information provided there was a clear deviation from what seems to be the pts baseline, including the obvious standard deviations. PT has since verbalized having new onset "menopause-like symptoms* that's causing concern.  Mood swings, intermittent hot flashes, fatigue, insomnia, unexplained night sweats etc. Thyroid, diabetes, everything explainable has been ruled out. It's now August 2024, pts main complaint is rt reproductive health, however has also been experiencing mild cardiac concerns along with unexplained weight gain. No family hx of thyroid, cardiac, neuro, musculoskeletal conditions etc. Past family hx grandparents mesothelioma, prostate, skin , and lung cancer.