Experiencing Hives and Redness After a Run Post-Vaccine: Should I Be Worried?
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!
Answers (1)

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
-
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.
-
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.
-
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.
-
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.
-
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
Abdominal Cramps: A Five-Year Journey
At 38 years old, I've been grappling with abdominal contractions for half a decade. These spasms only manifest while I'm upright—whether I'm seated or standing—and they never occur when I lie down. The sensation resembles the intense tightening of the stomach that one experiences before vomiting. Just prior to these episodes, there’s often a dull, smoldering discomfort akin to an acid burn. I also notice that air escapes from me with a sound similar to a hiccup, though it doesn't feel like traditional acid reflux in my esophagus, and it occurs more rapidly than a typical burp. The spasms seem to push my abdomen outward somewhere between my sternum and navel along the central axis of my body, occurring roughly every 15 minutes on average. Initially, the episodes coincided with severe acid reflux, leading to nearly constant burping, a notable 20% weight loss, audible stomach noises, and diarrhea—despite an MRI indicating constipation at that time. Luckily, those additional symptoms faded over the years, but the spasms have persisted. The results from the MRI and endoscopy yielded several findings: - The nasopharynx appeared normal. - The endoscopic examination revealed changes in the mucosa of the esophagus, including ringed appearances and a degree of fragility throughout. The grading of these features based on the Eosinophilic Esophagitis Endoscopic Reference Score (EoE-EREFS) was as follows: Edema Grade 0 (normal vascular markings), Rings Grade 1 (mild circumferential ridges noted during distension), Exudates Grade 0 (no white lesions), Furrows Grade 0 (no vertical lines), and no strictures identified. - Biopsies were taken from both the proximal and distal esophagus for further histological analysis regarding suspected eosinophilic esophagitis. - The Z-line was found to be regular at a distance of 41 cm from the incisors, and a small hiatal hernia was detected. - Mild reddish patches of mucosa containing flecks of hematin were identified in both the gastric body and antrum, with biopsies collected for histology. - The examination of the duodenum yielded normal results across all sections analyzed. Pathology results indicated: A. **Duodenal Biopsy**: Unremarkable duodenal mucosa with no evidence of celiac disease. B. **Gastric Biopsy**: Mild chronic inactive gastritis with no intestinal metaplasia or Helicobacter organisms noted. C. **Lower Esophagus Biopsy**: Active esophagitis with an increase in eosinophils. These histological features align with gastroesophageal reflux disease (GERD) indicating potential eosinophilic esophagitis based on eosinophil counts. D. **Upper Esophagus Biopsy**: Normal squamous mucosa without eosinophils or fungal organisms observed. Lab testing has revealed mixed results: - Antinuclear antibodies showed a positive result five times via multiplex methods but were negative in four immunofluorescence tests. There was also a presence of antinuclear antibodies despite a negative ANCA screen, with detectable extractable nuclear antigens and a consistently positive anti-chromatin test subsequent to a four-year interval. ESR and CRP levels remained normal, aligning with a lack of symptoms consistent with lupus. - Gastrin levels were at 25 (normal range: 0-115), while amylase was at 112 (normal range: 31-110). Differential diagnosis includes several considerations: GERD seems less likely due to the absence of acidic sensations and the paradox of symptom relief when reclining. Aerophagia might explain some symptoms, yet it does not address the gastritis or the origins of the spasms. Although symptoms seem suggestive of H. pylori infection, all tests—including breath, stool, and biopsy—returned negative results. The hiatal hernia observed during the endoscopy did not show on a recent MRI, raising doubts about its role in my condition, especially since lying down tends to alleviate symptoms. Autoimmune gastritis also seems plausible given gastric findings, although parietal cell antibodies were negative. Another potential issue may be superior mesenteric artery syndrome, a possibility that corresponds to my significant weight loss and exacerbation of symptoms with dynamic change in position. However, I have no episodes of vomiting to support this theory. Lastly, I carry risk factors for pancreatic issues due to CFTR and SPINK1. Churg-Strauss syndrome remains a consideration, but with various symptoms resolving over time, it seems less likely. The presence of positive anti-chromatin antibodies coupled with no significant joint pain points away from lupus. Additionally, silent reflux and eosinophilic esophagitis do not convincingly explain my troubles. Living with these persistent abdominal cramps is challenging, and I'm finding myself out of ideas. I would greatly appreciate any insights or suggestions that may guide me toward relief.
