Age: 64.0
Sex: F
Vaccine: VARZOS, PPV, VARZOS
Symptoms: Spinal operation, Transient ischaemic attack
Clinical narrative: This spontaneous report as received from a physician refers to a 70 years old female patient. On an unknown date the patient was vaccinated with ZOSTAVAX (lot # was 662856/1559X, expiration date was 28-APR-2010) (dose and frequency were unknown) subcutaneous. On 03-JUL-2014 the patient experienced shingles and post herpetic neuralgia (PHN). The patient seek medical attention via an office visit. The outcome of shingles and PHN was reported as recovering/resolving. Follow up information has been received via medical records from the physician regarding a 67 year old female patient with asthma, hyperlipidemia, complicated migraine, partial complex epilepsy, hypertension, vitamin D deficiency, deep vein thrombosis left leg x 2, meningioma, diverticulosis, cataract bilateral, once wine nightly, familial risk factor (Mother (deceased in 2007 at 80's year old): Methicillin-resistant Staphylococcus aureus (MRSA), diabetes mellitus (DM), congestive heart failure (CHF). Father (deceased in 1971 at 54 year old), myocardial infarction (MI), cerebrovascular accident (CVA). S: (deceased at 66 year old): chronic obstructive pulmonary disease (COPD), negative colon cancer and negative Breast cancer), ex-tobacco, sulfa allergy, Z-PACK allergy and acetaminophen allergy. The patient's medical history included left shoulder injury, ruptured AP (appendix) in 1996, transient ischemic attack (TIA) and cardio vascular accident (CVA) (2002). Previous vaccination doses included influenza virus vaccine (unspecified) on 29-OCT-2007 and October 2008. Tetanus toxoid (therapy unspecified) in 2002. On 05-FEB-2009 the patient was vaccinated with a dose of ZOSTAVAX lot # 66856/1559X, subcutaneous. Co-suspect therapy included PNEUMOVAX 23 (Lot # not provided) given on 05-FEB-2009. Concomitant medications included tetanus toxoid (therapy unspecified) and influenza virus vaccine (unspecified). It was reported that in 2009 the patient underwent a sinus surgery. In 2011 the patient experienced transient ischemic attack (TIA) and cerebrovascular infarction (CVA). On an unspecified date the patient experienced carpal tunnel syndrome (CTS) in both arms and surgery was performed on 06-APR-2012. On 15-MAY-2013, the patient experienced C-spine surgery. On 28-MAY-2013 the patient experienced AAP (not know what it stands for). The following laboratory test were performed: in 2008 PAP: results not available. In 2013 PAP: results not available. In March 2009: mammography: results not available, in 2003 Dual Energy X-Ray Absorptiometry (DXA): results not available, (unknown date) colonoscopy: results not available. Hypercoagulation without units (negative). At the time of the report, the patient's outcome regarding sinus surgery, TIA, CVA, CTS and surgery, and AAP were not provided. The relatedness between the events and suspect therapy was not provided. All available medical records will be provided upon requested. Upon internal review, the cerebrovascular event and   [Due to memory limitations, the remainder of this text could not be compared.]  event and C-spine surgery were considered to be serious due to other important medical events. Additional information is not expected since all follow ups requested to complete the case were received.