Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Malaise, Nervousness
Clinical narrative: At approximately 5:15 pm on 9/19/2021. I administered the 1st dose in the Pfizer COVID-19 series to the patient. Following a review of the consent form and after questioning the patient, who denies any previous reactions to any other vaccines or medications, I administered the vaccine. At approximately 5:34 pm during the patient's waiting period following the vaccination they asked if it was normal to "feel hot" and be sweating after the vaccine. I immediately went over to the patient and informed them that this was not a normal reaction to the vaccine and that it likely could be due to a potential allergic reaction. The patient remained conscious and was able to clearly voice their symptoms. They described their reaction as feeling hot all over, and sweating, accompanied by a feeling like they might throw up or pass out and generalized weakness. I took the patients blood pressure and pulse with the kit located in the pharmacy at 5:26pm and got a reading of 92/45 with a pulse of 68. I informed the patient that their pulse was normal, but their blood pressure was low and advised them not to try to stand. I checked the patients arms and around the injection site and found no swelling, warmth or erythema present. Patient denied any swelling or troubles with breathing. I took a temperature at 5:34 pm and got a result of 97.6 via a forehead thermometer. At this time patient stated that they no longer felt hot all over but just weak and a little shaky and felt that they may be getting better and acknowledged that their anxiety of the situation may be contributing to the shakiness. After confirming no contraindications to Benadryl and providing patient counseling, I offered a 25 mg dose of Benadryl to the patient as an antihistamine to help with the reaction, which the patient accepted and took at 5:46 pm. The patient continued to state that they still feel a little shaky but feel like they are getting better slowly. At 5:56 pm I rechecked the patient's BP and got 125/88 and a pulse of 77. At this time patient stated that they have started to feel a lot better, and that they were no longer shaky and felt like they were returning to normal. Again, I reinforced that they should follow up with their doctor regarding their reaction to determine if they still want to go ahead with the second dose and I informed the patient that my recommendation would be to NOT get the second dose, due to the risk of an anaphylactic reaction. Patient understood and verbalized consent for me to provide her information to the CDC in this VAERS report. I also asked the patient if there was someone that could take them home, or if they needed transportation when they felt safe to leave and advised them not to drive home. They stated that they called someone who is on their way to pick them up. Patient confirmed that they will follow up with their doctor regarding their reaction and will let us know if they experience any further reactions at a later time. Wished patient well and made sure they were able to safely get to their feet when their ride arrived and they safely left the pharmacy at 6:14 pm.