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Report #2904985

Received Jul 28, 2026

Office visit

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex
Female
Age
83 yrs
State
MI
Recovered
Not recovered
Vaccinated
Nov 3, 2025
Onset
Nov 1, 2025
Days to onset
—
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA7+3053483IM / RA

Symptoms (1)

Mouth ulceration

Symptom narrative

PT IS EXPERIENCING ORAL ULCERS SINCE RECEIVING THE VACCINE.

Current illness

Nothing

Medical history

afib, melanoma, hypothyroidism

Other medications

Eliquis, Pravastatin, levoxyl, clobetasol, d3, magnesium 250mg, 500mg vit c, b complex, meletonin, citrical plus d, glutein zx

Allergies

Nortriptyline

Lab data

N/A

Prior vaccinations

SHE GETS A RED ARM SOMETIMES.