Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Nausea, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Covid vaccine time line 1st Moderna vaccine on 1 2 21 (Sat) given at PMH at 5:10pm.  Tired x 3 days with some cognitive issues noted (very slight..like forgetting things I never do?was slowly resolving but never completely went away.  I did not even mention this to anyone because I was not sure it was the actual vaccine, or just my brain.) 2nd Moderna vaccine on 1 30 21 (Sat) given at PMH at 2:40pm.  Immediately had more pain in L arm, swelling in upper arm and redness, fatigue. --Sun. 1 31 21:  woke up with a low grade fever, increased fatigue, chills, nausea, diarrhea, headache, body pain, joint pain (it hurt to even shower).  Fever got higher?max 100 (I think, as I was taking Tylenol at this point) and fatigue got worse by nighttime. --Mon. 2 1 21:  Called out of work due to reaction but fever was lower around 99 and less fatigued (ie I could get off of the couch, clean a bit, take care of my son).  Still rested a lot, had diarrhea, nausea, headache off and on t/o day. --Tues. 2 2 21:  Had a planned day off anyway.  Same symptoms as Monday and same energy level.  Felt positive about going back to work on Wed. --Wed. 2 3 21:  Woke up feeling the best of the past days and went to work.  Still fever of 99 and I noticed I was ?off? all day.  Example:  I forgot my schedule book and Id tags at home (I NEVER do that).  Made weird ?forgetting? mistakes.  By 1pm I was EXHAUSTED and having diarrhea, nausea, chills, and headache.  Called the Employee Exposure Line and my manager.  Went and got COVID test at request of EL and contacted immunologist and primary MD.  Immunologist is on vacation x 2 weeks and covering MD deferred to whatever primary said.  Dr. covered for my primary MD, Dr.  She asked me to touch base with her on Thurs after results from COVID test, but she recommended that  I rest ?and let my body adjust to the vaccine?. --Thurs:  2 4 21:  Up at night from 2:30am on and off with nausea, diarrhea, chills, headache, weakness, shaking, brain fog, sweating.  I am also having some anxiety at this point.  COVID test negative.  I did send a message in MyChart to Dr. as requested.  She called me later in the day and instructed me to drinking fluids and rest.  She ordered blood work which I did go and do.  Also contacted Urgent Care though MyChart and spoke with a CRNP about my symptoms.  She felt that they were a reaction to vaccine and my anxiety. --Friday:  2 5 21:  Called out of work again due to all of above symptoms.  Diarrhea has resolved and no longer any fever, however fatigue, lightheadedness and dizziness,  headache, ?brain fog?, and cognitive symptoms remain.  I am off balance and have difficulty concentrating  and reading.  I did communicate with my neurology office and they stated that it is ?just a reaction to the vaccine?. --Sat:  2 6 21:  Called Employee Exposure line to report same symptoms as above.  Same headache (almost migraine?  Having an aura?)  I am not sure why I feel so foggy.  Did have some ?clearing? of my head in the afternoon. --Sunday:  2 7 21:  Woke up feeling worse immediately.  Horrible headache, lightheadedness, off balance, difficulty focusing and concentrating.  No fever.  Called Employee Exposure Line to report symptoms and they recommended that I call the Urgent Care MD again.  Called urgent Care MD through MyChart again and tried to go into see her at Healthcare, however it was snowing hard and I slipped 3 times so I called the Healthcare and made apt for Monday 2 8 21 for 10:30am. --Monday:  2 8 21:  Headache, lightheadedness, fatigue, off balance, difficulty with multitasking as of this AM.  Went to Healthcare and saw CRNP.  She wrote for Augmentin for possible sinus infection and I filled at the pharmacy.  She instructed me to see my neurologist regarding possible neuro symptoms from COVID injection reaction.  I communicated with workers from comp team.  I am allowed to see the neurologist from the Dr. office.  I called their office and office manager tried to refer me back to primary.  I insisted that I see the lady as I was referred from CRNP at Worker?s Comp.  They were agreeable to a telemed appointment as soon as I get my claim number.  I am exhausted, have a headache, and difficulty focusing at this point.  Sore throat started this AM and is way worse tonight.  B swollen glands near carotids.  Started Augmentin. --Tues: 2 9 21:  Cont headache, lightheadedness, fatigue, off balance, difficulty concentrating, difficulty with lights and sounds.  Trouble reading.  Saw neurology this AM at 10am in the office as opposed to telemed visit and had a MRI at 12pm.  She diagnosed a fair amount of things including vaccine reaction possibly causing intractable headache, migraine, dizziness w/o vertigo.  Wants me to start to Propanolol for the headaches.  Need to pick up from the pharmacy.  Out of work until 2 15 21 and then a partial return to work?  Not sure how that works.  Hopefully just feeling better and can go back full time.  I have to contact the neurologist through portal at the end of week to update on progress. Health care called me and wants me to have a visit with a vaccine specialist.  I need to fill out CDC form for vaccine incidents.  Bad headache tonight that started behind R eye and is now whole head.  Need to call ENT tomorrow to discuss MRI results.  Left the neurologist a question on portal about MRI.  --Wed. 2 10 21:  Woke up with light headedness, fatigue, dizziness, off balance, feeling ?off? cognitively.  Pressure around R eye and R sinuses.