Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash macular, SARS-CoV-2 antibody test positive, Skin discolouration
Clinical narrative: On April 14, 2021, I received my first covid injection at 5:35 pm. Within 2 hours, around 7:40 pm, I developed 3-4 raised hives on the left side of my neck. At the same time the surrounding skin on the left side of my neck became irritated, red, and very itchy. I have a photo of my neck which shows the hives and skin reaction. Skin issues and hives cleared up in about an hour by around 8:30 pm without any treatment or intervention. Did not seek any medical advice at the time because I did not know it could be a minor allergic reaction.  Called my health care provider a week later to get advice about what to do about getting the second vaccine, and should I even get it. I was told it would be fine to get the second shot, but to alert the staff that I would need to be in the 30-minute post injection observation area.   On May 5, 2021 around 2:30 pm (prior to my second vaccine shot later that day), I developed red, splotchy discolored skin around the left collar bone which resolved in a few hours without treatment or intervention. There were no hives or itchiness at this time.  On May 5, 2021, I received the second covid vaccine injection at 5:50 pm without incident (Covid 19 Pfizer Lot# EW0171).  On May 19 in the evening, I had full right arm pain that felt just like it did after each injection. I started having itchy skin on torso and legs. Then developed small bumpy-type rash across abdomen and hips. Skin itchiness and bumps resolved on its own in about 4 hours. At the time, I phoned the consulting nurse who said I should make a phone visit with a primary care provider (PCP).  On May 24, I had a phone visit with a PCP to discuss the hives and rash incidents and was wondering if it could be related to the vaccines and if I should avoid any covid vaccines in the future. The PCP reached out to an allergist for consult who responded, ?Delayed, cutaneous reactions to vaccine is not IgE mediated and is generally not considered a contraindication to the vaccine's future use. May consider pre- and post-injection use of an antihistamine, like cetirizine, to mitigate severity of hives.? No treatment or intervention was indicated at this time.  On June 1, 2021, I had a reaction to eating blood orange almond cake. My lips and tongue went numb and tingly. Plus, the skin area around mouth was sweaty and clammy. This lasted for about 4 hours. Everything resolved on its own without treatment or intervention. I have had a mild citrus allergy my whole life, but I usually only sweat around my brow and nose for about 30 minutes. I have never experienced tongue and lip numbness and tingling from eating any type of citrus in the past. Plus, I had eaten the same cake in the past without any incident.  On June 28, 2021 in the afternoon, I developed hives around the front side of my neck which resolved in about an hour without treatment or intervention. Granted, the outside temperature was about 103 degrees at the time, so it?s possible the hives were from sweating from the heat.  I have not had any further incidents as of today August 18, 2021.  Due to the hives and skin reaction, and moderate levels of the expected side effects for 5 days after both vaccine shots, I had the T-Detect COVID Test done. I received a positive test result on June 22, 2021. If I did have covid at some point in the past, it most likely occurred in May or June of 2020 due to some covid-like symptoms at that time. However, I did not experience any hives or skin irritation at that time.