Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pain, Respiratory tract congestion, Sleep disorder, Ultrasound scan normal
Clinical narrative: 06/11/2021 - COVID VACCINE.  I received a single dose of the Janssen vaccine at pharmacy.  There was initial discomfort at the injection site, in my left arm.  I went to bed that evening, but awoke shortly before midnight with increased soreness at the injection site. There was also significant pain in my lower right abdomen, and it felt as though I were developing a severe cold.  I was unable to stand up straight while walking to the bathroom due to the severeness of the pain in my lower right abdomen.  The injection was on a Friday, and the cold or flu-like symptoms persisted through the weekend.  I contacted my specialist, Dr., on the following Monday or Tuesday to let his office know that I had received the vaccine, and I reported my symptoms to the nurse.  The pain at the injection site began to lessen over the coming weeks.  However the pain in my lower right abdomen appeared to increase in severity based on dietary intake.  Initially, there was a sharp increase in pain immediately following the consumption of food and drink with high sugar content.  This pain continued on-and-off over the coming months, and would sometimes flare up without eating or drinking.  At the height of discomfort, standing or walking was not possible.  Soreness at the injection site began to reappear, at times severe.  08/12/2021 - PRIMARY CARE.  I spoke with my primary care provider about the recurring side effects at the injection site for the COVID vaccine, and the coinciding occasional pain in my lower-right abdomen.  09/10/2021 - PRIMARY CARE.  I met with my primary care provider for a follow-up visit.  I had extreme pain from time to time in the lower-right abdomen around to the back.  I also had increased pain in my knees and ankles, and a sharp pinpoint pain in my mid-back.  There was discomfort in my forearms, and weakness after walking for short distances or when standing for short periods of time.  I often had deep gasps for air, losses of breath, and I was easily winded.  The pain at the injection site had increased in noticeable severity, and I was unable to move my left arm beyond certain positions.  He prescribed Dicyclomine HCL as needed for cramping, which I have not been required to take.  He advised me to speak with my dermatologist regarding possible gynecomastia.  He recommended a fiber supplement, and referred me to physical therapy.  09/15/2021 - DERMATOLOGY.  I met with my dermatologist and inquired about the possibility of negative side effects resulting from finasteride, primarily due to substantial weight gain.  He did not detect the presence of gynecomastia, and prescribed Minoxidil to take in addition.  09/22/2021 - PHYSICAL THERAPY.  I met with the physical therapist at Hospital, and discussed the various types of pain I was experiencing.  This included pain originating at the injection site of the Janssen vaccine in my left arm, and now the shoulder area.  I had previously been treated for issues related to my knees, back, hip, ankles, and feet at a different healthcare provider.  I attended one physical therapy session at Hospital, but did not continue due to a negative experience, which I reported to my primary care provider's office.  09/23/2021 - IMAGING.  My primary care provider referred me for a sonogram due to the recurring pain in my lower right abdomen.  The technician did not notice anything remarkable, noting only that the appendix was not visualized.  10/08/2021 - PRIMARY CARE.  Discussed results from sonogram with my primary care provider.  Mentioned persistent issues with knees, feet, hips, and legs.  Discussed the result of adding fiber to my diet, plus the addition of Minoxidil.  12/20/2021 - SPECIALIST.  Discussed the severity of pain at the injection site of the COVID vaccine, and the inability to move left arm in certain positions without severe pain.  Also discussed recent cold and congestion symptoms, as well as shortness of breath and periodic gasping.  He said that if symptoms persist, that I should consider a booster for COVID.