Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Breath sounds abnormal, Bruxism, Loss of consciousness, Radial pulse increased, Seizure
Clinical narrative: Patient presents to the clinic at about 2:20pm for her 2nd dose of COVID vaccination. She was greeted and asked to fill out another consent form for the 2nd dose and was told it will be reviewed after she completes it. She states she has a history of seizure. State had one small seizure episode yesterday. States her doctor is aware and is running more tests and changing her medications around. States her doctor is aware about her COVID vaccination and made no mention that she should not get the vaccine. She states she is comfortable getting it. She states she received the first dose of the COVID vaccine and did ok. The only symptoms she had was fever for about a week. Again she states her doctor is aware and has not told her not to get the second dose of the COVID vaccine.  Consent and history were reviewed and COVID vaccination was given at about 14:27 with LVN. She was told because of her medical history, she will need to be monitored for 30minutes instead of the 15 minutes; she agreed.  After vaccination was given, patient sat with another co-worker talking and appeared in no distress. Co-worker left shortly after while she was still there for monitoring.  At about 2:30ish pm notice that patient was starting to slide down her chair appearing to have a seizure. Immediately rushed over to her, guided her down to the carpet, supported her head, she was lying to her side. She was not conscious, eyes closed, teeth clenched, no foaming of the mouth were noted. +strong radial pulse. Can hear her loudly breathing through her nose. Pulse oxygen on room air, 92% and heart rate was 67. She was not turning blue. Arms and legs were mild jerking. Called out to have staff called 911 simultaneously while supporting and monitoring patient. About 5 minutes into this, patient started to slowing open her eyes, still altered, teeth still clenching and extremities stopped jerking. Slowly, she started to relax, asked her name and where she is at and why she was there, which she was able to answer slowly. Asked her if she wanted us to call her daughter, she said he because she is a minor. Asked her who she is with and she said her husband is outside.  Paramedic arrived and took over care and she was told she will be transported to the ER.  Her husband, came into the room. After patient's husband spoke to paramedic, I also introduced myself to him. Per her husband, patient has a history of seizure that has not been controlled. Per husband, he states she had 5 episodes on Sunday, 3/21/2021. Her doctor is aware and is doing more testing and changing her medications around. Per patient's husband, he states she was doing an MRA yesterday to further evaluate the seizure and they were not able to complete it because she had 2 episodes. When asked if her doctor mention anything about getting the COVID vaccine, per patient's husband he states they did not say anything. Per husband, she did ok with the 1st dose of the COVID vaccine and only had fevers. Per patient's husband, there was no change in her underlying medical condition with the seizure with getting the vaccine.