Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Tunnel vision
Clinical narrative: 1209 HRS: Pt is a self reported 21 yo  female who was found to be pale and diaphoretic in past vaccination recovery area with report of narrowed vision with nausea, noting Pfizer vaccine (Lot #: ER8732) was administered IM to Right deltoid @ 1201 HRs. AAOx4 with stuporous gaze. Instant cold pack applied to back of neck with no improvement of symptoms.   1212 HRS: BP-90/58 (M), HR-62, RR-20, SPO2 @ 99% on RA.   1214: Pt moved from chair to floor w/ legs elevated on chair and ice pack applied to right neck vessels. Pt?s skin color improved to pink in hue w/ vision returning to baseline per her report.   1216 HRs: BP-98/68 (M), HR-75, RR-18, SPO2 @ 98% on RA. Pt denies past medical history. Denies currently menstruating or pregnant and currently taking Thiminar birth control. Reports last meal this AM. Pt reports history allergic reaction to penicillin with reported rash when she was 2 ? 3 years of age with unknown treatment provided. Denies prior illness up to 1 month ago, to include no prior COVID-19 diagnosis.   1222 HRs: Pt assisted to sitting position on floor, noting BP-112/82 (M), HR-91, RR-18, SPO2 @ 99% on RA w/ no acute changes noted. Pt reports feeling better with water provided. Transferred to chair w/ stand-by assist x 2 RNs.   1239 HRs: Pt jovial and conversing well and asymptomatic at this time. Pt reports condition at baseline to when she arrived to clinic.   1242 HRs: 1209 HRS: Pt is a self reported 21 yo  female who was found to be pale and diaphoretic in past vaccination recovery area with report of narrowed vision with nausea, noting Pfizer vaccine (Lot #: ER8732) was administered IM to Right deltoid @ 1201 HRs. AAOx4 with stuporous gaze. Instant cold pack applied to back of neck with no improvement of symptoms.   1212 HRS: BP-90/58 (M), HR-62, RR-20, SPO2 @ 99% on RA.   1214: Pt moved from chair to floor w/ legs elevated on chair and ice pack applied to right neck vessels. Pt?s skin color improved to pink in hue w/ vision returning to baseline per her report.   1216 HRs: BP-98/68 (M), HR-75, RR-18, SPO2 @ 98% on RA. Pt denies past medical history. Denies currently menstruating or pregnant and currently taking Thiminar birth control. Reports last meal this AM. Pt reports history allergic reaction to penicillin with reported rash when she was 2 ? 3 years of age with unknown treatment provided. Denies prior illness up to 1 month ago, to include no prior COVID-19 diagnosis.   1222 HRs: Pt assisted to sitting position on floor, noting BP-112/82 (M), HR-91, RR-18, SPO2 @ 99% on RA w/ no acute changes noted. Pt reports feeling better with water provided. Transferred to chair w/ stand-by assist x 2 RNs.   1239 HRs: Pt jovial and conversing well and asymptomatic at this time. Pt reports condition at baseline to when she arrived to clinic.   1242 HRs: Pt ready for discharge. Pt instructed if symptoms returned to call 911, proceed to ER or call PCP. Informed pt due to response to this vaccine dose, she will need to coordinate with her PCP for follow-up dose in an appropriately equipped facility. Pt verbalized understanding w/ questions answered. Pt signed COVID-19 VAER Form & discharged ambulating to POV where father was awaiting. RN notified.  Pt ready for discharge. Pt instructed if symptoms returned to call 911, proceed to ER or call PCP. Informed pt due to response to this vaccine dose, she will need to coordinate with her PCP for follow-up dose in an appropriately equipped facility. Pt verbalized understanding w/ questions answered. Pt signed COVID-19 VAER Form & discharged ambulating to POV where father was awaiting.  (Site Nurse Manager) notified.