sore mouth and tongue after covid vaccine

COVID-19 is predominantly a respiratory disease. Study record managers: refer to the Data Element Definitions if submitting registration or results information. This is kind of in tune with all of the things about COVID. Read our. You will be subject to the destination website's privacy policy when you follow the link. 2005-2023 Healthline Media a Red Ventures Company. Anju Goel, MD, MPH, is a public health consultant and physician with more than 10 years of experience in the California public health system. What Are the Differences Between the Pfizer and Moderna COVID-19 Vaccines? Hunt M, et al. Here's what you need to know. Researchers are reporting tongue and mouth issues that appear in COVID-19 patients. Lip swelling on its own, though, is relatively harmless, Dr. Kung said. And for more on vaccine aftercare, Make Sure to Do This the Day After Your COVID Vaccine, Experts Say. MeSH All information these cookies collect is aggregated and therefore anonymous. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. She was asked to follow up with a dermatologist. Is exercise more effective than medication for depression and anxiety? Other yet-to-be confirmed sensations include fizzing, or a tingling feeling reported by some COVID-19 patients. Her work has been published in medical journals in the field of surgery, and she has received numerous awards for publication in education. Furthermore, beyond other viruses, there are other causes of tongue swelling (known as glossitis, per MedlinePlus). Dichotomous outcome for the emergence of typical side effects (e.g. "The whole question of why we have this huge range of symptoms of the virus is still unknown.". For general information, Learn About Clinical Studies. Daniel More, MD, FAAAAI, FACAAI, FACP,is a board-certified allergist and clinical immunologist at Allergy Partners of the Central California Coast. Candida infections of the mouth, throat, and esophagus. Because new strains could develop, its possible they could affect dental health. Of the patients with both glossodynia and COVID-19, 60% were females, 32% were African American, 64% were white, and 100% were adults. One more reason to select the healthcare workers among different groups of the population, their higher awareness about the possible vaccine-related oral side-effects so that more accurate and reliable results can be obtained. As a result of irritated and inflamed tissue, a person may also experience red patches, known as erythematous lesions. "Inadequate hydration or, even worse, dehydration, can exacerbate the side effects of the vaccine," he explained. "Basically, since the skin on my lips stretched out so quickly and then returned to normal size, they were dried out and just needed some time to fully return to normal," said Battaglia. The study concluded that it was difficult to attribute the lesions to COVID-19 alone, and it may be due to other factors such as treatment reaction or a weakened immune system. "I started to see improvement that same day, but it did take a few days for my lips to return to their normal size," Battaglia said. Dichotomous outcome for the emergence of oral side effects (e.g. While Health is trying to keep our stories as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources. FOIA There's evidence that in many cases, ulcers form due to a secondary infection resulting from a compromised immune . The perfect tummy control bodysuit, a popcorn gadget, more bestsellers starting at $8, There may be another addition to the growing list of strange possible symptoms of the new coronavirus: COVID tongue.. Everything you need to know about geographic tongue. When To Get Boosted After Having a COVID-19 Breakthrough Infection, This COVID-19 Vaccine Is the First Plant-based Vaccine for Humans. Oral Dis. So we asked doctors to weigh in. Having a dry mouth, in turn, could prompt other oral issues that have also been linked to COVID-19, such as teeth decay and teeth that have fallen out. Prevalence of mucocutaneous manifestations in 666 patients with COVID-19 in a field hospital in Spain: oral and palmoplantar findings. The odds ratio (OR) for glossodynia in the COVID-19 patients was significant (OR = 2.9; 95% CI, 1.94-4.32; P < 0.0001). People who have poor oral health also tend to have more ACE2 receptors, further linking the connection between COVID-19 and oral health. For COVID-19 patients, 57% were females, 23% were African American, 56% whites, and 90% were adults. Healthline Media does not provide medical advice, diagnosis, or treatment. 