Age: 43.0
Sex: M
Vaccine: VARCEL
Symptoms: Pyrexia
Clinical narrative: Information has been received from a 43 year old male patient with no known allergies and no past medical history who on 8/27/01 in the PM was vaccinated in the left deltoid with a first dose of varicella virus vaccine live (lot # 638568/1888K). On 10/16/01 he was vaccinated in the deltoid with a second dose of varicella virus vaccine live (lot # 638568/1888K). There was no concomitant medication. The patient indicated 3-4 weeks later (approximately October 2001), he began to experience chills, fevers, and massive chest pain. It was noted after a while the fever and chills went away. The patient then indicated the pain moved to his back and it is still ongoing at this time. The reporter indicated it bothers him enough that his activities have been limited since this has happened and the pain seems to increase throughout the day with an increase in activity. Subsequently, the patient recovered from chills and fever. The patient's back pain persisted. Follow up information was received from a physician indicated the patient developed fibromyalgia and chronic fatigue syndrome. The physician reported the patinet came into the office on 11/19/01 with the complaint that he was feeling lousy, which the patient reported had started 11 days earlier on 11/8/01. On 11/29/01 the patient went to the physician's office again, and complained of myalgia, and malaise which became worse on exertion. The physician reported that possibly the patient had Coxsackie virus.  It was noted the following lab tests were performed and all were normal: Blood urea Nitrogen, Creatinine, Hemoglobin, WBC, Sedimentation rate, and thyroid stimulating hormone. It was reported a creatinine was done and the result was 370, which was elevated. The physician reported his partner an Infectious Disease Specialist saw the patient again on 2/19/02 and his impression was that the patient had a postviral syndrome, with a mixed polymyositis, and a hyperimmune reaction. It was noted the physician's partner recommended that the patient increase his activity. A C-reactive protein lab test resulted as 6.8, and a repeat sedimentation rate was 7. On that same day, 2/19/02 the impression of a Rheumatologist was that the patient had a diffuse inflammatory muscle problem related to deconditioning, and gave the patient a prescription for rofecoxib. It was noted that in March 2002, the patient saw the Rheumatologist again because he still was not feeling any better, and an EMG was done and was normal. The physician indicated that he last spoke with the patient in December 2002, and at the time he still did not feel any better. It was noted a Total Iron Binding Capacity was normal. It was noted the patient was also seen by a Pulmonologist, who reported there was no evidence of pulmonary disease. The physician reported the patient had stumped both him and his partner, and the patient does not feel any better. The physician also reported he suggested the patient be seen at another institution. It was also noted the patient had no illness at the time of vaccination. Follow up written correspondence received from the patient's physicain stated I have not seen th patient since the last correspondence. Fibromyaglia and chronic fatigue syndrome were considered to be disabling. Additional information has been requested.