Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
Call emergency services for chest pain, severe breathing difficulty, fainting, or signs of a stroke such as sudden facial weakness, arm weakness, or trouble speaking.
These symptoms need emergency assessment whether or not they started during TENS.
Seek prompt medical advice if you develop a blister, burn, persistent skin injury, marked pain increase, or unusual palpitations during treatment.
Stop using the device until you have been advised that it is safe to restart.
The article also says
Contact your healthcare team routinely if you develop repeated mild rashes, cannot find a comfortable setting, obtain no useful relief, or need advice about pad placement.
Every sign above is quoted from the sofidex article on TENS. If you are not sure, err upward — it is always reasonable to be checked.