Dealing with Itching in the Genital Area
Greetings. I'm a 25-year-old male experiencing persistent itching around my anal area and testicles. This issue has been troubling me since around April or May, and despite trying numerous remedies, I have yet to find relief. Initially, the irritation was confined to my testicles, but it has since spread to the anal region, which is driving me to distraction. My daily life is significantly impacted by this relentless itching. I've consulted with both a dermatologist and a urologist, but none have been able to provide a clear diagnosis. They have prescribed various treatments, yet I still lack a definitive answer regarding my condition. I'm left wondering if it could be scabies, eczema, or possibly a fungal infection. Recently, I visited an allergist in hopes of finding a resolution to this problem. If anyone has had a similar experience or can offer insight, I would greatly appreciate your assistance!
Is Pain on the Horizon?
Greetings! This is [33f]. I'm currently two and a half weeks post my open myomectomy, and today I have an appointment with my physician to have the sutures from my incision taken out. They utilized discreet stitches, but there are little bows visible on either side of my skin. What should I anticipate in terms of discomfort? Will it be painful, or merely an odd feeling?
Intense Discomfort in the Upper Section of the Left Calf
I'm a 19-year-old male currently recovering from a broken sacrum, and my doctor has approved me to cycle again. Besides cycling, I am on a prescription iron supplement and also take a multivitamin, vitamin C, and magnesium glycinate. During my ride this morning, I experienced a sudden, intense pain in the upper right area of my left calf, situated just behind and to the right of my knee. Initially, I thought it was related to my hamstring, but now I suspect it might be an issue with the medial gastrocnemius muscle. However, there's a chance it could also involve the semimembranosus or semitendinosus muscles. This discomfort occurred multiple times, leading me to ultimately halt my cycling activity. I decided to decrease my watt output from 200 to 125, which alleviated the pain to some extent. Currently, I’m struggling to lift my leg above my waist and return it without experiencing sharp pain in that particular area. Additionally, it feels noticeably swollen and tense compared to the corresponding area on my right calf. I would appreciate any insights on what might be causing this issue, potential treatment options, and what my recovery timeline might look like.
Experiencing Severe Neck Pain
(19 years old - Female - Diagnosed with depression and anxiety - Current medications include Tylenol and ibuprofen) I followed my usual routine last night, sleeping on my sides and back, scarcely ever on my stomach. This morning, however, I woke up with excruciating pain that radiates every time I turn my head to the right. The discomfort extends to my right shoulder and the base of my skull. Despite not changing my sleeping patterns, this level of agony is unprecedented. Typically, I may wake up with some stiffness from sleeping awkwardly, but this pain is so intense that it’s nearly impossible to look to my right or even straight ahead. Fortunately, I have a day off, but should this pain persist, I’m genuinely unsure how I would manage to work. Turning my head or keeping it aligned without experiencing sharp pain seems impossible. At times, I can hold a forward-facing position if I’m extremely cautious, but any attempt to look right results in discomfort. Right now, I’m typing this with my head tilted against my left shoulder – it’s the only position that offers any relief. I started the day with Tylenol and kept hydrated. Even after having chicken soup, I didn’t find any relief. Later on, I took additional Tylenol and ibuprofen while applying heat to the most painful regions, yet nothing seems to ease it. I'm considering trying ice next, but as of now, nothing has worked, bringing me close to tears – and I rarely cry from pain unless it’s truly unbearable. I’ve also attempted lying flat on the floor multiple times for a considerable duration to ease my muscles, but to no avail. I feel at a loss and there’s work again the day after tomorrow.