Age: 70.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Discomfort, Magnetic resonance imaging neck, Movement disorder, Musculoskeletal stiffness, Myalgia
Clinical narrative: She got her vaccine, felt a little heavier going in than her COVID shots.  The pharmacist told her the possible contraindications, and got the vaccine.  She asked her how she felt, told her to sit for 15 minutes, which she did.  She was feeling OK.  Then she got up, gave her the paperwork, told her to put ice on her shoulder if it continued to hurt, and if anything weird out of sorts was going on to contact the doctor.  She went on did a couple of errands, went home, and the latter part of the afternoon started having a pain in the back of neck, kind of strange. It felt like a heaviness, and then when she tried to turn her head from one side to the other it was aching.  She felt then that maybe it had to do with the shot, her shoulder hurt a little bit.  As the evening progressed the pain was getting worse and worse in the back of her neck, and going across the shoulders.  She started to take some Tylenol, which did not do anything.  She got up in the middle of the night as the pain woke her up, excruciating, felt like somebody had put a lead weight on her neck.  She ate something, and felt that she needed to take Ibuprofen.  She took the Ibuprofen, could not go back to sleep as her neck kept throbbing and got worse and worse.  She then called the pharmacist and told her what was going one, and said that she could continue to take the Ibuprofen and if it got worse to call her doctor.  She told her that she could put heat/ice on it, and she tried to ice.  That numbed it, but as soon as it got back to room temperature the excruciating pounding like a heavy weight on her neck.  She kept dropping her head down as if she tried to hold her head up the pain was ridiculous.  She then called an infectious disease doctor, osteopathic doctor who she has seen for lymphedema.  She told him what had happened, and he gave her an APT to come in.  She saw Dr. 1/18/22, and he said that there was like a bump, which she thought she was fat, which never bothered her.  He lighted touched her neck and she was ready to fight.  The pain he traced to going along both sides of the shoulders, and it was like a Z formation.  The lightest touch was severe.  She told him that she had not slept since the vaccine, and he told her to get a soft cervical collar, and wrote her a prescription for a cervical x-ray.  She had that done on 1/24/22.  He also told her to call her PCP.   She got the cervical collar that helped a tiny bit but still not able to sleep.  She took Tylenol ES and it wasn't helping, which she would alternate with the Ibuprofen.   She had spoken to her PCP and was told to get a copy of the x-ray and the report sent to him.  Dr. called her on 1/26/22 with the results, and said that there was something going on with a neve and spacing between C6-7.  She has not had a problem with this area in the past.  She told her that she would have to have more tests done that was causing this, and that's it's possible that it triggered and never and not letting go.   She called back her PCP who prescribed 800 of Ibuprofen.  She took that a couple of times, which upset her stomach and went back to the Tylenol.  None of these medicines were working for her.   She spoke with her PCP who referred her to Dr., Spinal and pain management specialist.   He ordered an MRI, which she had done on 2/7/22.  She has not heard the results from that.  She is still in excruciating pain, the weather is making it worse.  She has to turn her whole body to see in another direction as she cannot move her neck.  Clothes hurt, it's uncomfortable, and still trying to do the soft collar, which is not comfortable.    She did call Shingrix themselves, and the woman was pushing that perhaps she had Guillain Barre syndrome.  She did not have any of these symptoms prior to that.    She had all 3 COVID vaccines with no side effects.    She is now afraid of Guillain Barre and will not get the 2nd vaccine.