Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry skin, Limb discomfort, Pallor, Panic attack
Clinical narrative: Client received the 1st COVID vaccine (Pfizer Lot # EW0183 expiration date 08/14/2021) at 1647. At 1652 client reported to PHN that, "I feel like I'm going to faint in about 15 seconds." RN and PHN responded and helped transfer the client into the zero gravity chair. Client was alert and oriented times four. Client's skin was pale and dry. Patient stated, "my left foot and leg feels tight. When I get anxious I get this feeling and my body feels weak like this." PHN removed client's shoe and sock, there was no swelling or discoloration. Client denied any tightness in his chest or swelling in his throat or mouth. At 1657 client's oxygen level was 98% and heart rate was 74. At 1658, the injection site did not have any redness or swelling.  RN took the client's blood pressure at 1659 (141/88). The client stated, "I am very nervous about the vaccine. My wife is against getting the vaccine and says that it's not safe. I wanted to get the vaccine for my daughter since she starts kindergarten in two weeks. Now I am scared that I got the vaccine and I don't know what's going to happen. I am starting to think about every part of my body and I'm getting scared. My daughter was crying and begging me not get the vaccine before I left. She listens to the things that my wife says about it, but I did my research before coming and the risks are better than if I got COVID." PHN instructed client to focus on his breathing and performed breathing exercises with the client. RN offered the client water, juice or a snack, and client refused.  Client has a medical history of palpitations and GERD. The client takes Omeprazole for his GERD and vitamins. The client has no history of allergies. At 1700 client stated, "I'm feeling a weird sensation on the right side of my chest. I don't know how to describe it." PHN investigated the area and found the client's necklace lying in that area. The client stated, "oh it's just me necklace. I am starting to make myself feel things that aren't there." RN took blood pressure at 1703 (142/88). Client's wife called at 1705. After client hung up the phone, he appeared more calm. At 1709, client's skin was appropriate to race. Vital signs taken at 1710 (blood pressure 150/92, oxygen 99%, heart rate 91). At 1717 client stated, "I'm starting to feel worse again. It's all a panic attack. I feel this way when I'm very nervous." At 1720, client started to shiver and stated, "I keep thinking about it all. I wish I had a way of telling that I was fine." PHN offered to call EMS and the client refused. At 1722, client's wife called him again. After the client hung up the phone, he appeared more calm and stated, "when I talk to my wife, it makes me snap out of it." Vital signs taken at 1726 (blood pressure 138/90, oxygen 98%, heart rate 73). At 1733 client stood up and started walking around the vaccine room and stated, "My leg feels heavy but don't feel like I'm going to feel any better than this. I want to go home." PHN provided education to client on when to seek emergency services, and advised the client to follow up with his primary care provider. Client left the facility at 1735 unassisted and with a steady gait.