Age: 64.0
Sex: F
Vaccine: PPV, VARZOS
Symptoms: Erythema, Insomnia, Oral herpes, Peripheral swelling, Pruritus
Clinical narrative: Information has been received from a physician via a company representative and medical record from a hospital referring to a 64 year old female patient with arthritis, high cholesterol/pure hypercholesterolemia, muscle, joint or bone problems with Osteoarthritis of multiple joints, osteoarthritis and trochanteric bursitis, gastrooesophageal reflux disease, stomach problems and chronic back pain. The patient was disabled, no exercise level, non-smoker, non-alcohol intake and moderate caffeine intake. The patient had allergy to BACTRIM. The patient's medical history included Anesth bladder surgery in 2012, colonoscopy in 2011, rectocele in 2011 and hysterectomy also included ovaries (TAH-BSO) in 1994. On 06-AUG-2014, the patient was vaccinated with TDAP lot #U4939AA, intramuscularly in left arm. On 16-OCT-2015, the patient was vaccinated with influenza virus vaccine, intradermal quadrivalent preservative free, lot # UT5348AA, 0.1ml intradermally in left arm. On 23-FEB-2016 at 12:00pm, the patient was vaccinated with the first dose of ZOSTAVAX 19400 unit/0.65 ml subcutaneous suspension (lot # L037791, expired date 13-DEC-2016) 0.65 ml, subcutaneously in the left arm and PNEUMOVAX 23 25 mcg/0.5ml (lot # L040178, expired date 18-AUG-2017, route was unknown) 0.5 ml in the right arm. Concomitant therapies included calcium (unspecified), ginger, methocarbamol, omeprazole, Indian frankincense, cholecalciferol, OSTEO-BI-FLEX, Vitamin D3 and turmeric. On 23-FEB-2016 at 14:00pm, the patient experienced vesicular eruption with cold sore on lip and rashes on face. On approximately 27-FEB-2016 (for 4 to 5 days), left arm was swollen after ZOSTAVAX. On 16-MAR-2016, the patient visited the doctor's office to seek medical attention with rashes on her torso, legs and face. The vitals included body mass index (BMI) 26.4 which was out of range, blood pressure 129/84 sitting left arm which was out of range, pulse 70 bpm, temperature 97.8 F degree temporal artery and Oxygen saturation (O2Sat) 96% room air at rest. The patient complained of rash on face, arms, chest after getting shingles vaccine. The rash was painful with blisters. Review of systems showed skin had rash, itching, erythema, and blister and no ecchymosis. Physical exam of inspection and palpation showed no lesions or ulcer and rash and skin lesions in different stages of healing one was vesicular on left thigh. There were other lesions on arms, chest and scalp. Nails were normal. The patient would start on antiviral and monitor. The patient declined gabapentin, so the treatment of valacyclovir hydrochloride 1 gram tablet, 1 tablet every 12 hours by oral route for 7 days was prescribed. The patient was also prescribed with temazepam 15 mg capsule, 1 capsule by mouth at bedtime as needed. On an unknown date, the patient experienced verruca vulgaris, insomnia, dizziness, cough and right upper quadrant pain. At the time of report, the patient was currently still recovering from the event of vesicular eruption. The outcome of verruca vulgaris, insomnia, dizziness, cough and right upper quadrant pain was unknown. All available medical records will be provided upon request. Additional information is not expected as all correspondence was received.