Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Rash pruritic, SARS-CoV-2 antibody test, SARS-CoV-2 test, Trigeminal neuralgia
Clinical narrative: ***To continue off previous entries: VAERS E-REPORT 326730 AND E-REPORT*** I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon returning inside to warmer air, the bilateral fingertips of both hands were pale white, numb, and painful. The time was 06:30 pm on January 6, 2021. At 06:47 pm, I felt a different feeling in the bilateral tips of my fingertips, and could see the color changing from pale white to a mixture of purple/black.  January 6, 2021 at 06:32 pm was the first time I have ever had my hands respond in this manner to cold temperatures. I have felt one fingertip go numb and turn white for a split second, only one time in my life but it was not a repeat occurrence, and it only lasted for about a second when it occurred. This experience and reaction I currently have lasts from 15-30 minutes of bilateral fingertip numbness and discoloration with pain. The bilateral fingertips of both hands now respond in this manner every time they are exposed to cold temperatures. I signed up for V-Safe and did state that I was having this symptom through the Vaccine reporting system on V-Safe under other'' multiple times. Treatment I received from a health provider are as follows; I had a telemedicine visit on January 14, 2021 at 12:51 pm to address my concern of ?reaction to Covid vaccine, fingertips were numb, lasting 30 mins?. On 1/14/2021, I received a primary diagnosis of Raynaud's Syndrome by my Primary Care Provider.  On 1/28/2021, I was seen in person by my Primary Care Provider for a Well Visit to complete a physical with my primary care provider. I was provided with a referral to a Rheumatologist for further advice about receiving the additional second Covid vaccination in the series. I also was ordered to do lab work. On 2/2/2021, I was seen by a Rheumatologist for new diagnosis of Raynaud?s Syndrome, and advised that risk outweighed the benefits in regards to receiving the second vaccination in the Moderna Covid-19 series. On 2/3/2021 at approximately 1:45 pm, I received the second Moderna Covid-19 vaccination.  On 2//10/2021, small red, itchy bumps started to appear on both sides of my neck. On 2/15/2021, a bump appeared above my right eyebrow with what felt like a pimple. On 2/21/2021, the pimple had spread towards my inner eye and above my right eyebrow making my right eyelid swell. I received telemedicine care via an e-visit over telehealth with an urgent care and was provided an antibiotic for facial cellulitis. On 2/22/2021, I had one episode of emesis, and went in person to an urgent care. I received a different prescription of an antibiotic, and was provided with instructions of signs and symptoms of what to look for when to report to the emergency room. On 2/25/2021, my right eye started tearing up and the pain began to intensify. I was seen in an outpatient Ophthalmology Clinic and diagnosed with herpes zoster ophthalmicus and postherpetic trigeminal neuralgia. I was placed on a leave of absence from work as of 2/26/2021. 3/1/2021, I was seen in-person appointment with my primary care provider hoping to provide a work note, further assessment of shingles that have spread over neck and back of neck. Primary Care Provider noted diminished bilateral lower extremity muscle weakness and absent deep tendon reflexes.  Primary Care Provider referred me to the Emergency room ASAP to rule out Guillain Barre and herpes zoster meningitis.  Evaluated by the Neurology Consult team in the Emergency Room. Discharged with diagnosis of disseminated shingles and muscle weakness. Appointment made to Neurologist follow up on March 16, 2021 and for EMG/NCS.  On 3/5/2021, seen in-person by Primary Care Provider for hospital follow up. I was feeling diminished sensation increasing in feet, muscle weakness and pain radiating up my back along my spine at times, and near my shoulder/neck. Primary Care Provider was unable to do anything for me.  3/5/2021, followed up with Neurology in person. An order placed for MRI with IV Contrast of Brain and Spine. 3/9/2021, MRI of brain and Spine with IV Contrast completed. 3/9/2021, a re-eruption of shingles started to appear on bilateral areas of my chin and middle of my forehead close to my eye where the nearly resolved shingles were on my eye. 3/10/2021- Order placed for lesions to be swabbed for HSV and VSV and Dermatology Consult placed for 3/15/2021.