Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Depression, Dysgeusia, Electrocardiogram abnormal, Fatigue
Clinical narrative: She got her vaccine, I felt the injection, felt movement through her arm, up her arm, and felt it go up her shoulder, through her neck on the left side, through her mouth she tasted a metallic taste and continued to move.  She felt it in her nose, burning sensation, and then she had blurry vision.  She was then taken to the ER within 10 minutes and assumed that it went to her brain as it went up.  She was taken to Medical Center ER.  Once in the ER she had lab work done and verbal history on her.  She was discharged and felt that it was blurred vision post vaccination.  From there she went home as she worked from 12:00 AM to 8:00.  She continued with the blurry vision off and on.  Over the course of weeks and months she started having brain fog.  She figured that it would pass.  She still has it, worse, fatigue has gotten worse.  She was referred to hematology and was given iron infusions, which did not help with the fatigue.  She is extremely tired to the point of being debilitated.  She had to file for medical leave at least 3 times since then . She first missed 30 consecutive days of work, 2nd time was 90 days of consecutive days of work.  She then got COVID in March of 2022, and has been downhill ever since.  The fatigue is debilitating, brain fog, memory loss, confusion, she forgets she has things on the stove and burning things, forgets to get gas in the car.  Her organization like bills is a mess.  She forgets what to do, work is challenging, sometimes she cannot hear what the patient's are telling her, she has to reteach themselves, and has a hard time charting her notes and has to stay 1-2 hours after her shift is over to do her charts.  Forgets to load paper, forgets to do certain notes.  She is in medical administration so she has a lot of paperwork that she has, and a lot of patient's paperwork and charting in the patient's records.  She is on medical leave at the present time, and has been on it now since 10/4/23, and does not know when she is going to go back.  Prior to this it was intermittent medical leave where she would work a few days, miss a few days and then go back to work, but now she has been out since 10/4/23.  Her symptoms are gradually getting worse at this point.  She has been referred to neurology, and neurology referred her to neuropsychiatry as he did not know what to do.  She saw her at neuropsychology facility and she did her assessment afterwards, which was not promising, did not give her any  hope because she was thinking having dementia and did not know what was going on.  She did notice mild cognitive decline and she pointed out her sleep apnea.  She went to her neurologist who sent her to another doctor at Medical Center and he said that it doesn't look like memory loss, but she knows she is not remembering stuff.  He recommended attention disorder, anxiety/depression, and is back at square one.  She went back to her PCP on 10/13/23, and had elevated BP and elevated heartt rate, and an abnormal EKG, so she has been referred to cardiology and waiting on that appointment.  She put her on another medication, hydrochlorothiazide, which makes her taking 3 BP medicines.  The neurologist did put her on something for depression, Nortriptyline.  She is also on Vitamin D2 50,000 units for her iron deficiency.  She also has urinary incontinence and also IBS which she had before the vaccine, but has gotten worse since the vaccine as it has highlighted those conditions.