Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Gaze palsy, Generalised tonic-clonic seizure, Loss of consciousness, Pruritus
Clinical narrative: Pt was given original dose at another location.  Patient stated to pharmacist that she did not have any issues with first dose but had a long list of allergies. All of which we have on file. She came in at 4:19 pm and the dose was administered at 4:35 pm she was kept 30 min due to allergies,  at 5:08 the technician (who is CPR trained) gave the patient her card and was walking along side patient just past the pharmacy the patient said she felt light headed. The technician brought her back into the clinical services area and knocked on window to alert pharmacist she was slumped over. The pharmacist instructed staff to call 911 and a code white. I ran out and when I arrived the patient was not alert and slumped back into the technician.  The pharmacist and technician at that time helped the patient to the floor gently as to not hit her head and remove the chair. An ice pack was brought out and place behind the patients neck. . I checked for pulse and asked the patient if they could hear me. The patient kept opening her eyes and closing them but had airway and pulse. The store Coach showed up and was assisting. The patient then stated she was itchy and felt her throat closing. She said her husband was in the pharmacy parking spots so the technician  went to look for him in his car. At 5:13 an Epi pen was administered into the patient and a second retrieved in case of necessity. The patient was talking and alert and stated she felt her airway was tightening.  She then lost consciousness again in which I checked for pulse and tried to check airway. Pt started having what seemed a seizure with eye movement back and forth and slight head movement. I did feel a faint pulse. I instructed (Coach) that I thought patient was having a seizure and that most important thing is to keep patient from hitting her head on ground. We removed the clinical services room and table and chairs. Pt started with full tonic clonic seizure movement and moved at least 2-3 feet from original position.  At times it seemed patient would almost vomit so moved her to her side and just made sure she did not hit her head on cement. I instructed not to fight the movement just keep her head  from hitting ground. At 9:17 I instructed staff  to call 911 again to verify coming. During this time coach and myself just kept her from hitting her head. I did not feel it safe to administer an second dose of Epi as the patient had too much movement. The paramedics arrived at 9:18 slowly walking to the scene and took over.  At the time the paramedic saw the epi pen and asked why we administered. I stated to the paramedic that the patient was telling us her throat was closing and had multiple allergies and received a second dose of COVID just before so it was part of our protocol.  The husband came in at the same time as paramedics and also told paramedics that the patient always has epi pen and uses for situations. The EMT showed up a few minutes later and an IV was administered and patient was taken to hospital.  She was able to speak a few times but was unconscious most of the time.