Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure measurement, Circumoral swelling, Erythema, Oral mucosal blistering, Varicella
Clinical narrative: started having blisters in my mouth right behind my lips; Just spots of swelling or raw feeling right behind my lips; noticed what looked like chicken pox from knee up to groin; some were bright red, some were pale red; This spontaneous case was reported by a consumer and describes the occurrence of VARICELLA (noticed what looked like chicken pox from knee up to groin), ERYTHEMA (some were bright red, some were pale red), ORAL MUCOSAL BLISTERING (started having blisters in my mouth right behind my lips) and CIRCUMORAL SWELLING (Just spots of swelling or raw feeling right behind my lips) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 016B21A and 010A21A) for COVID-19 vaccination.     The patient's past medical history included Breast cancer (one and half years ago), Chickenpox, Canker sores oral, Cold sores lip (Upper lip), Lumpectomy and Radiation therapy (16 radiation treatments). Previously administered products included for Product used for unknown indication: Typhoid, Zostavax and smallpox. Past adverse reactions to the above products included No adverse event with Typhoid, Zostavax and smallpox. Concurrent medical conditions included Blood pressure high (controlled by a slow release pill), Drug allergy (tyoe 1 hypersensitivity reaction, multiple times begining in late 1990's including softening hip for it to collaspe), Environmental allergy, Allergy to metals (Nickel, itchy weeping rash), Glaucoma (in right eye only in the past 1.5 yrs), Macular degeneration (in right eye only in the past 1.5 yrs), Nutritional supplement allergy (some fillers in vitamins & perscriptions, non-stop dry cough to the point I strow up stomach bile. Gone within 24-48 hrs after stopping med/vitamin) and Drug allergy (1 squirt into nose, crusty, bleeding sores for over 6 weeks back in the 1990's). Concomitant products included DILTIAZEM HYDROCHLORIDE (DILTIAZEM SR ROMPHARM) for Blood pressure high, ANASTROZOLE, DIPHENHYDRAMINE HYDROCHLORIDE, TIMOLOL MALEATE and HYDROCHLOROTHIAZIDE, TRIAMTERENE (TRIAMTERENE/HYDROCHLOROTHIAZIDE) for an unknown indication.   On 26-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 26-Mar-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 05-Apr-2021, the patient experienced VARICELLA (noticed what looked like chicken pox from knee up to groin). 05-Apr-2021, the patient experienced ERYTHEMA (some were bright red, some were pale red). On an unknown date, the patient experienced ORAL MUCOSAL BLISTERING (started having blisters in my mouth right behind my lips) and CIRCUMORAL SWELLING (Just spots of swelling or raw feeling right behind my lips). The patient was treated with CETIRIZINE HYDROCHLORIDE (ZYRTEC [CETIRIZINE HYDROCHLORIDE]) at a dose of 1 dosage form; LYSINE;VITAMINS NOS at an unspecified dose and frequency and FEXOFENADINE HCL at an unspecified dose and frequency. On 15-Apr-2021, VARICELLA (noticed what looked like chicken pox from knee up to groin) and ERYTHEMA (some were bright red, some were pale red) had resolved. At the time of the report, ORAL MUCOSAL BLISTERING (started having blisters in my mouth right behind my lips) and CIRCUMORAL SWELLING (Just spots of swelling or raw feeling right behind my lips) outcome was unknown.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 03-Apr-2021, Blood pressure measurement: 127/60 mmHg (normal) Current blood pressure reading is 127/60 or 127/70 mmHg and 127/70 mmHg (normal) Current blood pressure reading is 127/70 mmHg. On an unknown date, Blood pressure measurement: 150/90 mmHg (High) Without medication, patient's blood pressure is 150/90 mmHg.     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   Patient took slow release pill for blood pressure and allergy shots every three weeks.  Patient suffered from sun sores on upper lip. Any test for allergy was not done by patient. Patient did not get cold sores but when patient was out in the sun (red head) all day so patient upper lip feeled funny in the spot where used to get the sores. patient put cold sore cream on it and it was gone the next day. As for inside mouth, Patient tried doing the canker sore cream on them and it make no difference. These behind the lower lip are just there all the time.   Most recent FOLLOW-UP information incorporated above includes: On 13-Jun-2021: Non-significant follow up received, contact information updated. On 07-Aug-2021: Follow up received on 07-AUG-2021, Allergy history, Historical vaccines information, concomitants medication of diltiazem SR, timolol maleate and triamterene-hydrochlorothiazide , Treatment of Lysene vitamin and fexofenadine hcl, Events of started having blisters in my mouth right behind my lips and Just spots of swelling or raw feeling right behind my lips added.