Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling, Rotator cuff repair, Rotator cuff syndrome, Ultrasound Doppler
Clinical narrative: -On 21 May 2021 Received the Johnson & Johnson Covid vaccination Jannsen Lot# 207a21a/ EXP6/ 23/2021  -On 1 Jun 2021 Started to feel pain in right arm around the vaccination injection site.  -On 2 Jun 2021 The pain was exponentially worst  -On 3 Jun 2021 Right arm was in extreme pain and arm is now paralyzed (immobile). It felt like a shark ripping arm off. Tried hot, cold shower and Tylenol. The pain went from injection site to upper right shoulder to neck and shooting down to fingers. No ability to move wrist or arm. Fingers were tingly like they were asleep. Extremely concerned this numbness/paralysis is spreading throughout body -NO trauma or previous injuries  -On 8 Jun 2021 Called our Primary Care Doctor and set up a virtual call on 9 Jun - On 9 Jun 2021 Spoke with Dr insurance will only cover med therapy to start. He put her on Tramadol, Prednisone, and Diclofenac SodiumWe picked it up and started medication as directed. -On 15 Jun 2021 in the morning had an x-ray on right shoulder. The pain was so severe by the afternoon I called Dr and he did not have an appointment available so we went to Emergency Room.  ER doctor prescribed Lidocaine in IV drip and wrote prescriptions for Hydrocodone/acetaminophen and stronger prednisone. The ER also performed an Ultra-sound to look for blood clots. -On 16 Jun 2021 Tried to make a follow up with Dr and he was on vacation. -On 29 Jun 2021 Went to Dr office. He evaluated right arm and shoulder then he prescribed more hydrocodone and authorization too see Orthopaedic surgeon. -On 6 Jul 2021 met with Orthopaedic surgeon and he recommended MRI and Nerve Study -On 7 Jul Conducted two MRI's at Innervision on right shoulder and right arm -On 9 Jul 2021 was the Nerve Study  -On 14 July Dr  went over results from tests and scheduled surgery to repair damage to right arm/shoulder and he believes this condition to be a neurological disorder called Guillain-Barre Syndrome (GBS) as a result from the Johnson & Johnson Covid vaccination. Coincidentally, the news starting reporting that Johnson & Johnson may cause GBS. The doctor said he hopes that her getting the feeling back in fingers and forearm are signs that i might make a full recovery in approximately 6 monthsor never. The surgery was to repair the damage cause by GBS and give arm a better chance to heal. -On 9 Aug 2021 Had surgery on right shoulder to repair damaged rotator cuff. The anesthesiologist decided not to use a nerve blocker to prevent further nerve damage. Dr discovered and repaired more extensive damage that showed on MRI's and inside shoulder/arm was highly inflamed (pics attached) He also prescribed oxycodone/acetaminophen for pain. -On 10 Aug 2021 Follow up call from Dr's office to check on me- was feeling better but still groggy from meds and surgery. -On 10-14 Aug 2021 Used compression sleeves on her legs, iceman unit on right shoulder, Tens unit on right shoulder, and meds as prescribed. Wore sling and cut back on the meds. -On 14 Aug 2021 Noticed extreme bruising on right inner arm from elbow to shoulder that was not present the day before. Extremely concerned about an article that states Johnson & Johnson can cause additional side effects called Thrombosis with thrombocytopenia Syndrome causing easy bruising. -On 30 Nov 2021 -I was seen by Neurologist and diagnosed with Parsonage-Turner Syndrome which is a localized form of Guillain-Barre Syndrome. More specifically Brachial Plexius Dysfunction for right arm weakness, enlarged lymph nodes, and breasts asymmetrical. Doctor very concerned with swelling in right arm and loss of arm function and atrophy setting in. Ordered blood work, another MRI for spine, OB GYN, mammogram,  and possible new nerve study.