Table. Main Characteristics of Patients With Delayed Localized Cutaneous Hypersensitivity Reactions to the Moderna Coronavirus Disease 2019 Vaccine.
Patient No. | Prior allergies | First-dose reaction | Second-dose reaction | ||||||
---|---|---|---|---|---|---|---|---|---|
Onset, d | Duration, d | Other symptoms | Treatment | Onset, d | Duration, d | Other symptoms | Treatment | ||
1 | Amoxicillin/clavulanic acid, TMP-SMX | 9 | 15 | None | None | No reaction | NA | Nausea, chills, myalgias, headache, sore arm | NA |
2 | None | 2 | 14 | Fevers, chills, arthralgias, myalgias, headache, fatigue | None | No reaction | NA | Fatigue, myalgias, headaches | NA |
3 | None | 8 | 5 | Sore arm | Clobetasol ointment | 1 | 3 | Headache, myalgias, chills, sore arm | Clobetasol ointment |
4 | Seasonal allergies | 12 | 1 | None | None | 3 | 2 | Myalgias, chills | None |
5 | Seasonal allergies | 7 | 6 | None | None | 0 | 2 | Headache, fatigue, sore arm | Antihistamine |
6 | None | 7 | 2 | None | Antihistamine | 5 | 1 | Headache, chills, joint pain | None |
7 | None | 7 | 3 | None | Clobetasol ointment | 1 | 2 | Malaise, fevers, fatigue, headache | Clobetasol ointment |
8 | Cephalexin | 8 | 7 | Sore arm | Clobetasol ointment and antihistamine | 1 | 3 | Fatigue, decreased appetite, sore arm | Clobetasol ointment and antihistamine |
9 | Amoxicillin/clavulanic acid, TMP-SMX | 3 | 4 | Sore arm | None | 1 | 4 | Headache, fatigue, chills | None |
10 | Seasonal and food allergies | 7 | 5 | None | Cephalexin | No reaction | NA | Fever, headache, fatigue | NA |
11 | None | 7 | 4 | Fatigue | None | 2 | 2 | Fever, headache, neck pain, arthralgias | None |
12 | TMP-SMX | 7 | 21 | Sore arm | Antihistamine | 2 | 5 | Lethargy | None |
13 | None | 6 | 7 | None | Cool compresses | 2 | 5 | None | None |
14 | Seasonal and food allergies | No reaction | NA | Sore arm | NA | 2 | 4 | Fevers, chills, myalgias, rigors | None |
15 | None | 2 | 5 | Fatigue | Hydrocortisone cream | 2 | 5 | Fever, headache, fatigue | Hydrocortisone cream |
16 | None | 9 | 2 | Sore arm | None | No reaction | NA | Sore arm | NA |
Abbreviations: NA, not applicable; TMP-SMX, trimethoprim-sulfamethoxazole.