Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza virus test negative, Lymph node pain, Lymphadenopathy, Mononucleosis heterophile test negative
Clinical narrative: I am currently 24 weeks pregnant due Jan 7, 2022. I was 21w5d at time of vaccination. Order of events as described to my PA: Sept 1st got the first round of the Pfizer vaccine Sept 4-5 had what I believed to be a sinus headache due to weather change and pressure behind my eye Sept 6/7 bumps came up on the top of my head and back of my head. The ones on the back were tender. All on the right side I also was fatigued that day Sept 8 another spot or two came up on my neck and head Sept 10 several more spots along with one under my chin came up within the last 2 days and the spots were all tender so I went to Urgent Care. Tested for mono, strep, covid/flu. All came back negative. The dr said if not better in 5-7 days or if it got worse to go to OB and have them run further test to see what was going on. Night of Sept 10-morning of Sept 11 Ear started swelling, getting red and hot, and itchy Sept 11 another lymph node came up under my ear at the base of my jaw and started really bothering me along with the swollen, itchy ear and a white spot under my tongue. By lunch I called the midwife on call at and talked to her about everything going on. We decided for the first course of action to be take 50 mg Benadryl and see how that worked in the next few hours and call for follow up. At 1pm I took Benadryl (I thought the date said 4/24 on it. looked later and said it said 4/14 sooooo it might not have been effective for this reason). I then commenced to sleep until 2:30 when the boys woke up and was drowsy for the next hour. Finally was awake enough about 3:30 to look at my ear and noticed that nothing had changed. I called midwife facility at 4:30 and talked with the midwife. We agreed a plan of action would be to go to L&D Triage the next morning after parents arrived since they had infectious disease experts there. Sept 12 Called midwife facility at 8am to let them know we were on the way. The new midwife on call talked with me with 2 options: be seen by her and check out the baby and symptoms and go from there or go straight to hospital. I agreed to go to midwife facility first. After checking me out and talking with the triage midwife at hospital, they both agreed that it seemed to be viral and Urgent Care had already ran the preliminary tests they would have run so to give it a few more days to run it's course. They advised to get another Covid test in the next couple of days, keep an eye on things, and follow up with primary care. The midwife did look in my throat, under my tongue and in my ear and could not see any sign of infection. I had been taking Tylenol for pain every 6-8 hours (in the beginning more like once or twice a day) to manage the pain.  After this interaction and talking with the pharmacist, I took Tylenol every 4 hours as the pain in my ear and the nodes around my ear and jawline were hurting without much relief. I took Tylenol every 4 hours through Sept 13th. I also took a Benadryl the night of Sept 12th to see if I could get any relief from the swelling. Benadryl did not help in any regard. Sept 14th I took another Covid test to confirm I was negative and I was. After this swelling started slowly going down. By Sept 17th my ear was mostly back to normal and the swollen lymph nodes have went down and some itchy spots are where the swollen lymph nodes were as if they are healing.