Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Hypoaesthesia oral, Nasal congestion, Oral herpes, Oral pain
Clinical narrative: congestion; tingling; right jaw was really swollen; numbness in the bottom right lip and in the gums and the patient could not feel her teeth hardly; the crown got really bothering her; could not swallow; sores; felt like cold sores; pains and sores in the mouth; This is a spontaneous report received from a Consumer or other non HCP.  A 71-year-old female patient received BNT162b2 omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 20Nov2024 at 13:30 as dose 1, single (Batch/Lot number: unknown) at the age of 71 years, in left arm for covid-19 immunisation. The patient's relevant medical history included: "Blood pressure high" (unspecified if ongoing), notes: Blood pressure high; "tooth cracked", start date: 2020 (unspecified if ongoing); "crown", start date: 2020 (unspecified if ongoing). Concomitant medication(s) included: LISINOPRIL taken for hypertension. The following information was reported: ORAL PAIN (non-serious) with onset 21Nov2024, outcome "recovering", described as "pains and sores in the mouth"; ORAL HERPES (non-serious) with onset 21Nov2024, outcome "recovering", described as "sores; felt like cold sores"; DYSPHAGIA (non-serious) with onset 23Nov2024, outcome "recovering", described as "could not swallow"; TOOTHACHE (non-serious) with onset 23Nov2024, outcome "recovering", described as "the crown got really bothering her"; HYPOAESTHESIA ORAL (non-serious) with onset 25Nov2024, outcome "recovering", described as "numbness in the bottom right lip and in the gums and the patient could not feel her teeth hardly"; SWELLING FACE (non-serious) with onset 25Nov2024, outcome "recovering", described as "right jaw was really swollen"; PARAESTHESIA (non-serious) with onset 29Nov2024, outcome "recovering", described as "tingling"; NASAL CONGESTION (non-serious) with onset 30Nov2024, outcome "unknown", described as "congestion". Therapeutic measures were taken as a result of oral herpes, oral pain, toothache, dysphagia, swelling face, hypoaesthesia oral, paraesthesia.  Additional Information: On 20Nov2024, the patient went to the dentist and had her annual checkup, cleaning and her mouth was fine. Then in that afternoon, the patient received the COVID booster. By the next day, on 21Nov2024 the patient started getting sores and it felt like cold sores and bottom inside of the lip and then the sores continued and started breaking out in the roof of her mouth towards the back on the right hand side. By that evening, the patient was getting shooting sharp pains anytime she tried to drink anything. It was the excruciating. The patient started developing all these pains and sores in the mouth and she was shocked, she could not figure out why. The patient got congestion on 30Nov2024. Then on 22Nov2024, they were just horrible and she noticed her one tooth, she only had one tooth that was ever been worked on in her mouth, she had no cavities except she had a cap, a crown put on it to because she had cracked about four years ago. On 23Nov2024, the crown got really bothering her, her whole mouth was hurting, it was sore, she could not swallow. The patient started noticing swelling in the bottom jaw underneath her chin and they were really hard, it was very hard and so on it was terrible. The patient got a hold on her dentist on 24Nov2024 and she prescribed antibiotics, the patient still on it. The patient's husband ran to the pharmacy with an emergency prescription because it sounded to him like infection. The patient was not thinking at that time it was the COVID vaccine that did that but she was stumped because her mouth was fine. The patient had a good checkup and she did not have any teeth problems and they began to wonder maybe it was a side effects to the COVID vaccine. On 25Nov2024, her right jaw was really swollen to the point underneath and the glands and it was causing numbness in the bottom right lip and in the gums and she could not feel her teeth hardly. This continued the sharp pain. Started subsiding on Thanksgiving Day, on 28Nov2024, they got a little better, her symptoms were getting better. She was living on Ibuprofen, three of them every four to six hours and that would stop all that pain but it was just weird. On 29Nov2024, it barely, it very slowly. Started reducing the swelling, was gone quite a bit down and now tingling, it felt like it was kind of when you goes to sleep or your arm it gets tingly, that was really reduced this, they were just slightly. On 30Nov2024 was the first time the patient had not had to take any ibuprofen or anything. This swelling was really reduced to a little tiny area, near the corner of her mouth down under the chin and the soft tissue under the jaw where she would say lymph nodes and glands were they had really reduced to almost nothing. She called her doctor's office and try to report it but no one was getting back with her, the patient did not know for sure but she just think it was really odd that she was fine, had been to the dentist that morning, feeling really good no symptoms, no fever, no mouth sourness and after that Pfizer shot, all this started happening so she did not know what to think. The patient did not receive any vaccine 4 week prior vaccination.   The information on the batch/lot number for BNT162b2 omicron (kp.2) will be requested and submitted if and when received.