Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Paraesthesia, Pruritus, Psoriasis, Rash vesicular
Clinical narrative: confirmed shingles; he had broken out on his back, neck, collar bone; Psoriasis; itching; stress; tingling; This non-serious case was reported by a pharmacist via call center representative and described the occurrence of shingles in a 64-year-old male patient who received Herpes zoster (Shingrix) (batch number CZ979, expiry date 13-APR-2026) for prophylaxis.   Previously administered products included shingrix (1st dose received on 27th October 2023, batch number-9277T with expiry date 16th August 2025). Family history included death (he lost his daughter a year ago).   On 10-APR-2024, the patient received the 2nd dose of Shingrix. On 10-APR-2024, less than a day after receiving Shingrix, the patient experienced itching (Verbatim: itching). On 13-APR-2024, the patient experienced shingles (Verbatim: confirmed shingles), vesicular rash (Verbatim: he had broken out on his back, neck, collar bone) and psoriasis (Verbatim: Psoriasis). In APR-2024, the patient experienced stress (Verbatim: stress) and tingling (Verbatim: tingling). The patient was treated with valacyclovir. The outcome of the shingles and vesicular rash were resolved and the outcome of the itching and stress were unknown and the outcome of the psoriasis was not reported and the outcome of the tingling was not resolved.   It was unknown if the reporter considered the shingles, vesicular rash, itching, stress, psoriasis and tingling to be related to Shingrix.   It was unknown if the company considered the shingles, vesicular rash, itching, stress, psoriasis and tingling to be related to Shingrix.   Additional Information: GSK Receipt Date: 29-APR-2024 The pharmacist in reference to Shingrix reported no reaction to the patient nothing like that. The gentleman came to get the 2nd dose of Shingrix on with no problem, Friday evening on 12th April 2024 he was experiencing some symptoms , then he came in on Saturday morning , 13th April 2024 and he had broken out on his neck, collar bone, back and was not 100 percent sure but needed to go to the urgent care because it did look like shingles that he had psoriasis and taking injection for that. He gave a background; he was itching Wednesday thought it was his dog. Urgent care (went on same day 13th April 2024) started him on Valacyclovir protocol 1gm 21 tab 3 times a day for 7 days. The question asked was he was given 2nd dose of Shingrix did he had protection since he technically had an outbreak before he was fully vaccinated. He had lot of stress in life, he lost his daughter a year ago, lot of things that caused it to come out and something was brewing before the 2nd vaccination. The reporter was tried to see that how the coverage and it was there any report before. The doctor confirmed it was shingles, his arm was fine, and it was no way near the injection site no arm issues nothing showing their 110 percent on the neck, back of neck and back area and it was confirmed it was shingles. The reporter did not know what the vaccine and the fact that he was antiviral would that affect the immune response for the 2nd dose. He had to fly on Tuesday, he had some tingling, but the outbreak had been gone, it's been resolved over 2 weeks at the time of reporting. The reporter consented to follow up.