OpenHealth Q&A

Get answered by medical professionals

Experiencing Hives and Redness After a Run Post-Vaccine: Should I Be Worried?

8/16/2025, 5:20:32 AMMale25-34

I’m a 16-year-old male, standing at 5'9" and weighing 145 pounds, living in the USA. I’ve been part of my high school cross country team for two years now. Today, after completing a 55-minute run at a steady aerobic pace with my teammates, I noticed I was sweatier than usual. Shortly thereafter, I began to experience itchiness in my armpit area. Just five minutes later, I broke out in hives—my skin was bright red, my lips had a purple tint, and my eyes and lips were noticeably swollen. This was an unprecedented reaction for me. Despite staying active, my heart rate remained elevated for over an hour before it gradually returned to normal resting levels. I didn’t have any changes in my diet or daily routine that would account for this, as everything I consumed today is something I'm accustomed to. While I do have a known allergy to tree nuts, I can confidently say that I did not come into contact with any of them today. The only two factors that I can think of that may have contributed to this reaction are: 1. I received a meningitis vaccine booster recommended by the CDC during a doctor’s appointment just about three hours before my run. This could possibly be the cause, although I had a smooth experience with the first dose approximately five years ago, and I wasn’t engaging in such vigorous activity back then. 2. I am currently on Accutane for severe hormonal acne, taking a daily dosage of 20mg since late June. I’ve been advised to maintain this lower dose due to my intensive training and the potential risk of developing joint issues, as well as pre-existing high cholesterol that the medication might exacerbate. The hives took roughly three hours to fully fade, and now I feel completely back to normal. Could anyone provide insights into what might have caused this? Should I consider modifying my training regimen as a precautionary measure? While this isn’t an urgent matter, any advice would be greatly appreciated. Thank you!

Pain ManagementAbdominal PainMuscle Pain

Answers (1)

Cony

8/16/2025, 5:20:54 AM

OpenHealth AI

It sounds like you experienced a significant allergic reaction, possibly triggered by a combination of factors, including your recent vaccine and your current medication. It’s understandable to be concerned about this unusual response, especially since you’ve been active without any similar reactions in the past.

Explanation

Hives and swelling can occur due to allergic reactions, which may be caused by various triggers, including medications, vaccines, or environmental factors. Your rapid onset of hives, redness, and swelling around the lips and eyes shortly after a strenuous run could suggest either an allergic reaction or a form of exercise-induced urticaria (hives triggered by physical activity). Given that you recently received a meningitis vaccine, it’s possible that your immune system reacted to the vaccine, even if you didn't have issues with previous doses.

The fact that the symptoms resolved after a few hours is reassuring; however, the presence of the purple tint on your lips could indicate that medical attention is warranted in the future if similar symptoms occur. Accutane can also contribute to skin sensitivity, which might have played a role in your reaction.

Next Steps

  1. Monitor Symptoms: Keep a journal of any future reactions you experience during or after runs, noting factors like diet, weather, exercise intensity, and any medication taken prior.

  2. Hydration and Cool Down: Make sure to hydrate adequately before, during, and after your runs. A proper cool-down period can help your body adjust after intense exercise.

  3. Modify Training Temporarily: For now, it might be wise to take a brief rest from high-intensity training until you can see if symptoms reoccur. Consider participating in less strenuous activities while monitoring how your body responds.

  4. Consultation Preparation: If these reactions happen again, especially with similar severity, consider discussing them with a healthcare professional. They might want to assess your training regimen, medication, or potentially refer you for allergy testing.

  5. Emergency Plan: Familiarize yourself with signs of a severe allergic reaction, such as difficulty breathing or swelling of the throat. If these occur, know to seek immediate medical help.

Please ensure you take note of how you feel in future training sessions and consider discussing your reactions with a healthcare provider to gain further insights into your specific situation. Your health and safety are very important!

Related Questions

Managing Early Appendicitis: Antibiotics vs. Surgery

I’m a 21-year-old who recently had a CT scan revealing mild inflammation in my appendix and lymph nodes. My doctor informed me that surgery might not be necessary if the antibiotics effectively alleviate my discomfort by tomorrow. However, I can’t shake my fears about a potential recurrence of the inflammation. The thought of going through a post-surgery recovery terrifies me, so I really want to steer clear of that option. Has anyone opted for antibiotics rather than surgical intervention? What was your experience like?

Joint PainAbdominal PainMuscle Pain
Male25-34
2 hours ago

Severe Abdominal Discomfort

An 18-year-old male, with no history of smoking or current medications, finds himself at home, surrounded by his sleeping family. He stands approximately 5 feet 11 inches tall and weighs around 220 pounds. Lately, he has been experiencing persistent discomfort in the lower left side of his abdomen. This sensation has intensified recently, culminating in a bout of vomiting, which was notably different this time, presenting more solid material rather than the usual liquid with some fragments. The level of pain has escalated significantly, leaving him uncertain about seeking medical assistance at this moment. What steps should he take?

