Age: 5.0
Sex: M
Vaccine: DTAP, IPV, MMRV
Symptoms: Abdominal pain, Blister, Body temperature increased, Decreased appetite, Diarrhoea
Clinical narrative: Information has been received from a registered nurse concerning a 6 year old male who was vaccinated with PRODQUAD in January 2004, and dose of VARIVAX in March 2008. Recently in 2009 the patient was diagnosed with shingles. The patient was not recovered at time of reporting. The patient had an office visit for medical attention. Follow up information was received from the registered nurse concerning the now 6 year old male patient with amoxicillin allergy and CEFTIN who on 14-MAR-2008 (previously reported in January 2004) was vaccinated with a 0.5 ml dose of PRODQUAD (lot #656310/1394F) into the left deltoid at 5 year of age. On 29-JAN-2004 (previous reported in March 2008) the patient was vaccinated with a 0.5 ml dose of VARIVAX (lot #645047/0206N) into the right thigh at 12 month of age. The patient had no medical history or history of chickenpox. He had recent exposure to chickenpox on 18-MAY-2009. His brother was diagnosed with chickenpox on 18-MAY-2009. On 18-MAY-2009 the patient developed shingles. Papules and early vesicle were in a dermatomal distribution along the right flank to mid abdomen on right side. The maximum temperature was 99.1 (ear). Other systemic symptoms included loose bowel movement 1-2 times and decreased appetite. On an unspecified date, the patient recovered. No specimens were obtained for further testing. Follow up information was received from the registered nurse concerning the now 6 year old male student who was intramuscularly vaccinated with the third dose of COMVAX (lot #646075/0368N) into the left thigh on 29-JAN-2004 at 12 month of age. On 14-MAR-2008, the patient was vaccinated with the third dose of DAPTACEL (lot #C2605AA) IM into the right deltoid and the fourth dose of poliovirus vaccine inactivated (unspecified) (lot #20547-A) IM into the right deltoid at 5 year of age. There was no illness at time of vaccination. Subsequently, on 17-MAY-2009 the patient developed abdominal pain and hyperemesis. He was seen at an after hours clinic and was sent to the emergency department (ED). The next afternoon, the patient was seen in the physician's office and was diagnosed with shingles. Follow up information was received from the registered nurse concerning this 6 year old male patient who on 29-JAN-2004 was vaccinated with the third dose of COMVAX (MSD, lot #646075/0368N) IM into the left thigh. On 14-MAR-2009, the patient was vaccinated with the third dose of DAPTACEL (lot #C2605AA) IM into the right deltoid and the fourth dose of poliovirus vaccine inactivated (unspecified) (lot #20547-A) IM into the right deltoid. There was no illness at the time of vaccination. The patient's weight was 43.4 pounds (previously reported as 48 pounds) and height was 47 inches (previously reported as 44 inches). On 17-MAY-2009 (previously reported as 18-MAY-2009), the patient was seen in the office and diagnosed with shingles. On 21-MAY-2009, the patient was doing better when he was seen for recheck. On 25-JUN-2009, the patient recovered, it was noted that the patient was well when he was seen in the office for a white blood cell count. Additional information is not expected.