Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood folate, Blood test abnormal, Blood thyroid stimulating hormone normal, Blood urea increased, Blood urea nitrogen/creatinine ratio
Clinical narrative: Symptoms:  1) 3/10/2021: Moderna vacinated COVID 1st time while temporary stopping lupus drug (3/6/202-3/19/2021). 2) 4/7/2021: Moderna vacinated COVID 2nd time while taking lupus drug. 3) 4/1-3/2022: Vision loss on left eye. 4) 4/9/2022: sudden loss of walking balance. 5) 4/14/2022 fell backward while working in front yard. 6) 4/24/2022: left legg gave in, tumbled down in front of pharmacy. 7) 5/2/2022: light head while cooking dinner, hot sensation flushed thru head @ night (TIA?) 8) 5/30/2022: Vertigo @ 9 AM and 3:30 PM 9) 6/13/2022: TIA @ night 10) 6/14/2022: TIAs in the afternoon 11) 7/1-21/2022: dropped paper plate (7/3); swelling/bruises on right hand wo injury (7/5);  12) dropped & broke planter (7/6); dropped & broke water bottle (7/6); dizzy while working on computer & wassabi sensation (could not breath) @ night (7/14), dizzy while brushing teeth in the morning (7/21). 13) 8/12/2022: TIAs @ lunch & night 14) 8/14/2022: fuzzy memory 15) 9/1-7/2022: trip 16) 12/14-16/2022: few TIAs (wassabi sensation) 17) 12/28/2022: Tested COVID positive, took Paxlovid. 18) 1/22/2023: leaft arm stiff & painful, could not raise it up 19) 1/28/2023: 6 TIAs 20) 1/29/2023: 1 TIA 21) 1/22/2023: painful left arm @ night, vibrated as if there was electric current running thru 22) 1/27-29/2023: 6 TIAs, painful left hand vibration 23) 1/30/2023: left hand was vibrating like there was electric current running thru, lasted 2 minutes, very painful 24) 2/17/2023: memory lapse & abdomen upset 25) 3/6-7/2023: TIAs 26) 3/31/2023: TIA 27) 4/26/2023: left eye vision loss 28) 5/1-7/2023: multiple TIAs 29) 5/15/2023: left eye vision loss 30) 6/29/2023: TIA while in bed 31) 6/30/2023: 3 TIAs after waking up, memory lapse, went to ER. Had CT Head wo Contrast, MRI Brain wo Contrast, Xray Chest 1 view. 32) 7/19/2023: dizzy while working on computer, around 1 PM 33) 7/21/2023: left eye vision loss (before seeing Dr. @ 9:15AM), lasted for 10minutes 34) 7/24/2023: Vertigo (turning around) @ 9:30AM, lasted 5 minutes 35) 7/26/2023: brain shock, lasted few seconds. In the morning (@8:00AM) did TCD Ultrasound @ Drs office and blood test via Drs Order @ Lab (Vitamin B-12 + foliate, serum or blood; thyroid pannel, serum; TSH, serum or plasma) 36) 7/27/2023: During the night, left hand fingers were numbling/tingling. 37) 8/4/2023: Sudden TIA that causes memory loss of awareness for 10 sec. At 10AM, went to Lab to look for any sign of blood clot per Drs order. 38) 8/5/2023: experienced few TIAs (sudden numbness on left side of the body) for few seconds while on the way to Hospital and back, and while lying in bed @ 9:30PM. 39) 8/7/2023: took 1 plaquenil + 1 baby aspirin. Stopped medication. 40) 8/8/2023: felt better and memory lapse was gone. 41) 8/19/2023: Started Xarelto (blood thinner drug) @ lunch; took baby aspirin @ dinner. 42) 8/20/2023: Had TIA @ 10:35PM while in bed. Lasted few second. Felt like blood flow to brain was restricted. Felt a rush of blood flow to brain @ 6:20AM, another TIA @ 7:50AM. Took blood pressure: 104/67. Felt dizzy at 1:50 PM for several seconds.