Table 1.
Patient | Patient 1 | Patient 2 | Patient 3 | Patient 4 |
---|---|---|---|---|
Age, years | 44 | 30 | 58 | 53 |
Sex | Female | Female | Female | Female |
Past medical history | Allergic rhinitis | No | Dyslipidemia | Vitiligo |
Current medication | No | No | Atorvastatin | No |
Past history of cutaneous reaction to vaccination | No | No | No | No |
Day of skin reaction onset after COVID‐19 vaccination | 4 | 5 | 17 | 14 |
Symptoms and signs of cutaneous reaction | Erythema, swelling, pain, tenderness | Erythema, swelling, pain, tenderness, pruritus | Erythema, swelling, pain, tenderness | Erythema, swelling, pruritus |
Lesion size, cm | 10 × 10 | 15 × 8 | 9 × 7.5 | 18 × 10 |
Immediate injection site reaction after vaccination | No | No | No | No |
Immediate systemic symptoms after vaccination | Fever (38.5°C), chill, myalgia | Fever (38.4°C), chill, fatigue, headache | Fever (38.1°C), chill, fatigue, headache, myalgia | Fatigue, myalgia |
Concurrent systemic symptoms with delayed skin reaction | No | No | No | No |
Treatment | Oral predinisolone 30 mg for 4 days | Oral antihistamine, topical corticosteroid for 3 days | Oral antihistamine, topical corticosteroid for 4 days | Oral antihistamine, topical corticosteroid for 4 days |
Duration of skin reaction, days | 4 | 17 | 7 | 6 |
Treatment response | Complete resolution | Complete resolution | Complete resolution | Complete resolution |
None of the patients had known previous SARS‐CoV‐2 infection. The clinical data were reported by patients, and symptoms were evaluated by a dermatologist or allergist.