Nursing care of patients with immunization stress related response (ISSR),

Abstract

In case study, Thai female patient, 37 year old, was admitted to hospital on 12 May 2021. Before hospital admission for 10 min, she had the symptom including dizziness, palpitations, weak right arm and leg after receiving the COVID-19 vaccine (Sinovac) injection. Doctor's diagnosis is R/O Ishemic stroke. The brain of patient was scanned by a computerized tomography (CT). The CT scan result has no demonstrated focal brain parenchymal abnormality, acute infarction or abnormal enhanced lesion. Patient was treated in Stroke unit by receiving intravenous fluids therapy, thrombolytic drug and controlling blood pressure and blood sugar levels. The brain of patient was determined by magnetic resonance imaging (MRI) and showed normal appearance. Doctor concluded that the patient had immunization stress related response (ISSR). The patient was discharged on 14 May 2021. Patient was received symptom monitoring after receiving immunization (AEFI) for 4 weeks without abnormalities or complications, total hospital admission for 2 days.