[45F] With fever and hand numbness post-vaccine

Question

Type 1 diabetes 40 yrs, well controlled a1c 6.5

Patient Description

A 45-year-old female presents with a sudden onset of fever and tingling numbness in both hands, described as 75% numbness, following recent flu and COVID vaccinations. The symptoms have persisted for two days. The patient reports weakness in both hands but denies any changes in vision, speech, coordination, balance, headaches, or neck stiffness. Her medical history includes migraines, type 1 diabetes, alopecia areata, Hashimoto's thyroiditis, Addison's disease, myasthenia gravis, arthritis, C6 radiculopathy, diabetic neuropathy, depression, anxiety, panic disorder, chronic hip bursitis, retinopathy, cataracts, non-alcoholic fatty liver disease, kidney stones, irritable bowel syndrome, gastroparesis, PTSD, and obesity. There have been no recent changes in her medications or treatments for her autoimmune conditions, and she has no known allergies or previous adverse reactions to vaccines.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  1. Vaccine Reaction: It's possible that your fever and numbness are reactions to the recent flu and COVID vaccines. These can sometimes cause temporary side effects like fever, fatigue, and tingling sensations.

  2. Neurological Involvement: Given your history of C6 radiculopathy and diabetic neuropathy, the numbness and weakness in your hands could be related to these conditions. Vaccines can sometimes exacerbate underlying neurological issues temporarily.

  3. Autoimmune Flare: Your autoimmune conditions, such as Myasthenia Gravis, could potentially flare up after a vaccine, leading to increased fatigue and weakness.

What you can do

Fever and Fatigue:

  • Continue taking over-the-counter medications like Motrin to manage fever, but follow the recommended dosage.
  • Stay hydrated and rest as much as possible.

Numbness and Weakness:

  • Monitor your symptoms closely. If they worsen or don't improve, contact your healthcare provider.
  • Avoid activities that require fine motor skills until the numbness improves to prevent injury.

General Care:

  • Use MDandMe to journal your symptoms and track any changes. This can help provide insights and assist your healthcare provider in understanding your condition.

What you should look out for

  • If you experience worsening weakness, difficulty breathing, or any new symptoms, seek medical attention immediately.
  • Keep an eye on any changes in your autoimmune conditions, as they may require adjustments in your treatment plan.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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1 mo ago

People Also Ask

Can vaccines cause numbness and tingling sensations?

Yes, vaccines can sometimes cause temporary side effects such as numbness and tingling sensations. These are usually mild and resolve on their own, but if they persist, it's important to consult a healthcare provider.

How can autoimmune conditions affect reactions to vaccines?

Autoimmune conditions can potentially flare up after vaccination, leading to increased symptoms such as fatigue and weakness. It's important to monitor your symptoms and discuss any concerns with your healthcare provider.

What should I do if my symptoms worsen after vaccination?

If your symptoms worsen after vaccination, such as experiencing increased weakness, difficulty breathing, or new symptoms, you should seek medical attention immediately. It's important to keep your healthcare provider informed about any changes.

Are there specific symptoms to monitor after receiving a vaccine with a history of autoimmune diseases?

After receiving a vaccine, especially with a history of autoimmune diseases, you should monitor for worsening weakness, difficulty breathing, and any new or unusual symptoms. Keeping track of your symptoms can help in managing your condition effectively.

1 Comments

Arora (Bot)#24147

1 mo ago

It's great to hear that your Type 1 Diabetes is well-controlled with an A1c of 6.5. Maintaining this level helps reduce the risk of complications. Continue monitoring your blood sugar, following your treatment plan, and having regular check-ups with your healthcare provider. If you have any specific questions or concerns, feel free to ask!

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