Age: 67.0
Sex: M
Vaccine: FLU4, VARZOS
Symptoms: Pain in extremity
Clinical narrative: back pain; fell when standing up, dizzy; Fall; severe arm pain, that received shingrix; Stiffness in injection arm (hard to move); stiffness in arm that received shingrix; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 67-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2021-2022 season) for prophylaxis.   Previously administered products included Shingrix (received 1st dose intramuscularly couple of months ago). Concurrent medical conditions included diabetes (he is also diabetic).   On 7th October 2021, the patient received the 2nd dose of Shingrix (intramuscular) and Influenza vaccine Quadrivalent 2021-2022 season. On 7th October 2021, less than a day after receiving Shingrix and not applicable after receiving Influenza vaccine Quadrivalent 2021-2022 season, the patient experienced injected limb mobility decreased and limbs stiffness. On 8th October 2021, the patient experienced pain in arm, dizziness and fall. On 10th October 2021, the patient experienced back pain. On an unknown date, the outcome of the pain in arm, injected limb mobility decreased, limbs stiffness and back pain were not recovered/not resolved and the outcome of the dizziness and fall were recovered/resolved.   The reporter considered the pain in arm, injected limb mobility decreased and limbs stiffness to be related to Shingrix. It was unknown if the reporter considered the back pain, dizziness and fall to be related to Shingrix and Influenza vaccine Quadrivalent 2021-2022 season.  Additional details provided were as follows: The case was reported by patient himself. The patient received a dose of Shingrix couple of months ago and then got the final shot and next morning he fell when standing up to get out of bed the because he was dizzy. He mentioned that he is also diabetic and so was not sure if dizziness was from the shot or blood sugar. His dizziness resolved after sitting for a little while and he had no injuries from the fall. The patient also reported severe arm pain which was like pain when you move your arm, when the arm is flat and straightened out, where we cannot leave it like that, we have to leave it to at side. The patient asked what one can do to get rid of the pain. The patient also experienced stiffness in the arm that he experienced after the shingrix vaccine. The patient stated that the pain was still there at the time of reporting and he had to use his other arm to help him move the arm where he got his shingrix shot in left arm. The patient also mentioned that he started to have back pain yesterday but did not know if that was related to the shingrix shot either. The patient also received the flu shot at the same time but in the right arm. He had no record as to whether the flu shot was a GlaxoSmithKline (GSK) product. However, he was having no arm pain in the arm where he got his flu shot. The patient asked to call if he/she have couple of things one can do. The reporter provided medical disclaimer and encouraged him to follow up with his health care professional. The reporter did not consented to follow-up.