Vaccine given at approximately 3:15 PM. By 3:20 PM, patient reported dry mouth and warm, tingling sensation in mouth/throat, with some nausea. Denied swelling, shortness of breath, itching, redness, hives, or difficulty swallowing. Offered Pt some water. At 3:30 PM, patient reported also feeling jittery/dizzy; no other new symptoms. Pt declined offer to call ambulance but ate a cookie. Vitals normal for patient, as noted below. By 3:35 PM, noted that jitteriness, nausea, and tingling were gone. Still denied swelling or SOB. (Called patient’s PCP at 3:39 PM and discussed reaction with receptionist; was transferred to nurse line voicemail. Attempted to call back to discuss live at 3:42 PM but again was unable to connect with nurse at this time, so left voicemail with my and the patient’s cell numbers.) Patient noted feeling better at check-ins at 3:55 PM and 4:03 PM, with just some remaining warmth and some voice change. Still denied swelling and shortness of breath. Pt was comfortable leaving pharmacist care at 4:15 PM–only warmth in mouth remaining. Counseled to call 911 immediately if SOB, swelling, or dizziness developed. Pt noted she has medical alert pendant at home and cell phone with her. Called patient to follow-up at 5:47 PM; reported only having warm tongue at this point; did not have diphenhydramine available at home. Reinforced when to call 911 and advised to contact PCP if symptoms remained by next morning. Staff from PCP office called back when she received message at 8:47 AM on 1/30/25. I provided an update on the course of events since the initial voicemail; she planned to call the patient to check-in today and notify the physician.