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Right Biceps Pseudo-Tumor from COVID-19 Vaccination

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Date 2024 Feb 24
PMID 38400143
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Abstract

Delayed hypersensitivity reactions (DHRs) have been reported in association with COVID-19 vaccines, particularly those that are mRNA-based. Classic DHRs result in induration, erythema, tenderness, and urticaria. However, soft tissue mass is an uncommon complication of a COVID-19 vaccination-associated DHR and is rarely reported in the literature. We present a case of a 49-year-old male who recognized a mildly painful, firm soft tissue mass within the biceps mimicking neoplasm six months after receiving the booster dose of the Moderna vaccine. Non-operative conservative treatment modalities, including heating pads, ice packs, acetaminophen, and ibuprofen, failed to improve the patient's mass. The mass, which proved histologically to be an inflammatory pseudo-tumor, did not recur after complete excision. While there have been many reported cases of DHRs following COVID-19 vaccinations, we present this case to raise awareness of the development of pseudo-tumors as a possible, yet rare, clinical manifestation of DHRs following vaccination.

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References
1.
Pitlick M, Joshi A, Gonzalez-Estrada A, Chiarella S . Delayed systemic urticarial reactions following mRNA COVID-19 vaccination. Allergy Asthma Proc. 2022; 43(1):40-43. PMC: 8749242. DOI: 10.2500/aap.2022.43.210101. View

2.
Bae E, Bae S, Vaysblat M, Abdelwahed M, Sarkar K, Bae S . Development of High-Grade Sarcoma After Second Dose of Moderna Vaccine. Cureus. 2023; 15(4):e37612. PMC: 10184721. DOI: 10.7759/cureus.37612. View

3.
Hurst M, Jordan A, Capstick J, Brewerton M, Cockroft R, Ingram J . Patients with previous immediate hypersensitivity reactions to polyethylene glycol can safely receive the BNT162b2 mRNA COVID-19 vaccine. Intern Med J. 2022; 52(10):1818-1820. PMC: 9539122. DOI: 10.1111/imj.15821. View

4.
Brockow K, Mathes S, Fischer J, Volc S, Darsow U, Eberlein B . Experience with polyethylene glycol allergy-guided risk management for COVID-19 vaccine anaphylaxis. Allergy. 2021; 77(7):2200-2210. PMC: 9011687. DOI: 10.1111/all.15183. View

5.
Johnston M, Galan A, Watsky K, Little A . Delayed Localized Hypersensitivity Reactions to the Moderna COVID-19 Vaccine: A Case Series. JAMA Dermatol. 2021; 157(6):716-720. PMC: 8117061. DOI: 10.1001/jamadermatol.2021.1214. View