Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Chills, Malaise, Vulval ulceration, Vulvovaginal pain
Clinical narrative: This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the parent. The following information was reported: AUTOIMMUNE DISORDER (medically significant) with onset Jan2022, outcome "unknown", described as "autoimmune reaction"; VULVAL ULCERATION (medically significant) with onset Jan2022, outcome "unknown", described as "vulvar aphthous ulcer"; VULVOVAGINAL PAIN (medically significant) with onset Jan2022, outcome "unknown", described as "didn't want to pee because it was excruciatingly painful"; MALAISE (non-serious) with onset Jan2022, outcome "unknown", described as "not feeling well"; CHILLS (non-serious), outcome "unknown", described as "Shivers". The events "autoimmune reaction", "vulvar aphthous ulcer" and "didn't want to pee because it was excruciatingly painful" were evaluated at the physician office visit. Therapeutic measures were taken as a result of autoimmune disorder, vulval ulceration, vulvovaginal pain. Patient had an autoimmune reaction called vulvar aphthous ulcer. Patient had like canker sores the size of a thumbnail, huge open raw wounds in her vaginal area. Reporter considered it a non sexually acquired ulcer, and it is best described as like a canker sore. Patient got a vaccine on a Friday, and then on Monday she started not feeling well, and she thought she had contracted COVID, because simultaneously they got contacted from the school who said she may have been exposed to someone in her class at school who tested positive. Patient also had shivers and didn't feel well, but had no fever. She tested the next day on Tuesday, which was negative for the first one where it was a nose test and they swabbed her then 20 minutes later had results, the rapid test. They had to wait two days for the one that goes to the lab, and actually she had two of those that were sent to the lab, one by the school, in case the rapid test was a false negative. She says then on Thursday she tried to get ahold of OBGYN but she was booked out and they asked if it was ok for her daughter to see a nurse. She says the way her daughter was describing it was that her labia was shredded. She says she took her daughter in, but the nurse didn't know, then Thursday evening they called the on call, physician and he saw her Friday. She says by this time patient didn't want to pee because it was excruciatingly painful. She says the doctor showed her a picture and explained that it was outside of her when she asked where the sores were, whether they were on the labia or inside the vagina, and the doctor called it a vulvar ulcer. Nurse had prescribed antibiotics, and then the doctor prescribed an antiviral, and had samples sent in for testing. Patient was not sexually active, but they had to test for herpes and all that, so they were waiting then got results of test. By Friday night her daughter was in so much pain, she didn't want to pee with there being open wounds in her vaginal area. She says when her daughter went to the bathroom to go urinate, the way she described the pain of on a 1-10 scale, ten being most painful, as so excruciating. and incredibly painful. Caller says her daughter took one dose of antibiotics, which she still has at home, but she happens to be at work and doesn't remember what that is called. She says she didn't want her daughter to become antibiotic resistant, so she didn't take it that night while they waited for her to see the doctor, to see what he says. She says other treatments her daughter did was soaking in the tub, and they tried everything, including Vaseline, and she was in so much pain they called that evening.