2022 Apr;28 Suppl 1:968-969. doi: 10.1111/odi.13571. Side effects after a COVID-19 vaccination tend to be mild, temporary, and like those experienced after routine vaccinations. Side effects generally go away in a few days. Your mouth is teeming with bacteria. These may include: It is currently unclear if COVID tongue is a symptom of COVID-19 itself or if it manifests as a result of disease progression. It's because of this that COVID tongue is likely underreported, Thomas Russo, MD, professor and chief of infectious disease at the University at Buffalo in New York, told Health. What is the latest research on the form of cancer Jimmy Carter has? COVID-19 increases inflammation, which may indirectly activate other viral infections such as the herpes simplex virus, which can cause mouth ulcers. Due to the small number of studies investigating COVID tongue, further studies investigating the link between COVID and tongue symptoms are necessary to draw firm conclusions. More information is available, Children and teens ages 6 months17 years, Recommendations for Fully Vaccinated People, National Center for Immunization and Respiratory Diseases (NCIRD), Possibility of COVID-19 Illness after Vaccination, Investigating Long-Term Effects of Myocarditis, How and Why CDC Measures Vaccine Effectiveness, Monitoring COVID-19 Cases, Hospitalizations, and Deaths by Vaccination Status, Monitoring COVID-19 Vaccine Effectiveness, U.S. Department of Health & Human Services. Jocelyn Solis-Moreira is a journalist specializing in health and science news. He believes more than a third of COVID-19 patients, 35%, have non-classic symptoms of the disease in the first three days, so its important to draw attention to skin rashes, COVID toes and other warning signs that go ignored, he wrote. You'll of course want to stay hydrated to avoid the negative effects of dehydration following the vaccine, but that's not the only reason. Bleeding gums arent listed as a common symptom of COVID-19, according to a review of studies of COVID-19 symptoms. Overview of COVID-19 vaccines. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). A study examining the role of the oral cavity in SARS-CoV-2 infection has found evidence the virus infects cells in the mouth, which could explain why some patients with COVID-19 experience taste loss, dry mouth and blistering. Learn more about, A new trend is spreading through social media that encourages people to inhale hydrogen peroxide to treat or prevent COVID-19. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. After leaving a vaccination provider site, if you think you or your child might be having a severe allergic reaction, seek immediate medical care by calling 911. Verywell asked experts whether COVID tongue is real and how worried the public should be. Of that group, 11% had inflammation of the small bumps on the tongue's surface; 6% had a swollen and inflamed tongue with indentations on the side; 6% had mouth ulcers; 4% had "patchy" areas on the tongue; and 4% had tissue swelling in the mouth. Read our, ClinicalTrials.gov Identifier: NCT04706156, Oral Side Effects of COVID-19 Vaccine: A Multicenter Cross-sectional Study, 18 Years and older (Adult, Older Adult), Department of Public Health, Faculty of Medicine, Masaryk University, Contact: Abanoub Riad, DDS +420 549 49 6572, Contact: Michal Koscik, PhD +420 549 49 1324, Department of Cranio-Maxillofacial Surgery, Justus-Liebig University Giessen, Clinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Christian-Albrecht's University, Kiel, Schleswig-Holstein, Germany, 241 05, Department of Maxillofacial Surgery, F. D. Roosevelt University Hospital, Bansk Bystrica, Banska Bystrica, Slovakia, 975 17. As of August 2022, the CDC did not warn about the risk of swollen lips with the Moderna or Pfizer-BioNTech vaccine. injection site swelling, or redness, rash, urticaria, angioedema, etc) following receiving the COVID-19 vaccine. There are no significant reports of mouth-related symptoms as part of a persons COVID-19 disease presentation either. The study concluded that these factors could have contributed to the development of COVID tongue since they can both affect the immune system. (2020). The condition can be painful. To evaluate whether the prevalence of glossodynia increased among patients affected by COVID-19 compared to other hospital populations. Keeping it as clean as possible is essential to mitigate ulcer formation and any other potentially COVID-related inflammation. Health's content is for informational and educational purposes only. Researchers will continue to study the links