Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Sleep disorder, Vital signs measurement
Clinical narrative: On Saturday, February 20, 2021 I received my first dose of Moderna Lot# 024M20A. I was detained for 30 minutes due to having a sulfa allergy and then released. There were no concerns that day. My arm was very sore, which I was aware of could happen for a couple of days and then things seemed to clear up.  Sunday, February 28th, I woke up at 5 in the morning with a severe red, itchy rash that covered my arms, legs, chest, back, and scalp. I took Benadryl every 4 hours until 8pm in which symptoms grew worse and I drove myself to the Emergency Department.  Upon examination, the doctor diagnosed that this was a rash for nonspecific skin eruption. I was administered dexAMETHasone sodium phosphate (PF) (Decadron, EPINEPHrine (Adrenalin), and famotidine (Pepcid) at 10:32 pm. The epinephrine was supposed to relieve symptoms within thirty minutes and was administered into my left upper arm. It did not. They informed me that the steroid they gave me would take an additional 4-6 hours to kick in and would last 2-3 days. After detaining me to observe my body's reaction to the medicine; I was released approximately at 11:30 pm. They told me to continue taking Benadryl. At the end of the visit my vitals were as following: blood pressure: 113/69, weight 205 lbs, temperature 98.2 degrees F, pulse 91, respiration 18, oxygen saturation 99%.  I was only able to sleep 3 hours that night, wake up off and on due to severe inflammation and horrible itching.  Due to the lack of relief by the provided medication I began taking lukewarm oatmeal baths combined with cool showers every hour to help alleviate the itch. This helped to make the itching less strong but did not alleviate it all together. In between showers (no soap) I applied Calamine lotion and aloe vera lotion on every other rotation. These combined efforts helped to keep me from scratching as much as possible.   I was not able to go to work on Monday (3/1/21). Throughout the day of Monday, I continued to take repeated showers, baths, and apply lotion. I continued to take Benadryl as directed on the package. My rash did not seem to be clearing up and I was just able to make the itching slightly bearable. This continued through the night, where yet again I was only able to sleep 2-3 hours.  On Tuesday morning (3/2/21) I awoke with my back inflamed and hopped immediately into a cold shower. Upon my husband?s examination the rash suddenly had worsened. There were more breakouts of tiny itchy spots everywhere and the itching was unbearable.  As soon as Urgent Care opened at 8:00 am I checked myself in. My primary care physician was unable to secure me an appointment for the day and I couldn?t take it any longer. At this point I was so uncomfortable I started to feel helpless and hopeless.   I was seen by the PA-C at approximately 8:20 am. I informed the doctor that I had not had any changes to my diet, my medications, my laundry detergent, dish soap, body wash, lotions, toothpaste, deodorant, perfume, or any other thing of that nature. I had not been sick this year at all and I had not had any other vaccinations nor traveled outside of the country. Nor have I been quarantined this year because of Covid. I also told about my good friend in. She stated that exactly the same amount of days later after her Covid shot; she had a rash too but her rash disappeared after a couple of days and she did not need medical care for it nor was it itchy. I informed the doctor that the only thing I had that was new to my body was the first dose of the Moderna vaccine. It was the doctor's opinion that this was an allergic drug rash. The doctor also firmly recommended that I do not get the second dose of the Modern vaccine. He said that there have been credible reports released of delayed reactions such as this and even though there wasn?t a way yet to medically prove it, due to all of the information provided he strongly felt this was a reaction to the vaccine. My rash was so bad that as he lifted my shirt to look at it, even he was appalled.   I was administered methylPREDNISolone sodium succ (PF) (SOLU-Medrol) in the buttocks at 9:03 for treatment. I was also prescribed a predniSONE 50 mg tablet to take once daily with food for the next 8 days. Additionally I was prescribed triamcinolone 0.5% ointment to apply 2-3 times daily as needed for itching relief. I was released at approximately 10 am after an observation period to make sure I did not have a reaction to the methylPREDNISolone sodium succ (PF) (SOLU-Medrol). Upon my release I was given a doctor?s note to not return to work until Thursday 3/4/21. I was told to keep taking Benadryl along with the new medication to treat the rash. Approximately around noon hours later, I noticed an improvement in the rash on my arms. They were less spotty, inflamed and itchy. By 5 pm my legs were improving and were less itchy and spotty as well. I picked up my predniSONE prescription at 5:30 and took 1 tablet by mouth with food at approximately 6pm.  By late evening, the itching on my back, chest, and scalp had decreased by 50% although they were still majorly broken out. I did not take any more oatmeal baths but I did take a cool shower before bed using no soap.   On Wednesday 3/3/21 I awoke at 7 am. I was able to sleep through the night and only woke up twice to reapply aloe vera lotion. My arms and chest were no longer itchy but my back, scalp, shoulders, and behind my knees were still itchy. I was still very broke out on my chest and back but the skin did not appear to be as inflamed. My arms are no longer red and the spots are very tiny and pink. I picked up my triamcinolone 0.5% ointment at 10 am in the morning due to the pharmacy needing to order it. At approximately 11:30 am I canceled my 2nd dose appointment with that was scheduled for Friday, March 19th at 1:50 pm.   Thursday 3/4/21 I returned to work. I found myself to be very weak and very shaky if I stood for any amount of time. I had to work with students from my rolling chair, scooting around the classroom.  Sunday 3/7/21 I seem to have my strength back and am no longer shaky when I am trying to do daily tasks.  Thursday 3/11/21 It?s a week later and the bumps are finally  mostly cleared up. Half a dozen remain on my shoulders and have turned into pus filled bumps almost like pimples.   Thursday 3/25/21 All traces of the bumps are gone from my arms, legs, chest, and back. Only a couple of them remain now appearing to have turned into ?pimples?. My doctor prescribed me a steroid cream to help get rid of the remaining bumps.