Tues, 8/29/23 Searing pain radiating from injection site through shoulder into neck, prevented sleeping due to discomfort.  body aches begin Wed, 8/30/23: throbbing headache at base of skull, chills, body aches, skeletal pain ("it felt like my bones would break when I walked to the restroom"), weakness, dizziness.  Injection site felt warm to touch.  Was unable to get out of bed until after 3pm - exhausted by walk to kitchen- returned to bed. Discomfort worse than flu 8/31/23: injection site had bright red circle and felt like a little hot volcano, range of motion limited by pain. Small, fluid-like blisters like "chicken pox" appeared - 1st, right forearm, 2nd left leg, 3rd right lower back, 4th - 7th on right leg.    Additional information for Item 18:  8/31 continued: throbbing, debilitating headache persisted, weakness and muscle fatigue.  Exhaustion led to much bed rest Fri, 9/1:  woke to a swollen, puffy left eye - the area around the eye was so swollen the eye looked like I was winking.  There was a lesion on the upper lid and one developed underneath the eye.  The left eye was red, watery, painful, itchy, and sensitive to light. The lower lid lining had fiery red, blistery spots along it and the interior corner was especially painful.  Medical care was sought.  Also, a cold sore erupted on exterior of upper lip, by end of day one erupted on inside of bottom lip.  Throbbing headache continued, overall malaise with fatigue continued.  Minimal physical activity (sitting on a porch swing shelling beans) resulted in extended bed rest with chills. Sat, 9/2:  Visited Urgent Care for assistance with eye condition.  Prescribed anti-viral eye drops but could not locate pharmacy with them in stock.  Not able to find drops, Urgent Care staff made contact with Ophthalmologist on-call and prescribed oral Valacyclovir 1 gr 3x day x 7 days, along with Prednisone 20mg 2x day x 5 days.  Began medications approx 4pm Sat.   Ophthalmologist follow-up appointment set for Tuesday, 9/5.   Headache better but still present.   Chills come and go. Sun, 9/3:  improvements in physical energy, eye less swollen, still watery, red blistery spots along lower lid and painful in inner corner, sensitive to light.  headache present, but less intrusive.  still experiencing some fatigue. Mon, 9/4: Was able to get out of bed early enough for a hot cup of coffee!  Had restored energy levels, less headache, no chills.  Eye swelling much reduced, inner redness less. Tues, 9/5:  Energy levels returning, no headache, no chills.  Ophthalmologist examination - prescribed anti-inflammatory eye drops Wed, 9/6:  Minor headache resumes, lower energy levels, but overall much improved.  No chills, no body ache.  Eye swelling reduced, redness gone, lesion on upper lid healing, lower lid lesion healed, the red spots still line bottom lid and interior corner is painful.  Eye drops sting.  Thurs, 9/7 Dizziness Fri, 9/8 Woke up still dizzy and had low level dizziness all day. Toward evening began experiencing a warm pain sensation around my jaw, down the back of my neck and across the tops of my shoulders. By bedtime my lymph area along the side of neck/beneath jawline was painfully sensitive Sat, 9/9 Woke up to tingling, warm, weird pain sensations across my back, down left arm and wrist, around neck, etc.  Wed, 9/13 Reports feeling much better    Patient diagnosed with Lyme Disease - chronic stage in May 2023 Patient experienced COVID infection with Day 0 = Aug 8, 2023.   Patient began treatment through Doctor using bio-available medications to treat Central Nervous System damage from Lyme Disease on August 17, 2023.        All as reported to writer by patient