Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site warmth, Pain, Pyrexia, SARS-CoV-2 antibody test positive
Clinical narrative: I, the patient, went to Pharmacy get the Shingrix shot--I am 63 years old in superb health and have never had a very serious vaccine reaction in my life.  This includes yearly flu shots for approx 40 years and the PPSV23 pneumoccocal vaccine.  I believe I've also had the Hepatitis B vaccine administered by my MD as well in the past year or two.  I have never had anything more than a sore arm for a day or two.  I basically get my vaccine and forget about it.  Maybe I skip a day or two of workouts.  On Sunday, 1/102021 I received shot #1 of the Shingrix vaccine at approximately 5 pm.  I returned home and began working out.  By 7 pm I felt chills and cut my workout short.  By Monday I had a three inch long red mark in the area below the injection site.  It was warm to the touch and hurt when I pushed on it.   No worry I said, this is a sign the vaccine is working.  Let me add that I believe in vaccines, science and completed pre-Med biology at with a B+ and A- respectively.  My father was a doctor, now deceased.  I trust in modern medicine and yes, I will get shot #2 when the time comes.   I volunteer at an animal adoption agency and my cohort on Tues/Fri is a visiting Registered Nurse.  When she saw the reaction on my arm she said, "oh my, that's not normal."  That evening began the worst symptoms: extreme fatigue, body aches and pains, fevers and bad chills.  After a few days of this, I said I need to get Covid tested.  I already was an "early adopter" of Covid-19 when it first swept through --I was ill 3/17-4/1 and beat the illness by myself in my loft.    My annual physical indicates that I still had antibodies on 11/23/20 and my blood tests on 1/21/21 reconfirmed that 9 months later I still had antibodies.  I have two NEG nasal swab tests from two different providers and am awaiting on a third one from yet another provider.  This reaction is not COVID!  As of day 16 (today), the body aches and pains have gradually subsided--I honestly can't remember when they stopped being so bad.  I feel like I am operating at 50% energy capacity.  Normally due to my diet and exercise regimen, I have the energy of a 25 year old.  Having survived both Covid and severe pneumonia at age 19, I know how important self-monitoring is.  I took my temperature several times a day, every day.    I discovered a daily pattern in the past week and it is highly predictable.   Approximately 7-9 pm severe chills start in spite of my body temperature usually being around 98.2, 98.3.  These chills occur in spite of the fact that my apartment is always heated at 76 degrees or more in the winter--I"m on the top floor of my building and I have lowered the thermostat as low as I can without turning off my system.   These chills occur when I am in bed laying under three layers of blankets in sweatpants and a sweatshirt or the equivalent.  How is it possible to have chills at a normal body temperature under these circumstances?   About an hour later  the chills stop, my fever rises,   usually 101.6 to a high so far of 102.9.  Now I am feeling extremely hot and the chills stop.  I wake up daily to sweat soaked sheets.