between COVID-19, and dental health and side effects. Possible Side Effects After Getting a COVID-19 Vaccine, Stay Up to Date with COVID-19 Vaccines and Boosters, Centers for Disease Control and Prevention. Klein B, Thoppay JR, De Rossi SS, Ciarrocca K. Dermatol Clin. But, experts said that lip swelling could happen with the COVID-19 vaccineand really, any vaccine in general. Since the exact cause of COVID tongue is still unknown, and various factors can affect its development, there is insufficient evidence to attribute the COVID-19 vaccine to COVID tongue. Bethesda, MD 20894, Web Policies Centers for Disease Control and Prevention. These symptoms raise many questions, including whether you should keep close tabs on your tongue. Heart failure: Could a low sodium diet sometimes do more harm than good? "Once I learned this reaction can happen with any vaccine, it was even less concerning to me," explained Battaglia. Tongue features of patients with coronavirus disease 2019: a retrospective cross-sectional study. Discolored or yellow teeth arent a directly known occurrence from COVID-19. After the start of the COVID-19 pandemic, reports trickled in about unusual symptoms of COVID-19. 2022 Apr;28 Suppl 1(Suppl 1):999-1000. doi: 10.1111/odi.13675. Tongue or mouth issues other than a sore throat dont appear on the list of COVID-19 symptoms compiled by the Centers for Disease Control and Prevention, though the agency acknowledged it's still learning more about the new coronavirus so the page doesnt include all possible warning signs. Patients "are usually wearing a mask, and I don't ask them to take their mask off," Dr. Watkins told Health. COVID-19 symptoms in the mouth, teeth, and gums, Treatment options for COVID-19 teeth pain, ncbi.nlm.nih.gov/labs/pmc/articles/PMC7595075/, ncbi.nlm.nih.gov/labs/pmc/articles/PMC7378457/, sciencedirect.com/science/article/pii/S2319417020300810, cdc.gov/fungal/diseases/candidiasis/thrush/index.html, ncbi.nlm.nih.gov/labs/pmc/articles/PMC7235480/, researchgate.net/publication/347907088_Awake_Bruxism_Intensified_During_COVID-19_Pandemic_by_Cumulative_Stress_-_An_Overview, ncbi.nlm.nih.gov/labs/pmc/articles/PMC8500633/, tandfonline.com/doi/abs/10.1080/14656566.2020.1718651, link.springer.com/article/10.1007/s11282-020-00497-0. Others, like Richard Watkins, MD, an infectious disease physician and professor of internal medicine at the Northeast Ohio Medical University, haven't seen this in COVID-19 patients, but there could be a reason. Battaglia initially thought she had had a reaction to cauliflower wings with cayenne pepper she had the day before. Epub 2020 Dec 17. According to the Centers for Disease Control and Prevention (CDC), two common side effects of the COVID vaccine are fever and nausea. Determine the most common clinical symptoms in COVID-19 patients: A systematic review and meta-analysis. "If the reaction occurs 24 hours later, this is considered a delayed reaction, which may or may not be allergic in nature," said Dr. Kung. The information in this article is current as of the date listed, which means newer information may be available when you read this. Can COVID-19 or the COVID-19 Vaccine Affect Your Period? CDC Shares New Real-World Data on Updated Shots. "A number of viruses can cause mucocutaneous manifestations," said Dr. Russo. Unable to load your collection due to an error, Unable to load your delegates due to an error. Awake bruxism intensified during COVID-19 pandemic by cumulative stress - An overview. The oral cavity deserves specific examination under appropriate circumstances to avoid contagion risk, the authors wrote. (2020). If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. But some studies on how and why COVID-19 and dental health are related are starting to emerge. Atrophic glossitis from vitamin B12 deficiency: a case misdiagnosed as burning mouth disorder. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, nonsteroidal anti-inflammatory drugs (NSAIDs), https://www.frontiersin.org/articles/10.3389/fcimb.2022.831744/full#, https://www.cdc.gov/fungal/diseases/candidiasis/thrush/index.html, https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-022-03519-z#, https://onlinelibrary.wiley.com/doi/full/10.1002/jmv.27994, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8902844/#, https://covid.cdc.gov/covid-data-tracker/#datatracker-home, https://onlinelibrary.wiley.com/doi/10.1111/odi.13359, https://www.sciencedirect.com/science/article/pii/S1578219021001700, https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus#, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405795/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181446/, https://www.ncbi.nlm.nih.gov/books/NBK493173/, https://www.frontiersin.org/articles/10.3389/fpubh.2022.952781/full, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619825/, https://www.ncbi.nlm.nih.gov/books/NBK554466/, https://www.nature.com/articles/s41368-020-0074-x, Cardiovascular