Update: There has been no resolution of symptoms after 2 months. Actually, the intermittent paresthesia in the arms/hands has progressed to symptoms consistent with CTS. The immune response from the vaccine definitely inflicted damage to the median and peroneal nerves. There is no doubt about it. It feels like the median nerve damage could possibly resolve over time, but I am almost certain the progressed peroneal nerve damage will not. Not on its own. The former is intermittent, the latter is constant.

Extensive lab work returned mixed results. No vitamin deficiencies or toxicities. Standard inflammation markers(CRP, CRP-HS, ESR) are in the optimal range. A1c well below the pre-diabetes threshold. homocysteine levels, however, are elevated. Elevated homocysteine is typically associated with vitamin B deficiencies--but i have none of that--but the literature also suggests it is a reliable marker for PN.

Treatment at this point consists of physician supervised lab work, a scheduled neurological exam in November and medical laser treatment. The medical cold laser therapy might be of some significant therapeutic benefit if you do it done every day for 6 months to a year. So, just shell out about 10K for a used medical laser on eBay and do it yourself. That would be more cost effective than having it done at the doc's office(1K/month, 3 days/wk). Any further aggressive alternate treatments will depend on the neuro exam diagnosis.

Interestingly enough, I was already pretty fit before this happened. But I have since gone on TRT. So apart from problems feeling my feet and the median nerve irritation, I feel pretty good. The damage is sensory, not motor. There is no real impediment to exercise. However, there will be no more shots for me. Ever. Again. For any vaccine. I had all the childhood inoculations, but this is the first vaccine as an adult. And this happens.