Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor, Tremor
Clinical narrative: This patient came into the vaccine clinic for her SARS-COV-2 (COVID-19) - PFIZER (5 years through 11 years) booster. She received it at 9:05 per documentation. She left the clinic ambulating. While her mom was driving away through the parking lot, she noted her daughter shaking, and let out a couple of gasps then loss consciousness in back seat of care, mom denies patient hitting her head. She awoke as mother was carrying her back into the vaccine clinic. The patient arrived being carried by her mother. Placed in the observation area of the vaccine clinic in a reclined chair, reclined as far back as patient would permit. Patient was pale, cool, and clammy to the touch, but alert and conversing. 0915 vital signs: B/P 117/83 Pulse, 101 regular rate and rhythm, R.18 regular rate and rhythm, O2 sat 99%, 0945:T 36.6. Taking sips of Apple juice 5 minutes after arriving, stomach feeling uncomfortable, declined graham crackers. Discussed with mom about initiating EMS, she declined does no think it was a seizure as she had at first. No loss of bowel and bladder. Patient has had two fainting episodes after vaccines, the last episode was 2 years ago, mom was not present for those fainting spells or the recovery after the fainting 0945- feeling dizzy if closes her eyes. Leaving eyes open, remains pale evidenced per moms observation of her daughter having darker circles under eyes (patient is very light skinned as well), not cold or clammy at this time. Elevated feet more with pillow under legs, sitting calmly with mom conversing. 0952- Accepted graham crackers, taking bites, and sipping apple juice. 1015- moms stated patient is feeling like herself, patient demeanor has changed, conversing more, smiling, feet curled up under her self while sitting in chair. Stood up no complaints of dizziness or imbalance. O2 Sat 100% P. 92. 1022- Mom and patient feel ready to leave. Patient ambulated on down the hall and out the clinic door her own, mom and nurse walking beside her, no loss of balance. Signed: Show: Clear all. Written Templated Copied. Added by: assisting R.N.. Hover for details added by assisting R.N. at 7/29/2022 9:34 AM. This patient came into the vaccine clinic for her SARS-COV-2 (COVID-19) - PFIZER (5 years through 11 years) booster. She received it at 9:05 per documentation. She left the clinic ambulating. While her mom was driving away through the parking lot, she noted her daughter shaking, and let out a couple of gasps then loss consciousness in back seat of care, mom denies patient hitting her head. She awoke as mother was carrying her back into the vaccine clinic. The patient arrived being carried by her mother. Placed in the observation area of the vaccine clinic in a reclined chair, reclined as far back as patient would permit Patient was pale, cool, and clammy to the touch, but alert and conversing. 0915 vital signs: B/P 117/83 Pulse, 101 regular rate and rhythm, R.18 regular rate and rhythm, O2 sat 99%, 0945:T 36.6. Taking sips of Apple juice 5 minutes after arriving, stomach feeling uncomfortable, declined graham crackers. Discussed with mom about initiating EMS, she declined does not think it was a seizure as she had at first. No loss of bowel and bladder. Patient has had two fainting episodes after vaccines, the last episode was 2 years ago, mom was not present for those fainting spells or the recovery after the fainting. 0945- feeling dizzy if closes her eyes. Leaving eyes open, remains pale evidenced per moms observation of her daughter having darker circles under eyes (patient is very light skinned as well), not cold or clammy at this time. Elevated feet more with pillow under legs, sitting calmly with mom conversing. 0952- Accepted graham crackers, taking bites, and sipping apple juice. 1015- moms stated patient is feeling like herself, patient demeanor has changed, conversing more, smiling, feet curled up under her self while sitting in chair. Stood up no complaints of dizziness or imbalance. O2 Sat 100% P. 92. 1022- Mom and patient feel ready to leave. Patient ambulated on down the hall and out the clinic door her own, mom and nurse walking beside her, no loss of balance.