health: Insomnia linked to greater risk of heart attack. Nuno-Gonzalez A, Martin-Carrillo P, Magaletsky K, Rios M, Maas CH, Almazan JA, et al. One study examined the connection between dental health and COVID-19 symptoms and severity. Oral side effects of COVID-19 vaccine. If youre experiencing this, talk with your doctor about other possible causes for mouth sores. Is It Possible To Have an Allergic Reaction to COVID-19? A white coating on the tongue could be for several reasons. Some of these include: Several studies have evaluated the adverse effects of the COVID-19 vaccine. Is 'fizzing,' tingling or burning among coronavirus symptoms? But your dentist may have you wait to go into the office until after youre feeling better. Cold compresses (soft washcloths soaked in cool water) applied to the outside of the cheeks may also help. If this happens after your first dose of the vaccine, Dr. Kung said it's a good idea to talk to an allergist to see if you should still receive the second dose as planned, along with any precautions you should take. "We talked through all the possible causes, and she took a look at my lips and the inside of my mouth. It is more common in younger people with the disease, and tends to appear later on in the disease, and may last for several weeks. Shamsoddin E, et al. While several studies have investigated COVID tongue, there is insufficient evidence to conclude its cause. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. "Typically, reactions to the COVID-19 vaccine are mild or moderate," says the Mayo Clinic. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Apply a clean, cool, wet washcloth over the area. A rash in the mouth isnt currently reported in the literature. J Periodontol. "By Thursday evening, I was starting to feel a tingling sensation on my lips, and I noticed they were starting to swell again," Battaglia said and added that she was getting nervous at that point. Use v-safe or the Vaccine Adverse Event Reporting System (VAERS) to report your side effects: Fact sheet for healthcare workers to give after vaccination. However, treating COVID-19 has been shown to alleviate symptoms. 2001 Nov;132(11):1549-51. doi: 10.14219/jada.archive.2001.0088. While Health is trying to keep our stories as up-to-date as possible, we also encourage readers to stay informed on news and recommendations for their own communities by using the CDC, WHO, and their local public health department as resources. "Lip swelling, or angioedema, can occur with almost any vaccine," Amiinah Kung, MD, an allergist at Northwestern Medicine Central DuPage Hospital, told Health. Later, the Centers for Disease Control and Prevention [CDC] included loss of taste and smell in the list of COVID-19 symptoms. As the pandemic has created stressful situations for most people, it wouldnt be a surprise to see an increase in this condition. After all, the loss of smell and taste seemed to be a strange symptom at first, but is now considered one of the common manifestations and is part of the list. According to the Centers for Disease Control and Prevention, the most common signs of Covid-19 are: Fever or chills. Cookies used to make website functionality more relevant to you. Oral Dis. CDC twenty four seven. The https:// ensures that you are connecting to the Patients have suffered reddish and purplish bumps on the fingers or toes, which may be sore but not usually itchy. What To Expect if You Contract the Virus, Prevalence of mucocutaneous manifestations in 666 patients with COVID-19 in a field hospital in Spain: oral and palmoplantar findings, Maintaining good oral hygiene (e.g., brushing at least twice per day and flossing at least once per day), Avoiding foods or other substances (e.g., tobacco) that could cause tongue irritation, Taking antibiotics or other medications for infections, Making any diet changes or utilizing supplements for nutritional issues, Muscle or body aches, including headaches. Centers for Disease Control and Prevention. COVID tongue occurs due to a COVID-19 infection. Integrative Med Resear. We avoid using tertiary references. The authors declared no conflicts of interest. Schaffner hasnt seen cases of COVID tongue, but he has heard it