Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, COVID-19, Gingival bleeding, Gingival pain, Insomnia
Clinical narrative: tested positive with a home test kit/got the omicron COVID 19/COVID came in really strong/still positive; laryngitis so she couldn't take the bivalent booster; tooth pain/It was a sore tooth./so painful/could not brush my teeth; throbbing, pulsing, horrible pain in my jaw/upper right area is still hurting; could not chew anything; lost 8 pounds; couldn't sleep; whole mouth was inflamed; gums were bleeding; something with my gums/It was so painful that she was getting ice water and holding it in her mouth; roof of my mouth ended up with weird blisters; lip swelled up; tissue was damaged; damaged gums; This spontaneous case was reported by a patient and describes the occurrence of COVID-19 (tested positive with a home test kit/got the omicron COVID 19/COVID came in really strong/still positive), LARYNGITIS (laryngitis so she couldn't take the bivalent booster), TOOTHACHE (tooth pain/It was a sore tooth./so painful/could not brush my teeth), PAIN IN JAW (throbbing, pulsing, horrible pain in my jaw/upper right area is still hurting) and MASTICATION DISORDER (could not chew anything) in a 77-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 018F21A, 041C21A and 043B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     The patient's mother had history of diabetes.  Family history included Diabetes (Mother). Concurrent medical conditions included Allergic reaction to analgesics (Allergies to Demerol) and Drug allergy (sensitive to Epinephrine). Concomitant products included INFLUENZA VACCINE (INFLUENZA) for an unknown indication.   On 21-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 21-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 18-Nov-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On an unknown date, the patient received fourth dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced COVID-19 (tested positive with a home test kit/got the omicron COVID 19/COVID came in really strong/still positive), LARYNGITIS (laryngitis so she couldn't take the bivalent booster), TOOTHACHE (tooth pain/It was a sore tooth./so painful/could not brush my teeth), PAIN IN JAW (throbbing, pulsing, horrible pain in my jaw/upper right area is still hurting), MASTICATION DISORDER (could not chew anything), WEIGHT DECREASED (lost 8 pounds), INSOMNIA (couldn't sleep), STOMATITIS (whole mouth was inflamed), GINGIVAL BLEEDING (gums were bleeding), GINGIVAL PAIN (something with my gums/It was so painful that she was getting ice water and holding it in her mouth), BLISTER (roof of my mouth ended up with weird blisters), LIP SWELLING (lip swelled up), TISSUE INJURY (tissue was damaged) and PERIODONTITIS (damaged gums). At the time of the report, COVID-19 (tested positive with a home test kit/got the omicron COVID 19/COVID came in really strong/still positive), LARYNGITIS (laryngitis so she couldn't take the bivalent booster), TOOTHACHE (tooth pain/It was a sore tooth./so painful/could not brush my teeth), PAIN IN JAW (throbbing, pulsing, horrible pain in my jaw/upper right area is still hurting), MASTICATION DISORDER (could not chew anything), WEIGHT DECREASED (lost 8 pounds), INSOMNIA (couldn't sleep), STOMATITIS (whole mouth was inflamed), GINGIVAL BLEEDING (gums were bleeding), GINGIVAL PAIN (something with my gums/It was so painful that she was getting ice water and holding it in her mouth), BLISTER (roof of my mouth ended up with weird blisters), LIP SWELLING (lip swelled up) and TISSUE INJURY (tissue was damaged) had resolved and PERIODONTITIS (damaged gums) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, SARS-CoV-2 test: Positive. On an unknown date, Weight: Lost 8 pounds.   Patient stated that about 4-5 weeks ago, she got the other Moderna vaccines, she has a state board license in microbiology and was retired. So, she was aware of certain things. She had been getting the shots at pharmacy just because it was convenient. She checked 6 weeks ago if the Moderna booster was in. They did not have it, but she did get the seasonal flu shot. Within 2 weeks, she got the omicron COVID 19. (She was not sure which variant she got.) She tested positive with a home test kit. The COVID came in really strong. She developed laryngitis, so she could not take the bivalent booster. One of her first signs was, what she thought, tooth pain in her lower right jaw. It was a sore tooth. Then it spread to the next tooth, next tooth, then upper jaw. It was throbbing, pulsing, horrible pain in her jaw. It went to the upper right jaw, then lower left jaw. She could not chew anything. She lost 8 pounds. She knew something was going on. She could not sleep. She was pacing the floors, not only being positive, but it was "mouth COVID". She adds that apparently COVID can be transmission orally, not just a respiratory thing. She stated somehow that was how she got it. Her whole mouth was inflamed. The only way she could sleep was to tuck an aspirin between her teeth and gums to reduce the pain. She also stated that her gums do not normally bleed, but her gums were bleeding. Another thing that happened was that her Colgate for sensitive teeth made her feel like she turned on a blowtorch inside her mouth. It was so painful that she was getting ice water and holding it in her mouth, spitting it out, then doing it again just to get the toothpaste out. It was something with her gums. The roof of her mouth ended up with weird blisters. She asked rhetorically, what the hell was going on, what in the blooming pattooties was going on, she never had this in her entire life. She could not chew, brush her teeth, or sleep. Her lip swelled up, and her tissue was damaged. She was still positive. How soon was it recommended to take the Moderna bivalent booster after you have tested positive for COVID.  She used coconut oil and baking soda toothpaste that made her teeth whiten. The brand of her test kit by Abbott (antigen self-test). The upper right area of her mouth was still hurting. It felt raw, maybe because she put aspirin directly on it. It felt like her teeth were polished at the dentist, smooth like she just had her teeth cleaned.     Date of fourth vaccination was not clear. Vaccine card said 18-May-2021, but the patient thought it was 18-May-2022. the patient did not experience a similar event in the past.  The patient stated she mouth washed with salt water. She used her finger with baking soda. There was no way to put in a toothbrush. She started sterilizing her toothbrush between used with hydrogen peroxide. She used a soft toothbrush. The only way she could sleep was to tuck an aspirin between her teeth and gums to reduce the pain. She was getting ice water and holding it in her mouth, spitting it out, then doing it again just to get the toothpaste out. She also used coconut oil and baking soda toothpaste that made her teeth whiten. It had been very soothing and healing.