Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Feeling cold, Hyperhidrosis, Lacrimation increased, Palpitations
Clinical narrative: RN noted the client's husband asking the client if she was okay. RN responded to the client. RN noted the client seated in her seat but leaning forward. The client stated that her "heart is racing." The client reported a history of hyperthyroidism and stated that sometimes she feels her heart racing in the middle of the night. EMT responded. O2 was 99%. The client denied any shortness of breath or itching. The client reported shaking. RN noted shaking of the client's right hand. The client reported feeling "dizzy." RN left the scene to obtain the anti-gravity chair. RN responded with the anti-gravity chair. RN observed the client attempt to stand and fell back into the chair. No injury was noted by RN. RN responded. EMT prepared to assist the client into the anti-gravity chair. The client stood up partially, became unsteady, and EMT supported her into the anti-gravity chair. The anti-gravity chair was reclined to low-fowler's position. RN noted the client's eyes rolling back in her head and her head rolling to the side. The client was not verbally responsive for a few seconds. The client's husband responded. The client's husband said the client's current state was abnormal for the client. The client was oriented to person, place, time, but not situation. RN noted the client's speech was interrupted with periods of non-verbal responsiveness. RN activated EMS at 4:28PM. RN Responded. The client reported chest pressure to RN. The client and her husband denied any history of anxiety. The client reported history of allergy to "something blue." The client's husband stated the client has an allergy to contrast dye. RN  inquired if the client's current symptoms felt similar to her previous reaction to contrast dye. The client said "no." The client was intermittently squeezing RN hand and telling RN about her day in incomplete sentences. The phrases included "cooked chicken and rice" and "for kids." RN noted the client arching her neck and back intermittently trying to adjust her position in the chair. The client reported chest pressure radiating into her abdomen. Denied feeling nauseas or the urge to defecate or urinate. RN noted tears in the client's eyes. Vitals obtained at 16:35PM were as follows: HR 104, O2 99%. The client reported tingling all over her face. The client requested to be sat up and reported "I can't breathe." RN noted the client's hand on her chest and the client gasping for breath. RN noted the client's cheek and ear were cold. The client stated she felt like she was sweating. RN  recommended administration of Epinephrine per CoSD Emergency Life Support Manual. RN educated the client that she was about administer Epinephrine. The client was not verbally responsive. RN administered Epinephrine Injection, USP Auto-Injector 0.3mg into the anterolateral aspect of the right thigh at 4:37PM. RN noted the client verbally responsive. Client stated her breathing was improving. Chula Vista Fire Department assumed care at 4:38PM. RN was unable to administer Benadryl 50mg prior to the Fire Department assuming care. Client transported to. The exact time the client left the facility was not noted. VAERS completed. VAERS confirmation number.