discussed. That's the same reason experts recommend not drinking heavily before or after your vaccination appointment, as alcohol can cause dehydration. The main symptoms of COVID-19 typically include a fever, persistent cough and loss or change to your sense of smell or taste. Learn if throat ulcers can be a symptom of COVID-19, including how to tell the difference between COVID-19 and other infections that can cause these. If you have a strange symptom or even just headache and fatigue stay at home ! Epub 2020 Aug 6. "All of these oral and mucocutaneous manifestations tend to be nonspecific," said Dr. Russo. The test re-test reliability of the questionnaire will be tested by 30 volunteers (10 Czech, 10 Turkish, 10 German) to achieve at least a Cronbach's alpha of 0.70. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For one, stay abreast of any changes to your oral health and if you notice anything unusual, tell your healthcare provider. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Enanthem in patients with COVID-19 and skin rash. Experts say this can be, COVID-19 may temporarily affect your period, and researchers aren't exactly sure why. A weakened immune system, such as from an autoimmune disorder, can put you at a higher risk of developing. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. However, in many cases, this disorder is due to alterations in the quality of saliva, while the quantity of saliva does not vary much. A report issued by the Food and Drug Administration in December 2020 detailed how two people out of 30,000 enrolled in the Moderna COVID-19 vaccine trial had swelling within two days of receiving the second dose of their vaccine. From there, the virus gets into your cells, replicates, and makes you sick. "It's a good reminder that there are so many different manifestations of this virus rather than just the classical ones," Spector, who is the lead investigator of the ZOE COVID Symptom Study that allows people to report symptoms via an app, told TODAY. Tongue pain, or Covid tongue, is a lesser-known symptom of COVID-19. Most side effects were mild to moderate. Hoarseness: How Likely Is It to Be a COVID Symptom? However, there are limited studies linking it to oral issues. The company reported that during its Phase 3 trials it saw: Fatigue, 9.7% of the time. Call a doctor or healthcare provider about a side effect if: Adverse events, including severe allergic reactions, after COVID-19 vaccination are rare but can happen. It's not clear whether "COVID tongue" and other mouth symptoms are really indicators of infection with the virus. In this condition, the tongue may start to appear white and patchy. Jemma Falloon, 41, from Ellesmere Port, Cheshire, suspected she had Long COVID, when she started feeling unwell weeks after having the coronavirus in October 2020. Although tongue bumps can feel strange, People may experience a burning tongue due to burning mouth syndrome (BMS) or a scald from hot food. Others have side effects that affect their ability to do daily activities. The healthcare workers who did not receive the COVID-19 vaccine recently. A 2020 study says that those who practice good oral hygiene may reduce the severity of COVID-19 symptoms if they were to get the virus. Nuno-Gonzalez A, Martin-Carrillo P, Magaletsky K, et al. A 2022 study investigated oral adverse events following COVID-19 and seasonal influenza vaccinations. However, bleeding gums can be a sign of gum disease. Riad A, Kassem I, Hockova B, Badrah M, Klugar M. Halitosis in COVID-19 patients. In a systematic review of 54 studies describing COVID-19 symptoms, dental pain or mouth-related symptoms were not in the top 12 symptoms reported. doi: 10.1111/dth.14479. Learn more about causes and treatments here. The reports initially came from England where Tim Spector, a researcher at Kings College London, was tracking COVID-19 symptoms in British patients. Per MedlinePlus, those remedies include: Of note, if your tongue is very swollen, that could indicate a severe allergic reaction, which would require an immediate visit to the hospital per MedlinePlus. The information in this story is accurate as of press time. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. And the Mayo Clinic says dehydration can worsen if you're experiencing both excessive sweating from a fever and diarrhea or vomiting from nausea. Dermatologie (Heidelb). to evaluate the relationship between oral side effects and other inflammatory side effects of COVID-19 vaccine in the short term. Blood clotting instead of bleeding has been reported as a COVID-19 side effect. