Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Drug eruption, Lip pruritus, Mechanical urticaria, Pruritus
Clinical narrative: FEB 05  Started getting hives:  scalp, torso (front/back), arms, buttocks FEB 08  Went to Dr. and received the following ? Kenalog 60mg IM in clinic (steroid shot ? predniSONE 20mg  1 1/2 tabs (30mg) daily x 3 days   1 tab (20mg) daily x 3 days  1/2 tab (10mg) daily x 3 days ? Triamcinolone 0.1% cream - 2x per day FEB 11  Hives were mostly gone, but replaced with a body rash (Torso front/back really bad); the itching of the rash is very intense. FEB 25  Went back to Dr. and received the following - Triamcinolone doesn't seem to help ? Bactrim for 7 to 10 days ? Hibiclens wash MAR 07  Rash on stomach started getting better, but became worse on extremeties (arms/legs) MAR 14  Dr. (dermatologist) ? Did Biopsy and sent in prescription for Trimcinolone Acetonide Cream (2x per day)   Woke up several times itching on stomach and lower back; applied cold wet wash cloth MAR 15  Applied Triamcinolone in morning   Itched all day...hands itched                New spots on bend in elbow on left arm, inside upper right arm/bicep, upper left shoulder blade, right buttocks/leg, right forearm   Washed all clothes in Free and Clear   Washed sheets and mattress pad in Free and Clear   Applied Triamcinolone in evening MAR 16  Itching - ears, hands, legs, feet, stomach   Showered   Itching of lips   Applied Triamcinolone in morning   Itching continues, but not as bad   Husband says back is looking better   11:45am - took Zyrtec as itching was crazy (back, hands, ears, head)   Zyrtec seems to have helped temendously   Slept through the night without itching MAR 17  Some routine morning itching just after getting up (primarily on lower back)   Itching was really bad in the late evening (10:00pm)   Took Zyrtec around 10pm  MAR 18  Lower back itchy  MAR 22  Woke up at 4:30 - major lower back itching   Hands itch after applying the Triamcinolone and washing my hands Absolute RAGE itching about 10:00pm...welts instead of the rash bumps...in lines.  Upper chest, face, scalp, upper hips, back of knees and really bad on my left hamstring.  Took Zyrec and applied old washcloths....calmed down after a bit.  MAR 23  Did not use Trimcinolone Acetonide Cream all day   Just a few hives in scalp, arms and legs  MAR 24  Lower back rash itched a little bit in the morning, but not bad   Did not use Trimcinolone Acetonide Cream all day  MAR 28  Doctor Appointment ? Removed stitches ? Believes it was a drug erruption ? Continue with Trimcinolone Acetonide Cream 2x per day ? Take Zyrtec daily for 3 weeks  MAR 29 Called nurse to find out how long a drug erruption would be in my system...to help figure out what might be causing my new rash/itch items.  Nurse said generally 2-7 days and it's out of your system.  Then she looked it up and said maybe 3 weeks to resolve.   APR 11 Breakouts are much fewer.  I apply the Triamcinolone when a set of hives appear.  The hives have changed in shape over the past couple of weeks and now -- and have been for a week or so -- looking more like bug bites or the original hive.  The Triamcinolone seems to work now where it did not in the past.  Still taking Zyrtec once per day and no other medications for several weeks...but rash outbreaks continue ever day or two.  have had Dermatographia for several days (maybe weeks)