Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neurological examination, Oxygen saturation, Pain assessment, Physical examination, Radial pulse
Clinical narrative: TUNNEL VISION; DIAPHORESIS (PROFUSE SWEATING); ARM CONCUSSIONS; FEELING OF "PASSING OUT"; BLOOD PRESSURE DROPPED; HEART RATE DROPPED; FEELING WEAK; VOMITING; ALLERGIC REACTION; NAUSEA; This spontaneous report received from a patient concerned a 30 year old male. The patient's weight was 130 pounds, and height was not reported. The patient's pre-existing medical conditions included: No past medical history. Patient never had a similar reaction to other vaccinations. Patient did not have any allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A21A) dose was not reported, 1 total, administered on 08-SEP-2021 for prophylactic vaccination. Concomitant medications included polycarbophil calcium (fiber) for drug used for unknown indication.  On 08-SEP-2021, within less than 5 minutes after getting vaccination, patient experienced profuse sweating, arm concussions, vomiting and tunnel vision. The pharmacist called emergency medical technician on behalf of patient. Patient experienced nausea and a feeling of "passing out" approximately 30 minutes after receiving the vaccination. Patient did not present loss of consciousness. Patient vomited once after receiving the shot and begun to feel weak, Patient stated that his symptoms had improved by the time of emergency medical services (EMS) arrival. Patient denied pain or shortness of breath (SOB), and there was no evidence of hives or other skin irritation.  Laboratory data included: Body temperature was 98.3 degrees F. and Respiratory rate was 16 (normal). Oxygen saturation was 95, Pain scale was 0, pupils equal and reacting to light (PERL) were normal. Patient's cardiovascular examination was normal i.e no evidence of Jugular vein distention (JVD), No evidence of peripheral edema, peripheral pulses were intact and equal bilaterally, Heart rate was 50 (dropped), Stroke Scale (resource stroke scale) stated Negative, Capillary refill test was less than 2 Seconds. Blood pressure was 128/50 mmHG (dropped). Radial pulse was normal. basic life support team (BLS) obtained patient vital signs and noted low heart rate but patient stated this was his baseline. Patient's neurological examination included, awake, alert, and oriented (AAO x 3), Appropriate Behavior, Clear Speech, Event Memory was Intact, Glasgow coma scale was (4/5/6) with eye, verbal, and motor response (EVM score) of 15. Patient's consciousness level was alert. Patient's Physical examination included (NR: not provided) Normal i.e Gastrointestinal (Abdomen soft and nondistended), gag reflex was intact, Skeletal (Long bones, Spinal bones, Skull and facial bones were intact with no deformity, spinal bones intact, was inline with no deformities, thorax bones were intact and symmetrical expansion with no deformities) noted, Skin (intact without evidence of breakdown, mucous membranes were moist and pink, non- pallor, no cyanosis, good turgor, warm and dry to touch). Patient had movement and sensation in all four extremities, which was considered normal. Patient's general skin presentation was warm and diaphoretic. Patient's mental status and neurological was in normal baseline Respiration and airway data included: Natural/Patent Airway, Trachea Midline, Breath sounds (both left and right) were clear and equal to auscultation, no evidence of retractions and no nasal flaring. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diaphoresis (profuse sweating), vomiting, and nausea, and was recovering from arm concussions, tunnel vision, feeling of "passing out", feeling weak, blood pressure dropped, heart rate dropped, and allergic reaction.  This report was serious (Other Medically Important Condition).; Sender's Comments: V0: 20210929255- COVID-19 VACCINE AD26.COV2.S-TUNNEL VISION. This event is considered unassessable. The event has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event.