Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, SARS-CoV-2 test negative, Swelling, Throat irritation
Clinical narrative: She got her vaccine, immediately after getting the vaccine she had productive cough/bronchitis type cough and coughing up clear phlegm and her lungs and esophagus were burning.  She had burning in the back of her throat down her esophagus and down into her stomach.  She had blurry eyesight, and soreness in her arm.  Probably around 10:00 PM her arm massively swelled with massive lump in the middle of it, mass in her armpit.  She took Benadryl and Singulair and advised to keep an eye no it.  On Tuesday she had frozen water bottle in a freezer bag, one on her back, back of her neck swelled to the point that she could not see her spine.  By Tuesday evening she was in severe pain and could not lift her arm and had 1/r4 size lymph nodes and felt massively swollen across her collarbone, and could see the lymph nodes and no able to breath.  She went to the ER and they did a CAT scan and a sonogram looking for blood clots and then admitted her to the hospital.  She was given steroids and ran IV's and also said that she had acute pancreatitis which was related to the vaccine as she had seen her PCP 2 weeks ago and had no symptoms of this.  He told her that her lymph nodes were going crazy, huge and can be seen.  The collarbone was so swollen, a quarter size lymph node under her chin.  She had blood thinners when she was septic and had no reaction to them, and now has lumps where she was given blood thinners which may be due to this too as she did not have a reaction in May.   Her swelling then started again despite being on the medications, and ran an IV to keep her hydrated. Today he gave her an option to go home but on medicine, Benadryl and to return to the ER if she had any reactions or swelling.  The pain was excruciating and was also having abdominal pain.  She has a lot of inflammation on her lymph nodes from her neck to her shoulder, but nothing cancerous looking.  The lacy looking rash is up on her arms, massively on the arm where she got the shot, upper chest from the chin down, on her nose are/cheeks like sunburn which she woke up with that today.  The rest of the rash is massively on her arms, chest and her neck to her shoulders.   She had burning of her feet, her heel was red, the bottom of her toes were read, and the outside of her arm burnt.  Her hands were burning and her lungs were burning like a bad sunburn.  This has gone away after the 2nd day of steroids.   Her esophagus, stomach and lungs hurt like a very strong whiskey type burn.   The burning in her throat was the back of her throat.    Her armpit looks like she has a boob into it, and also hurt into her breast on the left side.  Her arm was in so much pain that she could not even lift her arm.  She was not aware that she had any problems with her stomach and it showed up on the CAT scan that she had acute pancreatitis.    She was recently exposed to her grandson that just tested positive today with COVID, he was with her on Thursday.  She was tested in the ER on Tuesday and was negative.    She just recently had her blood work and FU for her adrenal gland issue and everything was normal 3 weeks ago.