That sounds hormonal. I've had many of those symptoms since having COVID. After (going on) three years of that - and, oh, so much more - I have adrenal insufficiency. I had to push and push and push for help. I had labs for HRT with low DHEA. That was the first clue for my doctor. He was not interested in the crippling fatigue, panic attacks, sweating, lack of refreshing sleep. I could not stay hydrated. He's been aware for months. I've required IV fluids repeatedly. Finally, he ordered a cortisol lab. Practically non existent cortisol.

Very long story short, I'll see an endocrinologist late next month for more testing to determine the cause of adrenal insufficiency.

My message for you is that those symptoms indicate HPA axis dysregulation which COULD BE from hormones. Whether that's due to COVID, the vaccine, perimenopause, or menopause, I hope this gives you a new avenue to pursue that provides relief.