Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Partial seizures, Postictal paralysis, Postictal state, Rash, Scan with contrast normal
Clinical narrative: Timeline of events for patient  11-12-21- First Covid-19 Vaccine- Pfizer- Lot  FJ1611   Within 5 minutes from the injection, fell unresponsive yet conscious, experienced loss of muscular strength, inability to open eyelids, new onset right sided convulsions/seizure activity. Rapid response was called and brought me to the ER. Heart rate was elevated, glucose was elevated at 204 (No history if diabetes, and this is before I ate lunch).   11-13-21- Was post-ictal all day  11-16-21- Second seizure at a restaurant with a friend and my children. EMS called, by the time of their arrive the seizure resolved. An hour later I felt well enough to drive 10 minute to home.   11-19-21- Admitted to HCF, started on IV Keppra, received 3 doses. Requested an early discharge on 11-20-21 so I could make it to my daughters 4th birthday party.   For the past 2 weeks experience daily dizziness, right sided numbness, tingling, transient right sided weakness accompanied with right hand and arm discoloration becoming red or purple, fatigue, brain fog, slow mental processing  11-29-21- Increased the Keppra dose, as I continue to have 2 to 3 seizes a day followed by Todd?s paralysis lasting anywhere from 30 minutes to 2 and a half hours.   12-4-21- I had 4 seizures between 6:30 am and 12/noon. Dr. orders Trileptal, first dose of Trileptal started at 1:00.  12-10-21- Dr appointment. stat MRI, MRA, MRV of the brain with and without contrast  12-17-21- I had a neurology appointment this afternoon. This past week I was improving? Wednesday was better than Tuesday and Tuesday was better than Monday. However yesterday afternoon and today have not been  good. I spent the majority of the morning on the couch, with right sided paresis. My neurologist thinks I was improving earlier this week because of the steroids, and now that I am tapering the steroids, my symptoms are returning. So he is increasing the steroids again- I?ll be on them longer and at a higher dose than first prescribed last week.  Any sort of stimulation can trigger a seizure and a post-ictal state? walking from the car to the entrance of a building is manageable but beyond that I can not continue. I can not walk stairs at all, my right side is too weak. I noticed yesterday when writing, I omit letters in words.  Of course I have my good moments too, but never like I was before the vac-cine.  12-20-21- I continue to experience Todd?s paralysis several times a day.  I?ve noticed I can only have 1 or 2 stimuli at a time or I?ll become symptomatic. I can?t listen to music or the television; if more than 1 person is talking at the same time in a room I can feel a seizure coming on (imagine how life with kids is), I can get ready to go somewhere and make it to my destination (being chauffeured to) but once I?m at my destination I can hardly walk or function.   1-5-22- Started to notice gum sensitivity and edema to the mucosa under my tongue. Remain dizzy daily.  1-6-22- Used an infrared sauna on ?Detox Mode? for 37 minutes. Shortly following the sauna developed body aches and chills, I went to rest.   1-7-22- Didn?t feel well. Slept until 11:30 am. I sweat perfusely. I developed a rash all over my body- head, face, arms, legs, back. At first I thought it was a heat rash from the sauna the day prior. But my upper lip is swollen and for the past 3 days my gums are extra sensitive and swollen.  My tongue then became swollen.   1-8-21- Full body rash continues. Tongue is swollen, upper lip is swollen, multiple oral mucosal sores have developed, painful to swallow. Low energy, dizziness continues.   1-9-21- Same as days prior. Rash continues to be diffuse with continued swollen tongue, lip, mouth sores.  1-10-21- Went to Neurologist today. Developed thrush on tongue; lozenges prescribed. Now to take Prednisone 30mg a day for a week then beginning weaning off the Prednisone.  1-11-21- Improving. Able to function in the morning.