Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hypophagia, Influenza like illness, Interchange of vaccine products, Loss of consciousness
Clinical narrative: 2nd booster: Received from pharmacy on 7/28/2022.  For the next 48 hour period had multiple flu like symptoms: lightheaded, off balance, aches/pains, not wanting to eat/drink, and lots of sleeping/napping.  COVID Just after the 48 hour period, pt. experienced a medical event leading to sister calling EMS.  Summary of event: At around 4:50 p.m.  Pt. was rinsing his dinner plate and expressed having much pain in his right hand.  Hand was massaged, pt. was assisted with finishing his routine and he then returned to his place at the table to eat a dessert. At around 5:05 p.m. Sister observed that pt. was having difficulty getting his right arm and hand to lift as he was trying to take a drink. This was observed several times with hand and arm staying in the air a couple of inches from the table with pt. not being able to rise or drop his arm/hand. Sister transitioned the can from pt.'s right hand to his left hand with the same thing occurring. Sister removed the can from hand at which time pt. appeared to lose consciousness ( i.e. body jerked once then stiffened, eyes closed, head dropped toward his chest, both arms remained frozen in the air a couple of inches from the table surface.  He was seated so sister positioned to support him sitting his chair to prevent a fall. Pt. began heavily drooling and both hands/arms, still a couple of inches in the air above his table surface, begin jerking.  As soon as sister could, she pushed his chair as close to the table as possible to prevent a fall and grabbed a portable phone, called EMS to request a rescue squad.  Within 10 minutes of the episode starting, pt. opened his eyes and began trying to get up where with sister assist he transitioned to his bathroom where he had severe diarrhea. Sister then transitioned him to his living room chair to wait for the rescue squad. Pt. was quiet, but remained awake asking what day it was and not understanding what day after a series of his guessing the day and with sister shaking head yes or no to the questions he was asking.  Rescue arrived at around 5:30p.m. and remained on- site until around 5:45 p.m.  A check of pt.'s vitals and a review of his vital charts across a 3 month period found his vitals to be in line with previous.  Given the event had ended and with vitals being typical, sister made the decision not to have pt. transported to the emergency room.  Close observation and physical support given for ambulation during the next several hours as pt. was unsteady of his feet as he had also been since receiving the vaccine on Thursday evening. Pt. continued to have diarrhea during the night and until around 10 a.m. on Sunday, July 31.  At round 8 p.m. on Saturday evening, July 30, pt. begin asking his typical questions/having his typically conversations.  On Sunday morning, July 31 he awoke and seemed his normal self, cognitive wise i.e. did his typical routine, ate, and could identify who was with him, and what day it was.   Note: Pt.'s first COVID vaccine was the J and J (3/2021) which he had minimal side effects.  His first booster in 11/2021 was the Pfizer from which it is believed caused pt. to go unconscious and have a full fall approximately 15 hours after the vaccination.  His second booster vaccine was the Moderna in which has had experienced the above event approximately 48 hours after receiving.   Note:  Since mid-July pt. was starting to experiencing challenges with regular bowel movements and he had not been given extra medication related to constipation to have caused the 8-10 bouts of diarrhea he experienced between 5:15 p.m. on 7/30 and 10 a.m. on 7/31.