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letter
. 2021 Jul 12;35(11):e711–e714. doi: 10.1111/jdv.17476

Table 1.

Demographic and clinical data of subjects with delayed cutaneous reaction to ChAdOx1 nCoV‐19 vaccine*

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.