A 62-year-old Asian female presented to the Emergency Department with a bilateral lower limb non-blanching petechial rash 7 days after the first dose of the ChAdOx1 nCoV-19 vaccine (Astra-Zeneca) COVID-19 vaccination (Fig. 1A). Her symptoms were associated with a generalised headache, myalgia, and symmetrical large joint arthralgias. She was afebrile, had no appreciable synovitis, and the rest of the physical examination was unremarkable.
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