[kwahm, kwawm]
an uneasy feeling or pang of conscience as to conduct; compunction: He has no qualms about lying.
a sudden feeling of apprehensive uneasiness; misgiving: a sudden qualm about the success of the venture.
a sudden sensation or onset of faintness or illness, especially of nausea.

1520–30; origin uncertain

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World English Dictionary
qualm (kwɑːm)
1.  a sudden feeling of sickness or nausea
2.  a pang or sudden feeling of doubt, esp concerning moral conduct; scruple
3.  a sudden sensation of misgiving or unease
[Old English cwealm death or plague; related to Old High German qualm despair, Dutch kwalm smoke, stench]

Collins English Dictionary - Complete & Unabridged 10th Edition
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Word Origin & History

O.E. cwealm (W.Saxon) "death, disaster, plague," utcualm (Anglian) "utter destruction," related to cwellan "to kill," cwelan "to die" (see quell). Sense softened to "feeling of faintness" 1530; meaning "uneasiness, doubt" is from 1553; that of "scruple of conscience" is 1649.
A direct connection between the O.E. and modern senses is wanting, but it is nonetheless plausible, via the notion of "fit of sickness." The other suggested etymology, less satisfying, is from Du. kwalm "steam, vapor, mist," which also may be ult. from the same Gmc. root as quell.

see qualm.
Online Etymology Dictionary, © 2010 Douglas Harper
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Example sentences
Although she was nervous about what the publisher would think, she doesn't have
  any qualms about kids' reactions.
Other researchers say they have several qualms about those conclusions.
When the report arrived, our qualms were confirmed.
And since it is indeed a wish list, I've got no qualms about getting purely
  hypothetical about it.
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