On administering the vaccine, patient complained of having some sort of stomach upset and said she felt like she had acid reflux, I asked if she takes any medications for reflux and she said no. In less than a minute afterwards, she had an incidence of incontinence and then she blanked out, unresponsive to her name, head drooping backwards, mouth open, jaw twitching. I quickly administered the epipen and in about a minute she became responsive, asking what happened to her. I already had my clerk call 911 and the ems/fire dept people came in about  5 to 10 minutes (she was already responding to her name at that time). The EMS checked her blood pressure (was within 120/80 range, can't remember exact reading) and her blood sugar (postprandial cos she had said she just had dinner before setting out was in the 140 range). The ems tried talking her into going to the hospital to get checked but she refused. They documented the incidence and left (leaving 2 ladies) after about 10 minutes of trying to get her to the hospital. the ladies (2 of them) stayed back to further convince her but she refused. We got her to stand up and get to the bathroom to clean up (cos she had at that time had a major accident) and the fire dept ladies left me a white sheet to wrap around her to get her to the bathroom. I got her some wipes, water and stayed with her in the bathroom to be sure she was fine all the while and then walked her to the car.  She continuously stated that she was tired and short of breath from her COPD and that she barely gets to rest from taking care of her pets. Said she knows its wasn't the vaccine that caused the whole episode and that she knows she needs to rest and that she had just had dinner before coming in which she said she ate in a hurry because she wanted to come in and get the vaccine. She was brought in by her friend who had gone to pull-out the car to the entrance. The entire incidence happened between 7.30pm when i administered the vaccine and 8.50pm when I got her to the car.On administering the vaccine, she complained of having some sort of stomach upset and said she felt like she had acid reflux, I asked if she takes any medications for reflux and she said no. In less than a minute afterwards, she had an incidence of incontinence and then she blanked out, unresponsive to her name, head drooping backwards, mouth open, jaw twitching. I quickly administered the epipen and in about a minute she startled back asking what happened to her. I already had my clerk call 911 and the ems/fire dept people came in about 10 minutes (she was already responding to her name at that time). The EMS checked her blood pressure (was within 120/80 range, can't remember exact reading) and her blood sugar (postprandial cos she had said she just had dinner before setting out was in the 140 range. The ems tried talking her into going to the hospital to get checked but she refused. They documented the incidence and left after about 10 minutes of trying to get her to the hospital. The fire dept ladies (2 of them) stayed back to further convince her but she refused. We got her to stand up and get to the bathroom to clean up (cos she had at that time had a major accident) and the fire dept ladies left me a white sheet to wrap around her to get her to the bathroom. I got her some wipes, water and stayed with her in the bathroom to be sure she was fine all the while and then walked her to the car.  She continuously stated that she was tired and short of breath from her COPD and that she barely gets to rest from taking care of her pets. Said she knows its wasn't the vaccine that caused the whole episode and that she knows she needs to rest and that she had just had dinner before coming in which she said she ate in a hurry because she wanted to come in and get the vaccine. She was brought in by her friend who had gone to pull-out the car to the entrance. The entire incidence happened between 7.30pm when i administered the vaccine and 8.50pm when I got her to the car.