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Write-up: Moderna COVID- 19 Vaccine Moderna Lot #012L20A January 2021 left deltoid CC: Itching reaction, remote to the site of Moderna vaccination, 26 hrs post-injection 47 year old presents with rash rt. thigh on 1-7-21 at the Health Services, Employee Health Received Moderna Covid 19 mRNA vaccination #1 yesterday 1-7-21 at 8:50 am, left deltoid. Noted itchy area on rt. thigh ~ 26 hrs post-vaccine. No trouble breathing, no throat or facial swelling, no h/o problems with vaccination, no h/o anaphylaxis. No new topical exposures. No new supplements, no recent antibiotics. Denies fever. She apparently rubbed/scratched through pant leg, when felt itching, and then saw a bruised/red area after this. Exam: Skin: 5 xc 10 cm nonblanching petechial and ecchymotic area rt. ant. thigh, no papules or pustules, no warmth to touch. Pt. encouraged to register with V-safe. Rec. oral anthistamines as directed/needed. I spoke with patient on 1-11-21, no new itchy areas, still using Benadryl for the localized itchy area that she reports is resolving. Was harm caused: employee is fine. Difficult to say if this is vaccine reaction vs. coincidental occurrence.
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