Age: 78.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Dyspnoea, Myalgia, Pain in extremity, Product administered at inappropriate site
Clinical narrative: Vaccine administered at inappropriate site; lots of pain in injected arm; muscle pain (legs and buttocks); shortness of breath/ little worse than normal; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 78-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included ELASOMERAN (MODERNA COVID-19 BOOSTER) for prophylaxis.   Previously administered products included MODERNA CORONAVIRUS 19 VACCINE with an associated reaction of no adverse event (1st, 2nd and 3rd dose received on an unknown date). Concurrent medical conditions included shortness of breath (she has had shortness of breath before (but not every day)).   On 26th July 2022, the patient received the 1st dose of Shingrix (intramuscular) and the 4th dose of MODERNA COVID-19 BOOSTER. In July 2022, less than a week after receiving Shingrix, the patient experienced pain in arm, muscle pain and increased shortness of breath. On 26th July 2022, the patient experienced vaccine administered at inappropriate site. On an unknown date, the outcome of the pain in arm, muscle pain and increased shortness of breath were not recovered/not resolved and the outcome of the vaccine administered at inappropriate site was unknown.   The reporter considered the pain in arm and muscle pain to be related to Shingrix. It was unknown if the reporter considered the increased shortness of breath to be related to Shingrix.     Additional Information: GSK Receipt Date: 27-JUL-2022 Reporter's Comments: The reporter was the patient. She did not use email.  The patient received a Shingrix shot and Moderna Covid-19 shot both were in the left arm the day before reporting date. The reporter did not have the lot number of the Shingrix administered but did provide the pharmacy contact information, which should have that data on file.  Patient reported a lot of pain in the injected arm as well as muscle pain in her legs and buttocks.  The patient also reported that she was having more shortness of breath (S.O.B.) than usual for example when she was walking from one room in her house to the next room her S.O.B. was little worse than normal.  She stated that she has had shortness of breath before (but not every day) and in fact was hospitalized (at one point) due to shortness of breath but the doctors had not been able to determine the cause.  The doctor indicated that there was no problem with her heart and has referred her to a pulmonologist. Because she had 3 previous Moderna Covid-19 vaccines, in the past, with no problems she was attributing the side effects she was experiencing to Shingrix. In July 2022, less than a week after receiving MODERNA COVID-19 BOOSTER, the patient experienced pain in arm, muscle pain and increased shortness of breath. It was unknown if the reporter considered the pain in arm, muscle pain and increased shortness of breath to be related to MODERNA COVID-19 BOOSTER. Additional Supportive Information: The patient received both vaccines in left arm on same day, which led to vaccine administered at inappropriate site. The reporter consented to follow up.