Age: 82.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose decreased, Computerised tomogram, Decreased appetite, Dehydration, Fatigue
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of back pain in a 82-year-old male patient who received SHINGRIX for prophylaxis. On 23rd July 2018, the patient received the 1st dose of SHINGRIX .5 mg/ml. In July 2018, less than a month after receiving SHINGRIX, the patient experienced appetite absent (serious criteria hospitalization), worn out (serious criteria hospitalization), dehydration (serious criteria hospitalization), urinary retention (serious criteria hospitalization and GSK medically significant) and blood glucose decreased (serious criteria hospitalization). On 23rd July 2018, the patient experienced back pain (serious criteria hospitalization), sleeplessness (serious criteria hospitalization), bladder discomfort (serious criteria hospitalization) and feeling unwell. On 30th July 2018, the patient experienced general physical health deterioration. The patient was treated with sodium chloride, steroids nos (Steroids) and prednisone. In July 2018, the outcome of the appetite absent, dehydration, urinary retention and blood glucose decreased were recovered/resolved. On an unknown date, the outcome of the back pain was recovering/resolving and the outcome of the sleeplessness, worn out, feeling unwell and general physical health deterioration were unknown and the outcome of the bladder discomfort was recovered/resolved. It was unknown if the reporter considered the back pain, appetite absent, sleeplessness, worn out, dehydration, urinary retention, bladder discomfort, blood glucose decreased, feeling unwell and general physical health deterioration to be related to SHINGRIX. Additional details were reported as follows: The patient received SHINGRIX vaccine in right arm. On the same night of vaccination, the patient began to feel ill.  On 10th September 2018, the patient described it as severe back pain and bladder pressure. This pain would keep the patient up in the night. As pain progressed he turned down fluids and food. The patient made an appointment with Primary Care Physician (PCP) and he was prescribed pain medication and steroids. The patient completed his prednisone and stopped taking his hydrocodone due to fear of addiction. On the following Monday, the patient reported that he continued to deteriorate. Emergency Medical Services (EMS) was called and glucose was showed to be 35. At the emergency room, the patient was given sodium chloride and a sandwich, his dehydration and blood glucose improved. In the emergency room he was walker with a walker around the department and discharged home same day. The patient's son arranged for medical transport to PCP appointment and the PCP had him transported to Emergency room. While in the emergency room he stated he had many tests including a CT-scan (Computerised tomogram) and MRI (Nuclear magnetic resonance imaging). He was admitted and were accomplished and the next morning he had a spinal tap. After 3 days in the hospital he was transferred to a local rehabilitation facility from 4th August 2018 to 19th August 2018. The goal at the rehabilitation facility was to build up strength with nutrition, exercise and Occupational Therapy. During his stay in rehab a Foley catheter was inserted, and he was transferred to a neurologist on 9th August 2018 to 10th August 2018 for urinary retention. He stated the staff were completing bladder scans every 4 and every 8 hours. He was receiving physical therapy 3-4 times a day and began emptying his bladder.    On 19th August 2018, the patient was discharged to home. The patient had physical therapy in the home and was encouraged to walk and eats lots of protein. Since, then he can walk with a cane, but my walking is wobbly and it's not a normal walk. He states he was still tired and worn out. He stated he can't say the tiredness or feeling of being worn out was resolving. He believed pharmacist may have reported his reaction.