Moderna

Patient received vaccine that she should not have. she was questioned again at the check in station that she goes on calls and interacts with people on the call. She answered yes to both and said she was sent by her Chief. The borough supervisor was called that same day and told no one but first responders dealing with the public were to be sent to the clinic, he called back and said he had e-mailed the police and fire departments and they had given a revised count that eliminated all of those not eligible. When her shot was entered in the PA-siis data system. The correct birthday was changed on the online form and she was denied for any further vaccinations. She then clarified that she was 14 and thought she had to get it because her Chief sent out an email indicating that active fire fighters were to get vaccinated if they wanted and she thought she should. I then instructed her to bring her parents or guardians into the clinic. Her grandfather; her guardian spoke to us and said he thought she was supposed to get it. I had her sit for 30 minutes with no problems. I followed up the next morning and she indicated feeling fine, I then reviewed all the symptoms that could occur and asked them to call me on my cell or if severe seek medical attention. I have followed up daily she has reported sore arm and a headache at work that lasted 30 minutes on1/26/2021, A mild itch at the injection sight 1/27/2021 but gone in the morning. We will continue to follow up daily with the vaccine

moderna clinic - Patient sat for a bit after vaccine - fainted when got up to leave. I heard the commotion from the pharmacy while i was giving a vaccine. Patient had signed up online for the vaccine with the date of birth 6-20-2001 (showing 19 years of age). Patient came to quickly after fainting - felt dizzy, nauseated, warm and blurred vision (seeing spots). Patient did not hit her head during fall. EMS came to check her out. Took blood pressure and pulse - within normal limits for patients age. Being that she's 14 and received Moderna instead of Pfizer that could have been the reason. Patient faulted age during online sign up stating she was 19. I checked with the mom the day after the incident - patient feels fine - no flu like symptoms or feeling dizzy, nauseated or blurred vision.

When doing initial assessment on 14 y/o F skin color pale cool classy. Complaining of nausea/vomiting went unresponsive with eyes rolling back. Increased voice level to arousal. Assisted pt to W/C with assistance to stand pt to cot. 4 sets of vitals with return of Pink warm dry skin. Orthostatics were done with a positive sustained heart rate while standing. Walked patient out to car without incident. Recommended if recurring syncope, fevers, N/V/D TO call 911 or go to Urgent Care.

Female 15-year old client received her first Pfizer shot (Lot# EW0185) at 15:02. She was accompanied by her mother and 12-year-old sister, who was also vaccinated at the same station with her. Client received her shot first and waited while her sister received her shot. After both girls were vaccinated, they were walking with their mother down the hallway to the observation room. RN1 stated that from the opposite end of the hallway she saw client?s knees buckle. RN1 walked toward client to ask if she was OK. Client straightened herself out, slumped onto her mother?s shoulder, and rolled onto her mother, who guided client to the floor. At 15:09 Lead RN heard client fall to the floor, went out to the client, and radioed for EMT assistance. Client was conscious and turned her face up. Client?s mother stated client passed out for 2-3 seconds and that her head did not hit the floor. Client?s mother stated that she cushioned her fall. Client was breathing adequately, appeared pale in face and lips, and stated she was OK. Lead RN and RN1 kept client lying on the floor and elevated her legs on a chair. EMT1 & EMT2 arrived at 15:10 and checked client?s pulse (HR: 74). Client denied head, neck, and back pain. Client was alert & oriented times 3 (person, place, & event). Client stated she was OK to stand up and sit in a wheelchair. Wheeled client to extra vacant breakroom where client vitals were taken by EMT2 at 15:17 (BP: 124/60, HR: 96). EMT1?s assessment found the client exhibited good circulation, sensation, and motor function in all 4 extremities. Client denied chest pain, shortness of breath, and nausea & vomiting. Client was leaning forward in the wheelchair resting her elbows on her lap. She stated she does not remember becoming nonresponsive and that she felt dizzy when lying her head back. Client stated she has a history of anxiety and panic attacks and is currently taking Prozac. Client stated she felt hot. Client?s mother stated client ate a full lunch at 12:35. At 15:20 Lead RN provided client with a bottle of water. Lead RN & EMT also observed client?s color returning to her face at that time. Client sat upright and stated that she felt better and was alert & oriented times 4. Client and mother declined going to the hospital and calling 911 for evaluation. At 15:23 client was wheeled to the observation room with her mother and sister where she remained seated in the wheelchair for 30 minutes for additional observation by EMT1. At 1600 EMT1 took client vitals while she was seated (BP: 116/82, HR: 68, RR: 16). EMT1 took client vitals again while having client stand (BP: 120/86, HR: 72, RR: 16). Client and mother stated they were OK to go home. Client and mother were instructed by Lead RN to follow up with HCP if client experienced any additional symptoms after going home and to call 911 if client experienced SOB or any difficulties breathing. Lead RN and EMT observed client leave the facility walking with a steady gait with her mother and sister.