Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Middle ear effusion, Musculoskeletal chest pain, Myalgia
Clinical narrative: The first shot I received on December 28th.  I have fatigue and a headache for about three days and my arm did hurt for close to 2 1/2 weeks,  the second week it was red, 3 inches in diameter, raised, also it itched very badly for 4-5 days.                I received the second maderna vaccine on 1/28/21 about 5:45 pm. I had noted about 8 pm mild burning to the lower part of my legs and bottom of my feet that evening.  Later I started to have mild nausea about 9 pm, but it resolved, and I went to bed.  I woke up about 3:11 with diarrhea and my body and mainly "my skin" started to hurt, as if someone was taking a wire brush to my legs, and slowly pulling out each hair, but at one time. After another hour or so, I started to have severe chills with increased nausea and more severe severe body/bone/joint pains. I took Tylenol at this time. I noted that the bottom of my ribs or rib cage hurt with breathing, also I had upper abdominal pain, severe lower back pain and a headache. The next morning I stayed in bed all day and took a few baths, I had multiple episodes of diarrhea. I was nauseated, but no vomiting.  I still had chills, bodily shaking, fatigue, muscle and joint pain.  I tried to sleep off and on through the day.  That evening I did have a temperature of 101.4 with using Tylenol and Motrin.  It did come down later that evening, but I still had severe pain of my body and my skin hurt, even the hair on my head, during the night about 2:45 am I took a bath and that did help with my body.  on Saturday evening I was able to start getting up and moving around, but a severe decreased appetite. I've noted a drastic change in taste since having the vaccine and have lost 9 lbs in the past week.  I am able to taste, but everything has a different taste.  I have had two covid tests PCR's in order to return to work.  I also have had the continued bilateral leg burning from the calves to the bottom of my feet.  The sensation is if you are cold outside and come back in and run your hands or feet under warm water to warm them up and that pain you feel when they warm up is how they feel, but on a milder level than that pain.  I also have had post nasal drip that has started in past 5 days and while at work in the ER on Tuesday I had a PA look at my ears and I had a large amount of fluid behind both ears.  I had a zpack that I had at the pharmacy that I had refilled and have taken that for the past four days with some relief.  I still feel fluid in my ears, but mildly better.  The headache and fatigue is getting better each day.  My appetite is still very diminished as well as how things taste in my mouth, it is way different than anything I have ever experienced before.  I also had an Issue on Monday 2/1/21 when I was working, I felt in my brain, as if it was just not as sharp, cloudy. I had an issue with typing on my right hand for a few hours (upper row on rt side) that has since resolved, but it was a truly "off" day.  It has taken me this entire week to start to feel even a bit more back to human.  So what remains- the bilateral leg to bottom of feet weird burning sensation, decreased appetite,  taste alterations, post nasal congestion with bilateral fluid in ears, shortness of breath with activity, mild burning in lungs with activity (working out/running in the cold weather).           this was just a side note that was copied to the bottom.       I was unable to touch my arm right arm due to swelling and pain for about three day, which I know is to be expected and actually wasn't as sore as long as the first shot.  I did take a few doses of Motrin 800mg but tried to stay with Tylenol and Zofran, and hydrate.              I noted that warm baths helped the most and the use of a heating pad on my lower back and an ice pack on and off my head for the headaches.   Thank you