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. 2021 May 12;157(6):1–6. doi: 10.1001/jamadermatol.2021.1214

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.