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. 2020;156(10):1134-1136. doi:10.1001/jamadermatol.2020.2550, Ansari R, Gheitani M, Heidari F, Heidari F. Oral cavity lesions as a manifestation of the novel virus (COVID19). About 75 percent of those with severe dental disease were hospitalized with COVID-19. Inhaling Hydrogen Peroxide Will Hurt Your Lungs and Wont Prevent COVID-19. If you develop lip swelling after getting vaccinated, Dr. Kung recommended calling your healthcare provider. According to one expert, however, the one place you should look after your COVID vaccine is your tongue. Until there's more data, it's too early to add "COVID tongue" to any official symptom lists, but dentists, oral surgeons and other doctors looking inside people's mouths should be aware it might be one of the early signs of infection, he noted. When doctors studied 666 patients with COVID19 in Spain, more than a tenth of them 78 exhibited oral cavity findings, according to a study published in the British Journal of Dermatology. Richard Watkins, MD, an infectious disease physician and professor of internal medicine at the Northeast Ohio Medical University, agreed. However, because COVID tongue symptoms include swelling and inflammation, it's possible that any remedies that help with tongue swelling can help with an instance of COVID tongue. Dr. Fernando explained it this way: Your cells contain enzymes called ACE receptors, which SARS-CoV-2 latches onto. XBB.1.5: What to Know About the 'Most Transmissible' COVID Subvariant Yet. Features of "COVID tongue" include tongue discoloration, enlargement, mouth ulcers, and more. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Product Manufactured in and Exported from the U.S.: to identify the risk factors of COVID-19 vaccine oral side effects in the short term. One of the strangest skin changes has been dubbed "Covid toes". The questionnaire will be available in five languages; Czech, English, German, Slovak and Turkish. Various factors can cause COVID tongue, which may be the reason there is limited information regarding the condition. (2020). Doxycycline, a widely used antibiotic in dermatology with a possible anti-inflammatory action against IL-6 in COVID-19 outbreak. While the evidence is limited, there has been some research linking oral problems to the COVID-19 virus that first appeared in Wuhan, China. 2020 Oct;38(4):477-483. doi: 10.1016/j.det.2020.05.008. "This has probably been missed in a lot of individuals. So, Battaglia took an antihistamine and assumed the puffiness would disappearbut it didn't. No abstract available. No abstract available. Despite reports of the phenomenon, experts say that there is not yet enough research to say whether "COVID tongue" is real. You can review and change the way we collect information below. More than 25% had symptoms in their mouth, including inflammation of the bumps on the tongue surface and overall redness and swelling of the tongue. Battaglia said her lips were "completely back to normal" after a few weeks. COVID tongue is often accompanied by a change to the tongue's sensation, as well as muscle pain while chewing due to persistent ulcers. No abstract available. A case of COVID-19 pneumonia in a young male with full body rash as a presenting symptom. Learn more about what you can do if you have an allergic reaction. And even though the vaccine is injected in your arm, it enters your body's bloodstream and prompts an immune system response, Purvi Parikh, MD, an allergist/immunologist with Allergy & Asthma Network, told Health. Therefore, COVID tongue can occur for many other reasons. Research on Spanish patients found COVID-19 may cause symptoms in the mouth and tongue. Br J Dermatol. When doctors studied 666 patients with Covid19 in Spain, more than a tenth of them 78 exhibited "oral cavity findings," according to a study published in the British Journal of . Last medically reviewed on March 28, 2022. A person with COVID-19 may experience symptoms such as: In several reported cases of COVID tongue, symptoms have included: People experiencing COVID tongue may find that their tongue looks enlarged and has a rough, bumpy appearance on the surface. The site is secure. It may not be that the mouth is vulnerable to the new coronavirus, but that COVID-19 may set up an immune circumstance such that other viruses such as herpes labialis the herpes virus above the waist, or herpes simplex virus type 1, which causes an infection of the lips, mouth, or gums may perhaps activate, Schaffner said.

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