Tuesday, June 8, 2021 - J&J 1-dose COVID-19 vaccine administered at 12:45 pm During injection - immediate pain at left shoulder injection site. Extreme throbbing and burning sensation; felt like being stabbed with a hot rod. Was advised by pharmacist to move around and ?shake it off? - indicated that was common feedback for the vaccines.  Injection triggered an underlying sense of anxiety - hard to explain, because have never experienced anxiety issues, but felt body going into ?flight or fight? mode. Has had this feeling since; with no prior experience or conditions pre-vaccine. Experiences daily and sometimes comes on in stronger bouts.  4:00 pm  lower & mid back pain. Severe muscle aches. These symptoms lasted for ~7 days. Worsening from onset for the first ~48 hours. 4:30-5:20 pm Extreme fatigues. Initial bout of narcolepsy. No prior condition or tendency, this has since occurred daily post-vaccine with immediate, rapid onset. Daily bouts last from ~20 minutes - ~2 hours per day, with time of day varying. Even after a full (8+ hours) nights rest; patient still becomes narcoleptic.  Has negatively affected patient?s life & ability to sustain their pre-vaccine lifestyle routine. 8:15 pm start of a headache, which lasts ~3 days. It feels like a migraine with similar symptoms. Patient has a history of migraines, is very familiar with the symptoms. 8:17 pm extreme back pain. Feels like someone is stabbing burning knife in mid-back (isolated spot, just to left of spine) - comes on very sudden & intense for a minute or so, then goes away. This happened a couple times in the following ~20 minutes.  Wednesday, June 9, 2021 5:22 woke up - hard to move (literally unable to get limbs to respond), entire body aches, back feels like it?s thrown out, did not sleep well, experienced a subconscious sense of anxiety throughout night; hot and dizzy and very nauseous. 5:50 am finally able to physically get out of bed, very painful to move, every muscle aches and feels like it?s seizing, even holding the phone hurts. Could barely make it 20 feet to the kitchen, almost passed out, had to go lay down again. Could not remain standing, too dizzy and nauseous. Started to rapidly get light headed. Went to lay down for a few minutes again.  6:00 am returned to the kitchen, but could not remain standing, so had to drink some water while sitting on the floor. Feeling miserable & am unable to remain standing without being about to pass out. Even sitting upright is a challenge.  6:10 am experienced the equivalent of a hot flash, extremely dizzy & nauseous had to lay down on kitchen floor tile to avoid passing out. Laid on tile floor in a puddle of sweat 6:30 am sudden onset of chills - could not stop shivering. Crawled to couch to lay down with a blanket - Inside temp is ~79F, should not be cold. Laid shivering under blanket for 5 hours, experienced extreme fatigue and passed out for ~5 hours. Challenges thermal regulating the next ~48 hours (alternating between hot / cold, but not to those extremes). Difficulty standing and being upright for ~36 hours, frequent lightheaded sensation. Extreme fatigue with rapid onset narcolepsy for ~4 days after - only being able to stay awake for a few hours at a time. The rapid onset narcolepsy has lingered and still occurs daily, but typically only lasts 20-120 minutes in total duration at a random interval each day (no existing pattern or triggers). Sense of anxiety and dread also has occurred daily since - lingering symptom that has no pre-existing conditions; has triggered stress eating, bouts of extreme introversion, pulling away and other negative  subconscious coping mechanisms. Both these lingering symptoms are extremely concerning to the patient, have occurred daily for a month now, and have negatively impacted the quality of their life & relationships, personal/work.