Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, Pulmonary function challenge test abnormal, Pulmonary function test normal, Rash macular, SARS-CoV-2 test negative
Clinical narrative: Moderna Vaccine: ? First vaccine- 05/29/2021 ? Second Vaccine- 06/26/2021  05/29/2021- Got my first dose of Moderna COVID vaccine. Felt sick, tired and slept for 2 days but was able to come into work on that Monday (05/31/2021). However still felt drowsy and tired all day. I ended up taking Tuesday off because of still feeling tired and drowsy (which I was told was normal).  06/26/2021- Got my second dose of Moderna COVID vaccine. Within an hour of getting it I felt sick, hot, tired and sweaty and went right to bed.  06/27/2021- Woke up with red blotch on my arm where I got the vaccine. It was extremely painful, hot to touch and my arm had swelled up to the size of a golf ball. I called the pharmacist that had given me the vaccine and he told me it was a ?normal reaction that some people get called COVID arm and should go away in a few days?.  06/28/2021- Woke up wheezing, coughing, chest pressure/pain, sweaty and fatigued. Thought I had just gotten sick with a cold. I took Dayquil and Mucinex to try to relieve the wheezing but it did nothing for my symptoms. Throughout the week my symptoms got worse.   07/09/2021- Wheezing got so bad that it became difficult to breathe. I called my PCP, however I was unable to go into the doctor?s office because of ?COVID symptoms? and with new protocol anyone with COVID symptoms were not allowed in the office. They sent me to Urgent Care. At the visit I had gotten an x-ray to rule out pneumonia. We then discussed that the only thing I have done differently is get the COVID vaccine and she mentioned a possible allergic reaction to something in the vaccine. She then prescribed me with a 5 day course of prednisone steroid and an albuterol inhaler and I was to follow up with my PCP.   07/09/2021 ? 07/19/2021- Wheezing seemed to get better with the prednisone and inhaler. However as soon as I finished the course of steroids all my symptoms had come back and I felt worse.   07/19/2021- I went back to Urgent Care (because again my PCP still wouldn?t allow me to come into the office with these symptoms). I saw a different doctor and he wanted to try to treat me for bronchitis. I was prescribed doxycycline for 10 days and was instructed to keep using my inhaler.  07/23/2021- I called Urgent Care and told them the Doxycycline was making me sick and would make me vomit. It also did nothing for my symptoms. I was instructed to try to finish the 10 day course of Doxycycline and continue using my inhaler.  07/28/2021- Went back to Urgent Care and saw another different doctor. He ordered bloodwork, I had an EKG done and a COVID test (all came back negative or normal). However I was put on another course of steroids and told to continue my inhaler.   08/10/2021- I was finally allowed to come back to my PCP with the negative COVID test results. I was still wheezing with chest discomfort/pressure. I was prescribed a Flovent Inhaler and told to continue the Albuterol inhaler as needed. Follow up scheduled for after vacation.  08/12/2021 ? 08/22/2021- Went on vacation. All symptoms still present.  09/02/2021- Went to PCP for follow up. Still having symptoms and was instructed to continue both inhalers. I was also scheduled for a pulmonary function test at Hospital.  09/21/2021- Went to my appointment at Hospital for the pulmonary function test.   10/01/2021- I got my results from the pulmonary function test. Results were normal.  10/04/2021- Had a follow up with my PCP. Still wheezing and chest discomfort/pressure. I was scheduled for a Methacholine challenge test. Instructed to still use both inhalers.   10/12/2021- Went to Hospital for the Methacholine challenge test. Immediately during the test I had difficulty breathing, sweating, and wheezing got worse. Test was forced to stop after the 4th dose of Methacholine because I went under 70% indicating the likelihood of asthma. Pulmonary appointment is now scheduled for 11/04/2021.  10/12/2021 ? PRESENT- Still feeling chest pressure/tightness and wheezing has increased since taking the Methacholine test. I am continuing both inhalers.   10/15/2021- Got a call from PCP telling me that the results for my Pulmonary function test came back positive. They requested that I come in sooner then pervious scheduled appointment. I was told that I have a extremely high risk of having asthma now.