Age: 71.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Herpes zoster, Pain, Respiratory rate
Clinical narrative: The patient reported that she never had chickenpox in her life.  Medical attention was sought.  The patient reported that two different physicians confirmed the diagnosis of shingles.  It was unspecified if lab studies were performed.  The patient reported except for seeing the physicians, she did not get dressed or leave her home until 01-FEB-2008.  The patient reported it was a painful ordeal.  The patient stated both of the physicians are certain it was the shingles inoculation which caused her problems because she never had chickenpox.  The patient reported on 7-JAN-2008 she had prescriptions filled for VALTREX 1 gm, hydrocodone-apap 5/500 tablet, and prdnisone 20 mg.  She also had prescriptions for hydrocodone-apap 5/500 tablet and VALTREX filled on 14-JAN-2008 and for VALTREX on 31-JAN-2008.  At the time of the report the patient had 90% healed from the shingles.  The patient noted that no physician prescribed the vaccination for her.  The patient said she simply went to a local pharmacy and received it.  There was no product quality complaint involved.  Information has been received regarding a case in litigation.  Follow-up medical records from an office visit on 07-JAN-2008 have been received concerning this non-smoking 71 year old female consumer with gout and an allergy to codeine and a history of colonoscopy in 2006 (normal) and uterine dilation and curetrage who on 03-JAN-2008 was vaccinated in the left deltoid with ZOSTAVAX.  There is no history of alcohol or illicit drug use.  Concomitant therapy included glucosamine, fexofenadine hydrochloride, naproxen sodium, aspirin, vitamins (unspecified) and calcium (unspecified) (+) vitamin D (unspecified).  It was noted that the patient had red, inflammed vesicles (shingles) at T8 - T10 dermatome location on the right side that was very sensitive to touch.  It was reported that the rash erupted with pain on Saturday 05-JAN-2008 in the AM.  The patient applied cortisone to the rash.  It was noted that the patient's brother requested a "G-tube" secondary to the shingles.  The patient was prescribed VICODIN 5/500, 1 by mouth three times a day as needed, prednisone 40 mg by mouth every day x 7 days and VALTREX 1000 mg by mouth three times a day x 7 days.  Follow-up medical records from an office visit on 14-JAN-2008 have been received, indicated that the patient had recovered from shingles, but still had pain.  The patient had scabbed vesicles with decreased erythema at the T8 dermatome location on the right side.  It was noted that the patient finished the VALTREX and the prednisone.  The patient was prescribed cortisone cream as needed to lesions.  Follow-up medical records from an office visit on 23-JAN-2008 have been received concerning this non-smoking 71 year old female consumer with additional medical conditions of corneal degeneration, and kidney stone (no symptoms) and additional medical history of two colonoscopies (polyps).  Medical records indicated that the patient appeared well developed and in no apparent distress.  The patient's skin showed areas of moderately severe shingles rash on the right side/rib area that were healing.  The patient still had pain.  It was noted that the medications had helped, but the patient was not totally healed.  The patient was prescribed VALTREX 1 gm tab, one by mouth three times a day x 14 days and LORTAB 5/500 mg tab, one by mouth every 8 hours as needed for pain, max 3/24 hours.  All available medical records will be provided upon request. This in follow-p to report(s) previously submitted on 06/24/2008 The patient reported that she never had chicenpox in her life. Medical attention was sought. Thepatient reported that two different physicians confirmed the diagnosis of shingles. It was unspecified if lab studies were performed. The patient reported except for seeing the physicians, she did not get dress or leave home until 01-FEB-2008. The patient reported it was a panful ordeal. The patient stated both of the physicians are certain it was the shingles inoculation which caused her problems because she never had chickenpox. The patient reported on 7-JAN-2008 she had prescriptions filled for VALTREX 1 gm, hydrocodone-apap 5/500 tablet and prednisone 20 mg. She also had prescriptions for hydrocodone-apa 5/500 tablet  VALTREX filled on 14-JAN-2008 and for VALTREX on 31-JAN-2008. At the time of the report thepatient had 90% healed from the shingles. The patient noted that no physician prescribed the vaccination for her. The patient said  she simply went to a local pharmacy and received it. There was no product quality complaint involved. Information has been received regarding a case in litigation.Followup medical records from an office visit on 07-JAN-2008 have been received concerning this non sloking 71 year old female consumer with gout and an allergy to codeine and a history of coloscopy in 2006 (normal) and uterine dilation and curettage who on  03-JAN-2008 was vaccinated in the left deltoid with zoster vaccine live (Oka/Merck). Ther is no history of alcohol or illicit drug use. Concomitant therapy included glucosamine, fexfenadine hydrochloride, naproxen sodium, aspirin, vitamins,(unspecified) and calcium (unspecified), vitamin D(unspecified). It was noted  that the patient had red, inflammed vesicles (shingles) at T8-T10 dermitome location on the right side that was very sensitive to touch. It was reported thta the rash erupted with pain on Saturday 05-JAN-2008 in the AM. The patient applied cortisone to the rash. It was notedthe the patient's brother requested a "G-tube" secondary to the shingles. The patient was prescribed VICODIN 5/500, 1 by mouth three times a day as needed., prednisone 40 mg by mouth every day x 7days and  VALTREX 1000 mg by mouth three times a day for 7 days. Follw-up medical records from as office visit on 14-JAN2008 have been received, indicated that the patient had recovered from shingles, but still had pain. The patient had scabbed vesicles with decreased erythema at the T8 dermatome location on the right side . It was noted that the patient finished the VALTREX and the prednisone. The patient was prescribed cortisone cream as neede to lesions increased scabs. Follow-up  medical records from an office vistit on 23-JAN-2008 have been received concerning this non-smoking 71 year old female consumer with additional medical conditions of corneal degeneration, and kidney stone (on symptoms) and additional medical history of two colonoscopies (polyps). Medical records indicated that the patient appeared well developed and in no apparent distress. The patient's skin showed ares of moderately severe shingls rash on the right side/rib area that were healing. The patient still had pain. It was noted that the medications had helped, but the patient was totally healed. The patient was prescribed VALTREX 1 gm tab, one by mouth three times a day x 14 days and LORTAB 5/500 mg tab, one by mouth every 8 hrs as neede for pain, max 3/24  hours. Follow-up information recived on 117-NOV-2008 regarding a case in litigation indicating the patient received a dose of zoster vaccine live(Oka/Merck) on 03-JAN-2008. On 04-JAN-2008 the patient experienced some mild aching in her rib cage. On 05-JAN-2008 she awoke with a rash on the right side of her rib cage, both front and back. As a result of receiving zoster vaccine live (Oka\Merck), the patient suffered shingles. All available medical records will be provided upon request.