A 20 years female was brought to the Emergency Medicine Department with the complaint of abdominal pain and blood in the stool since morning. There wasa history ofthe second dose of the covid 19 vaccine a month ago and fever the next day. On arrival, she was hemodynamically stable, bilateral purpuric rash was noticed on the bilateral lower limb extending to the thigh. Per abdominal examination was normal. The provisional diagnosis was made as HSP secondary to the covid 19 vaccination. She was treated symptomatically at the emergency room and admitted to the female ward, where she was treated with steroids and supportive care. She was discharged after five days when her symptoms were relieved. This case demonstrates HSP even though rare in an adult can occuras a possible complication of the COVID-19 vaccine and emphasizes the importance of thorough history taking and clinical examination.

Keywords: Henoch-schoenleinpurpura; Vasculitis; Covid 19; Vaccine; Abdominal pain.