Age: 64.0
Sex: F
Vaccine: COVID19-2
Symptoms: Malaise, Myalgia, Nausea, Pain in extremity, Pyrexia
Clinical narrative: She got her vaccine, her arm hurt like crazy.  She already has a left shoulder impingement and did not need excess arm pain.  She is 1 hour from the office to her home, and by the time she got her home the pain was so great that she used a pain patch, and the injection site pain and the shoulder and put a Diclofenac patch on the injection site.  She had normal arm pain with the Moderna vaccines, but this was extremely painful.  She had a mild headache and feeling nauseous before she got home.  Within 6 hours after the vaccine she had what she calls a heart beat that was so loud and fast that she could feel and hear it, it was 121/91 with a pulse of 108 when she took her BP.  It went up as high as 130/88 with a pulse of 110 . She normally runs very low with her BP 94/67, pulse of 79 is normal for her.  So, her BP was 20-30 points higher than normal.   When she got home and inside she was dizzy, nauseous and felt like somebody ran over her with a truck.  She also had chest discomfort, felt like she had an animal sitting on her chest, and under her left arm felt like she had pulled a muscle.  She also had injection site pain, tiredness, headache (so bad she had to take a migraine pill - 2 extra strength Tylenol), muscle pain, chills, joint pain, fever up to 102.4 by the next morning.  She also had injection site swelling, feeling unwell, no appetite, and everything she tried to eat tasted like cardboard.  She also had diarrhea, and had Compazine that she took for the nausea and probably would had vomited if she hadn't taken it.  The dizziness got to the point that if she did not sit down she would have fallen down.  Was wondering if she would pass out or not, and spent that evening and the rest of the next day in bed.  This is the first day in 13 days that she did not have diarrhea.  She has also had severe cough, runny nose, like she had gotten a cold/flu on top of the COVID vaccine.  She took the shot that day as her immune system was in a good spot and agreed to do it, and probably felt as miserable for the past 12-13 days as she did when she had COVID, which was 8/17/22.  She had the worst headache she had ever had when she had COVID.  Due to her being high risk due to asthma, had an infusion on 8/23/22.   The infusion affected her with BP fluctuations for a week.    She is due for a physical in the beginning of the year.  Today, is the first day that she has not taken Tylenol.  She had coughed so bad that she has pulled a muscle under her right rib cage, under hear arm and right groin area/hip area, and took Coricidin HBP to alleviate the pain from that.  She had more symptoms and felt sicker with the vaccine than she did with COVID.  She states that she will never take another Pfizer vaccine, never had a problem with Moderna vaccine.   She basically did not get out of bed for about 12 days other than an hour or so here and there, but would be so exhausted in just a short period of time.  Her BP this morning was 120/83 pulse rate of 58, and will still be higher and pulse rate over 100 as of today.  The cough is pretty much under control.