Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dehydration, Immediate post-injection reaction, Loss of consciousness, Pallor
Clinical narrative: Patient received his 1st COVID vaccine (Pfizer, lot # EW0182 use by 5/15/21 at 0855) at 1539. The patient became pale approximately 30 seconds following the administration of the vaccine, EMT assisted the patient to the chair as he was standing up when he became pale, the patient loss consciousness for approximately 2 seconds. RN arrived at the station and assisted the patient to the ground, where he was placed in a supine position with his lower extremities elevated. The patients face mask was removed, he was alert and oriented to person, place, time, and situation. The patients color slowly returned to his face. Vitals were taken at 1540: BP: 155/70 (R arm, supine position), HR 70, RR 16, oxygen saturation at 97%, and pupils were equal. The patient had a history of fainting x 1 and his last meal was at 0800 and he stated, " I didn't drink that much today." Denied any chronic medical conditions, was not currently taking any medications, and denied any drug allergies. The patient was moved to the anti-gravity chair and he was given pringles and Gatorade. Vitals were retaken at 1545: BP 162/80 (R arm, sitting upright), HR 50, RR 16, oxygen saturation at 97%. Denied any dizziness, headache, chest pain, or vision changes.  Vitals were retaken at 1553: BP 158/72 (R arm, sitting upright), HR 52, RR 16, Oxygen saturation at 97%. The patient was advised to eat a full meal prior to receiving his second COVID vaccine dose and to receive his 2nd dose in the anti-gravity chair. Vitals were retaken at 1558, BP 152/78 (R arm, sitting upright), HR 57, RR 16, and oxygen saturation at 98%. The patient was also given a bottle of water, as he did not consume many liquids during the day. The patient's color fully returned to his face and he denied any shortness of breath, dizziness, changes in vision, or difficulty swallowing. Vitals retaken at 1603, BP 150/75 ( R arm, sitting upright), HR 60, RR 16, and oxygen saturation at 96%. The patient called his mother to pick him up, as we strongly advised him to not operate machinery/ a vehicle after fainting. The patient's vital signs were taken at 1608, BP 140/75, HR 60, RR 16, and oxygen saturation at 100%. The patient was advised to drink the entire bottle of water, as his blood pressure was slightly elevated and it was most likely due to being dehydrated, as he did not consume any fluid since 0800 earlier that day. The patient drank a bottle of water and his vital signs were retaken at 1614, BP 122/68 (R arm, sitting upright) and a respiratory rate of 15 breaths per minute. The patient's mother arrived on site around 1630 and spoke with RN and both EMT. RN instructed the patient about emergency precautions and to follow up with his primary care provider. RN also educated the patient about the importance of informing the healthcare provider about his history of fainting with the first vaccine, when receiving the second COVID Pfizer vaccine. Gave the patient V-safe information and reported the occurrence in VAERS. The patient had a steady and even gait when leaving the site with his mother at 1632.