Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Exophthalmos, Feeling abnormal, Flushing, Heart rate increased
Clinical narrative: It began with flushing on my cheeks, then eyes felt hot and "bulging'. Later eyes felt blistered. Lips flushed and blistered. Feeling of general weakness, slightly "fainty" that came and went. Irregular fluttering heart that continued to increase. As heart rate increased, became breathless, exactly as if in a high altitude. Vision became tunneled and felt close to fainting, fought it off as was driving with child in car by this point. I took many large breaths to increase oxygen (felt like my brain was lacking oxygen, oddly) and it did help to keep me going. Heart pounded and actually was painful. It felt a heart attack. I believe symptoms passed after a peak, though I felt badly and slept a long time (p2) afterwards I am not sure if I was able to drive my son back to his college. I believe he had to take my car back. (This is where my memory issues from TBJ are not helpful). I remember feeling very concerned that it felt like the event could have hurt or damaged my heart muscle. Whether it is completely unrelated or not, I did have something irregular turn up on EKG afterwards, which has never happened before. I am scheduled for an ECHO gram next week. Though this form does not allow for the inclusion of this info (only vaccines given on this date), I had a similar but lesser reaction to the first Moderna Vaccine. That information is: 3/5/2021, Moderna 025A21A, also at Health Center.  I have not really gotten my heart rate up significantly since this event and have felt a bit aprehensive about pushing myself in that way. (I've walked, etc. just not real heart pumping cardio exercise). Apart from concerns and questions about my heart, I have no reason to believe that I have not recovered fully from the event.  This reaction was similar (though much more intense, longer lasting and much worse) to the other odd drug responses I have had in the past. I don't believe I've had vaccine effects in the past but that would be unknown. I did have slight reactions to allergy shots as a teenager (feeling shaky and faint temporarily that passed quickly).  To be clear, none of this response was psychological, emotional or fear related. I am not at all troubled by shots and was delighted to be receiving my vaccines. I gave a flower to each clinic staff and it was a party atmosphere. I was keeping my calm and keeping my child calm even while it was at its worst. None of this was imagined or caused by stress or anxiety.  I am really hoping for help in finding an explanation to be safe in the future and also to find a way to safely recieve a booster shot (and future booster shots). I would have much preferred to have addressed this right from the beginning. There just has not been much information available on this issue to know where to begin, even for providers and we've been addressing the TBI issues. My primary provider has retired. We are still challenged to find helpful information.  Thank you, Patient  Allergist appointment following vaccination believed to not be allergic in nature. Echocardiogram performed after vaccination essentially normal. If future vaccination was desired could be pre-treated with cetirizine and offer extended observation at our facility in order to perform EKG, oxygen monitoring, or other medical intervention if needed. PA-C 01/21/22