Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Nausea, Platelet count decreased, Rash, Rash erythematous
Clinical narrative: I didn?t notice any symptoms right away.  When they started, I didn?t think it was abnormal at first. I am female and still have my menstrual cycle. This time it appeared to be heavier than usual and had some blood clots. However, before I was on birth control it was always that way. Sometimes it is a little heavier when I have more stress or the weather is not ideal. My cycle started around 2/4/21. On 2/8/21, I combed my one cat. She scratched and bit me and has done so in the past. She and I both are vaccinated and I?ve never developed any infections because of it in the past. On 2/10/21, I noticed a cluster of red pinpoint dots underneath my skin on my arms and chest. They weren?t bumpy, warm to the touch, itchy or anything. It just looked odd and I didn?t know how it happened. I work with a Nurse Practitioner and she suggested I go into to a clinic as those usually indicate an infection is developing. I went to the Urgent Care and was treated.  He did blood work on me and informed me that my glucose was a little low.  It was suppertime so that didn?t surprise me.  He told me there was no signs of infection in my blood work but was prescribing two antibiotics in case one developed. When I was getting my meds at the pharmacy, a call was coming through that I didn?t recognize so do to phone scams, I didn?t answer it. I started the antibiotics. Then over the course of 2/13/21 and 2/14/21 weekend days, I felt more fatigued than usual, nauseated, had a decreased appetite and still had my menstrual cycle. I still didn?t think much about it as a side effect of the antibiotics was nausea and decreased appetite and the fatigue could be related to it being so cold and winter usually affects my depression symptoms. Then on 2/14/21 I noticed my lower abdomen was covered in those red, pinpoint blood dot clusters and there were unexplained bruises on my body. I took a shower and when I went to wash my legs, my pelvic area was completely bloody and a blood clot dropped into the bathtub. Never has that occurred when I have my period. It looked like I had just given birth it was so much blood. I became nauseated and dry heaved several times. On 2/15/21, I sent a message to Dr asking what was happening to me. He called me and informed me that he had tried to call me the night he saw me because he saw my platelet count was only 11,000 and should be a minimum of 140,000. Dr asked that I return to Urgent Care as soon as possible.  I arrived there around 12:30 pm that day. He had bloodwork done again on me. My platelets went down to 9,000. I explained that my menstrual cycle would not stop and it should?ve but I just keep bleeding. Dr contacted a Hematologist that informed him that recently the blood disorder Immune Thrombocytopenia (ITP) has been linked with the COVID19 vaccination in rare cases. I was scheduled to be seen by a Hematologist and put on the medication prednisone to build up my platelet count. I returned to Urgent Care for blood work again on 2/16/21.  My platelets went up to 30,000. I met with Hematology on 2/17/21 and had blood work again, platelets 28,000. All providers looked over my medical record and noted that since my gastric bypass surgery in 2015, my health has been good, my blood work has been normal and I live a clean lifestyle. Again, the only issue showing up in my bloodwork was that my platelets were extremely low. Now I have weekly blood draws, take 80 mg of prednisone and have a Hematologist when just a few weeks ago my health was good.