Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Ultrasound Doppler normal
Clinical narrative: 4/8: Immediate injection site numbness and dizziness. As day wore on, I felt fatigued and later developed a fever ranging around 100.5°F. Throughout the night, I had body chills, muscle and joint pain as well as skin sensitivity. 4/9: Fever ranged from 100.5°F to 101.1°F. Dizziness, fatigue, headache, chills, muscle and joint pain, skin sensitivity and nausea. 4/10: Fever ranged from 99.8°F to 100°F. Dizziness, fatigue, headache, muscle and joint pain with mild nausea. 4/11: Fever ended. Mild dizziness, fatigue, muscle and joint pain. Around mid-day, both arms went numb with tingling/prickling pain from shoulders to fingertips. Could not open and close hands well. Could not hold, grasp, text or type/weakness in hands. Pain: 7-8/10. 4/12: Severe numbness. Noticing pain radiating from behind both elbows and going up to the shoulders as well as down to fingertips. Weakness in hands. 4/13: Went to school clinic and referred to ER for testing. Was given ibuprofen and told to take OTC painkillers. 4/19: Issues with insurance/unable to schedule follow-up with neurology in home town due to insurance based in nearby city but I am unable to drive and school is still in session. Telehealth call with PCP to go over options. Left arm is slightly improving but still going numb/tingly/prickly occasionally with pain radiating from behind elbow. Pain: 5-6/10. No improvement in right arm with pain and numbness being constant. Noticing slight pain behind left knee. Pain: 3/10. Purchased hand brace and arm sling for right arm. Taking Advil but noticing little to no relief. Use of warm and cold compresses as well as massage instead to help alleviate pain. 4/29: Attempted performing everyday tasks and school assignments for ceramics. Exasperated both arms. Severe numbness and tingly/prickly pain. Pain: 8-9/10. Left knee pain has not dissipated/becoming more and more noticeable.  Pain: 3-4/10. 5/4: Intense pain decreased back to usual pain levels. Noticed swelling behind left knee and pain going down to calf muscle. 5/6: Appt w/ school clinic again. Referred to ortho doctor on 5/13 and prescribed Celecoxib 200 mg. 5/12: Appt w/ school clinic. Saw ortho doc. Diagnosed with potential Baker's Cyst. Sent to ER to double check for blood clots. There was none. Diagnosis is potential Baker's Cyst or Meniscus Tears. Was prescribed Diclofenac Sodium 1% Gel and told to wrap knee. 5/13: MRI of full cervical spine with and without contrast done at Radiology at another city. 5/26: Left arm is almost completely recovered. Pain: 2/10. Still slight pain behind left elbow. If overused, however, more pain and numbness. Right arm is constantly in pain but it is not as severe as previous month. Pain is 6/10 and runs from shoulder to fingertips but more prevalent around shoulders to behind left elbow and wrist. Shoulder pain feels like burning pain instead of usual tingly/prickly pain like the rest of the arm. Left knee gives out randomly and I feel pain from behind knee to calf whenever standing for long periods of time or walking for more than 20-30 minutes. Pain 2-3/10. 6/1: Telehealth appointment with PCP to go over test results. Referred for neuro consult. Was prescribed medication for neuropathy but currently meds are with mother in a city. Unable to drive from city to city to pick it up. 6/8: Telehealth appointment with neuro consult. Waiting on referral for nerve conduction study. Pain has not changed for right arm or behind left knee. Decreased walking due to more frequent moments of knee giving out.  Overall, due to constant arm pain in dominant arm (right arm),  I am unable to do most activities without assistance such as cooking, cleaning or driving. Right arm/shoulder get exhausted fairly quickly or nerves become inflamed when attempting to use it more. Shoulder feels like it's burning slightly. Sometimes hand/arm will shake and feel a spike of pain when overused. Must do things more with left arm and can not walk far without falling down randomly due to left knee giving out.