Pain ManagementAbdominal PainMuscle Pain
Male25-34
3 hours ago

Concerns Over My Partner's Persistent Pain and Resistance to Seek Medical Help

I’m facing a worrying situation with my partner, a 40-year-old man who stands 6 feet 1 inch tall and weighs approximately 19 stone. Here's a brief overview of his medical background: Twenty years ago, he experienced two instances of deep vein thrombosis (DVT) in his left shoulder. Following the second incident, doctors discovered an abnormal growth of a rib that was pressing against a vein, which was the cause of those DVTs. More recently, he dealt with a blood clot in his calf last year. Fortunately, that was successfully treated, and he returned to his normal health. Although he was advised to continue taking apixaban for the long term, he has, unfortunately, chosen not to follow through with this guidance. He also has a history of elevated blood pressure. For the past couple of days, he has been experiencing two concerning symptoms that emerged simultaneously: a persistent cough with no accompanying cold or flu signs, and a severe pain located on the right side of his torso. He describes this discomfort as being mostly in his stomach yet extending slightly to his back. I would pinpoint the troubled area as the lower part of his ribs along the side of his body. It's unusual for him to express discomfort or complain about his health, so his recent grievances signal to me that the pain is likely quite significant. Despite my repeated suggestions for him to visit a doctor, he insists that he may have simply pulled a muscle. To manage the pain, he's been applying an ibuprofen cream (voltarol) and taking naproxen, but neither seems to provide relief. What might be the underlying issue here? I hope that some medical professionals who see this post can offer their insights, which might persuade him to consider making a doctor’s appointment. I’m open to providing any additional information you might require for a more informed perspective. Thank you for your help!

Chest PainJoint PainAbdominal Pain
Male25-34
3 hours ago

Struggling with Bleeding and Pain Since Christmas

I'm a 27-year-old woman from the UK, and I've reached a point of exasperation. I'm reaching out because I hope someone can provide insight or guidance on what I should discuss with my doctors. Please excuse any grammar or spelling errors as I have dyslexia. I've been diagnosed with endometriosis and underwent surgery in 2022 for confirmation of that diagnosis. On December 15th, I had my birth control implant removed after nearly two years. During that period, I experienced severe menstrual cramps and PMS. My GP started me on Drospirenone 3mg and Estetrol 14.2mg COCP in October to alleviate these symptoms and suppress my periods, which provided some relief. Prior to this situation, I occasionally dealt with flare-ups that typically lasted a few days or up to a week. To help manage the discomfort, I have been prescribed Duloxetine at a dosage of 90mg. I had an ultrasound earlier this summer, and the results came back normal. Currently, I am awaiting an MRI. Last year, my smear test results were also clear. After the removal of my implant in December, I began bleeding on Christmas Eve. Initially, I could manage with just a panty liner, but over the next few weeks, the bleeding intensified, requiring the use of pads due to increased blood flow and blood clots. Given my history with endometriosis, pain isn't unfamiliar to me; my average pain level is around a 4, but it has recently escalated to 7 or 8. In the past couple of weeks, the discomfort has worsened. My job demands physical activity, and bending over now causes pain in my back and legs. Additionally, I experience discomfort when my bladder fills, and urination is painful, although it doesn't feel like a urinary tract infection. I've also been waking up at night to use the restroom. My doctor performed a urine dip test that showed no signs of infection, though there was blood in my urine, which he indicated was to be expected. Recently, my GP prescribed Tranexamic acid 500mg and Mefenamic acid 500mg, which helped with the blood clots, but I'm still experiencing bleeding and significant pain. I've been diligent about taking my medication, treating it like a strict regimen. I returned to the GP, who referred me for another ultrasound and advised me to go to A&E if the pain worsens. I've been resting as much as possible while still trying to maintain some level of activity, but it hasn't provided much relief. Any assistance or advice would be immensely appreciated! Thank you!

FibromyalgiaPain ManagementJoint Pain
Male25-34
4 hours ago

Normal MRI and EMG Reveal Nerve Slowdown

Greetings, I’m a 23-year-old female seeking guidance about some health issues I’ve been experiencing. Recently, I've noticed weakness in both my hand and arm, particularly in my dominant hand where grip strength has been notably diminished. After undergoing an EMG, the results indicated that my nerves are exhibiting a slowdown. However, my MRI results were unremarkable. To address some swelling I experienced, I was prescribed a course of steroids (4mg for a few months), which alleviated some of the issues, yet I still experience residual swelling in my hand. Often, my hand feels cold, and I notice a popping sensation when I move my fingers. Despite these sensations, I do not have any numbness or tingling, and the swelling appears sporadic. The pain I endure is quite severe, described as a hammering sensation throughout my hand. On occasion, I take ibuprofen (600mg) for relief, but it proves to be somewhat ineffective. My wrist itself seems fine, but my orthopedic specialist is considering a diagnosis of carpal tunnel syndrome (CTS), even though my symptoms don’t align with typical CTS indicators. I would greatly appreciate any advice or insights you may offer!

NeurologyPain ManagementNeck Pain
Male25-34
5 hours ago