Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Infection, Myalgia, Pain, Post herpetic neuralgia, Rash
Clinical narrative: Information has been received from a 68 year old female consumer with glaucoma, a history of hormone therapy and no drug reaction or allergies, who in 2008 was vaccinated with a dose of ZOSTAVAX (Merck) (Lot # and route not reported). Concomitant therapy included PREMARIN and eye drops (unspecified). The patient reported that on 17-AUG-2010 she broke out with shingles. At the time of the report, the patient was recovering. There was no laboratory test performed. The patient sought unspecified medical attention. Follow up information has been received from a physician assistant concerning the 68 year old patient who reported that the patient was vaccinated on 12-JAN-2009 with a dose of ZOSTAVAX (Merck) (Lot # and route not reported). The physician assistant also reported that she did not considering the patient getting shingles after receiving the vaccine an adverse event and also she did not confirm that on 17-SEP-2010 the patient broke out with shingles. She mentioned the patient said the pain was more intense that anticipated. On an unspecified date the patient was diagnosed with postherpetic neuralgia. The patient was treated with TEGRETOL and on an unknown date the patient had recovered. Follow up information was received from the 68 year old female patient with drug allergy to ephedrine, via medical records, concerning herself. On 12-JAN-2009 the patient was vaccinated with a dose of ZOSTAVAX (Merck) (lot # 663200/1704X) into right arm. Patient had shingles after receiving vaccine. She developed post herpetic neuralgia that required pain medication. On 19-AUG-2010 the patient was in to see the physician's assistant. She had developed a rash that was just a few spots underneath the left breast and on the back. On this past weekend the patient experienced a lot of pain and a lot of discomfort. "She had an absolute weekend from hell this past weekend with a lot of pain and a lot of discomfort." She had DEMEROL. She was taking 1 or 2 of them and it was really not even touching her. She said aspirin did make a difference in terms of the level of the pain better than the DEMEROL. She had developed a full blown rash in the T9, dermatome coming underneath the left breast. It looked like the vesicles were starting to dry up. The physician's assistant diagnosed it as being shingles and started her on VALTREX immediately, she was taking 1 tablet three times a day and was finishing up a 7 day course of that. The patient was diagnosed as herpetic dermatitis and miralgia. The assistant prescribed TEGRETOL 100 mg 3 times a day, VICOPROFEN 1-2 every 4 hours, VALTREX 1 gram tablets. On 01-SEP-2010, the patient was in for medical management. The TEGRETOL and VICOPROFEN had worked fairly well. The rash was much improved but she was still having a lot of pain. She was very sensitive to light touch. Vital signs were stable. She was afebrile. There was no blistering noted with the rash. She had been using the capsaicin gel on it and the CALADRYL. The patient was diagnosed as shingles. The medication continued with VICOPROFEN and TEGRETOL. Additionally, the patient's sister suffered a rather large stroke and was in hospice care. The physician thought that she had a much lower pain threshold because of this situation. The physician prescribed ATIVAN to take 0.5 mg 1/2 to a whole tablet every 4 to 6 hours as needed for either anxiety or needing to have self-control, another 30 on the VICOPROFEN 7.5/200. On 22-SEP-2010, the physician gave the patient a prescription for AMOXIL 500 mg three times a day for 10 days. The physician also gave the patient selfcare sheet for her to use to assist the AMOXIL in clearing up the infection. Home, rest, fluids, vitamin C, TYLENOL and time. The patient was recovered on an unspecified date. Additional information is not expected. All available medical records will be provided upon request.