Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Herpes zoster, Rash
Clinical narrative: Shingles (herpes zoster)/ rash chest and back, right sided. Long brawl/shingles along right sided lower bra.; Information has been received on 31-JUL-2019 from a lawyer via a Plaintiff Fact Sheet regarding a case in litigation and refers to a 61-year-old female patient (pt). She never smoked or used tobacco products. On 10-AUG-2012, the pt was vaccinated with zoster vaccine live (ZOSTAVAX) (lot#, expiration date, dose, dose# not specified). The pt did not recall the location of injection. She claimed that she suffered following physical injuries caused by zoster vaccine live (ZOSTAVAX): shingles (herpes zoster). The pt noticed painful blistered bumps under breast and could not wear bra. She became aware of the injury about a week after receiving a shot. When asked how did she first became aware of the injury, stated that she could not put a bra on. She was diagnosed with shingles approx. in 2012 by the physician. The pt did not know if a test to determine if the rash was wild type or vaccine strain varicella zoster virus was ever performed by any healthcare provider. She also claimed that she was told by her physician that she had vaccine strain varicella zoster virus. Pt claimed that zoster vaccine live (ZOSTAVAX) did not cause or aggravated any psychiatric/ psychological conditions other than pain, suffering and emotional distress. In the 7 years preceding zoster vaccine live (ZOSTAVAX) to present, the pt was diagnosed with hyperlipidemia, osteoarthrosis and hypertension (all treated on approx. 05-OCT-2012), which required hospitalization or recurrent medical care and treatment or medication. In the 7 years preceding of zoster vaccine live (ZOSTAVAX) to the present, the pt's prescription medications taken on a regular basis included: verapamil, celecoxib (CELEBREX), acetaminophen (+) hydrocodone (LORTAB), chlorthalidone, metoprolol, omeprazole (PRILOSEC), cetirizine (ZYRTEC) and gabapentin (all from approx. 16-OCT-2012). The pt was diagnosed with chicken pox in childhood. She was never vaccinated with chicken pox vaccine. The outcome of shingles was not reported. The shingles was considered to be related to zoster vaccine live (ZOSTAVAX).   Information was received on 31-JUL-2019 from medical records and refers to the 61-year-old female pt. The patient's concurrent conditions (chronic problems) included esophageal reflux, unspecified abnormal mammogram, allergic rhinitis (cause unspecified), impaired fasting glucose, major depressive affective disorder, single episode, osteoarthrosis generalized, involving multiple sites, benign essential hypertension, mixed hyperlipidemia (previously reported as event), obstructive sleep apnea, benign neoplasm of colon and unspecified vitamin D deficiency. Her medical history included gastroesophageal reflux disease (GERD), hypertension (previously reported as event), cholecystectomy (2006) and knee arthroscopy. In the past she was vaccinated with unspecified flu vaccine (24-NOV-2007, 10-NOV-2008, 10-NOV-2009 and 12-OCT-2011), unspecified adult hepatitis B vaccine (24-SEP-1995), unspecified pneumococcal vaccine (24-SEP-1999), unspecified tetanus (+) diphtheria vaccine (Td) adult (24-SEP-1995) and unspecified diphtheria toxoid (+) pertussis (+) tetanus toxoid vaccine (07-MAY-2012). On 10-AUG-2012, the pt was vaccinated with zoster vaccine live (ZOSTAVAX) 19400 unit subcutaneous solution, 0.5 ml, subcutaneously (SC). On 20-AUG-2012, office visit, the pt presented with rash chest and back, right sided, long brawl, which started weekend after getting shingles vaccine. Physical examination: normal, except shingles along right sided lower bra. Assessment: shingles. The patient was given trial of prednisone, acyclovir and gabapentin (NEURONTIN) as a treatment. She was told by physician, that he suspected shingles was related to her shingles vaccine. The pt was advised not to be around pregnant women. The pt's medications included verapamil, celecoxib (CELEBREX), chlorthalidone, vitamin D2, metoprolol tartrate, omeprazole (PRILOSEC), cetirizine (ZYRTEC) and cod liver oil.  All available records will be provided upon request.