Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Herpes simplex, Hypertension, Impaired work ability
Clinical narrative: The first symptoms, I woke up with Monday the 5th, severe headache - front area temple to temple and over the top of head; my arm hurt at shot site. I got through that. Except for on Monday 12th, I woke up with a full lower lip of cold sores and I do actually. Past history of HSV - on my lower back - I get a typical out break once or twice year. Massive amounts of inflammation of HSV after the vaccination. My primary care doctor, who is now closed after COVID - she had me us topical Abreva. Told me not to take anti-virals. Headache increased in severity - two weeks later the doctor said I could take anti-virals. My entire lower lip was infected = at that time they were healing but still present. 5/5/2021 - Telemed call - I was incoherent - I was suicidal and was  hospitalized for a week in a mental illness facility. Lower right molar #30 - abscess appeared. I had amazing hypertension that they were treating with 25 mg of Metoprolol .The did  add .2 of Clonidine then and I was on a very strict low sodium for a week. I went to ER on the 4th by ambulance and was seen by Dr.  My mothers had died on 20th of March and so had another colleague and I was crying - "Hello, I'm here, the best doctor is here to save lives" --Hospital in city - he told me that I was being a difficult.  I was transported two hours away on the 6th - and 8th of May  - 10 days dose for my abscess and they were treating with Metoprolol and Amlodipine 10 mg and Clonidine .2 - I didn't take any mental health meds. I flushed them down the toilet because I was sick and not a mental health patient. Dr at Hospital - on the 13th - a year and  a half over due for dental - tooth 30 needed work - because I was in the hospital I missed a filing deadline for work and a dental appt. Hospital van took me to dentist to schedule an appt. I no longer was given Clonidine - on May 13th - 186/104. I called my doctor to pick me up. I couldn't listen to the voice prompt on the phone and my daughter said she was taking me to my cardiologist - Elite Cardiology -  - his boss - sent me to ER . They sent me home and they increased hypertension meds 25 mg Metoprolol of Losartan - I have been to ER - 14 times; another ambulance ride from my home when I tripped and broke my foot. Did damage to violin while having chest pain and pain between shoulder blades. They got my blood pressure down. I went to ER the following day for BP checks. By 19th of May - ER - 50 mg of Metoprolol;  twice 100 of Losartan; 5 mg of Amlodipine. 20th of May, back to ER late at night - I was still not able to keep BP down 196/112 -  heart rates were in the 80s. 5/21/2021 - 5/23/2021 - Hospitalized - that 100 mg of Losartan didn't come until discharge on the 23rd of May (so that three recent medication set was on the 23rd when that started). After that discharge -  - practice is now closed. Dr.  new doctor - will see her 10/13/2021. I was referred to Infectious Disease - my first appt was mid June and I reported my headaches and I reported the pain behind my ear on my right side - ear pain, jaw pain. I have had three tooth extractions - dealing with Mastoiditis with an abscessed tooth. He had first considered blood clots in the brain. I was positive for Moderate to severe opacification of the mastoid process. Referred to ear, nose and throat and working with Dr. and Dr. - both at medical facility - hour and 15 minutes away from me. I have had a Myringotomy  - about a month ago. I have had 8 course of amoxicillin; 3 courses of Augmentin and 21 days of Bactrim. Molar 30, 31 and 3 were extracted. I was seen my an Ear, nose throat dr who told me I had Eustachian tube disfunction. I increased since May 23 - my other drugs. While I was on the Bactrim, amoxicillin, an Blood pressures normalized and we had to peel away all these Hypertensive meds to lower dose. There was a  3 week period where my blood pressure were normalizing: 25 mg of Metoprolol twice a day and 25 mg of Losartan.  I kept taking Augmentin 21st of August and stopped Bactrim too in August and the blood pressure went back up and the high blood pressure numbers are still there. Both doctors  (MD, PHD - have known him for 4 months) are current doctors. Today, I am on 50 mg of Metoprolol twice a day; 100 mg of Losartan; 10 mg of  Amlodipine;  50 mg of hydralazine 3 times a day. I can tell you that through this process, I quit smoking 12 weeks ago; I'm on a strict low sodium diet; he could be your first contact - known him for about 10 years - Dr. When - Cardiologist - per his direction, I am drinking one gallon of water daily and one gram of salt every day and quit smoking.  He told me just to breathe. In total, I was inpatient hospitalized twice and ER visits and had over 12 cardiology visits and at least 6 infectious disease appts. Ear, nose throat visits - 4; Ciprofloxacin with Dethamethazone for me to do another seven days - she had me continued with Flonase to reduce inflammation and continue with Cetirizine. Today was my one month follow up. Dr. remarked that I looked better today then when he had seen me previously. My daughter is residing -  named after her great grandmother, at the home of a family which is the namesake of the grandfather of all violas. And I'm staying with a friend at house.