Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Paralysis, Paresis
Clinical narrative: developed shingles which paralyzed (paresis) of right shoulder/nerve pathway went down the forearm, and to the knuckles of right hand/ have long hair, could not reach to put hair in a ponytail / Could not drive for a month (would not be able to make; developed shingles/shingles pai/ One area on right shoulder that blistered / little dots in a line on the scapula and down the triceps/ Burning in the shoulder; developed shingles which paralyzed (paresis) of right shoulder; This spontaneous case was reported by a nurse and describes the occurrence of PARALYSIS (developed shingles which paralyzed (paresis) of right shoulder/nerve pathway went down the forearm, and to the knuckles of right hand/ have long hair, could not reach to put hair in a ponytail / Could not drive for a month (would not be able to make), HERPES ZOSTER (developed shingles/shingles pai/ One area on right shoulder that blistered / little dots in a line on the scapula and down the triceps/ Burning in the shoulder) and PARESIS (developed shingles which paralyzed (paresis) of right shoulder) in a 74-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 939905) for COVID-19 vaccination.     No Medical History information was reported.    On 20-Nov-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In December 2021, the patient experienced PARALYSIS (developed shingles which paralyzed (paresis) of right shoulder/nerve pathway went down the forearm, and to the knuckles of right hand/ have long hair, could not reach to put hair in a ponytail / Could not drive for a month (would not be able to make), HERPES ZOSTER (developed shingles/shingles pai/ One area on right shoulder that blistered / little dots in a line on the scapula and down the triceps/ Burning in the shoulder) and PARESIS (developed shingles which paralyzed (paresis) of right shoulder). The patient was treated with CALAMINE, GLYCEROL, ZINC OXIDE (CALAMINE LOTION) at an unspecified dose and frequency; ACYCLOVIR [ACICLOVIR] at an unspecified dose and frequency; ACYCLOVIR [ACICLOVIR] in December 2021 at an unspecified dose and frequency and GABAPENTIN at an unspecified dose and frequency. At the time of the report, PARALYSIS (developed shingles which paralyzed (paresis) of right shoulder/nerve pathway went down the forearm, and to the knuckles of right hand/ have long hair, could not reach to put hair in a ponytail / Could not drive for a month (would not be able to make), HERPES ZOSTER (developed shingles/shingles pai/ One area on right shoulder that blistered / little dots in a line on the scapula and down the triceps/ Burning in the shoulder) and PARESIS (developed shingles which paralyzed (paresis) of right shoulder) outcome was unknown.        For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments.   Since mid-December, the patient had been working to restore range of motion. The patient got the booster and two weeks later got shingles. The patient worked so hard to gain range of motion in shoulder, it seems like a risk.One area on right shoulder that blistered. Then there were little dots in a line on the scapula and down the triceps. The nerve pathway went down the forearm, and to the knuckles of right hand. No open sore blisters - all the internal nerves. The patient had long hair, could not reach to put hair in a ponytail. Had to bring head (down) to reach hair. Treating physicians within 48 hours who prescribed acyclovir for one week but lost significant movement. 2nd course of acyclovir (in late Dec). The patient sat with ice on shoulders for hours. Burning in the shoulder. The shingles pain takes a long time to resolve. The patient had no history of COVID.  Patient also mentioned that she could not drive for a month (would not be able to make the maneuvers), lost significant movement and could not lift elbow from the side\ had to prop arm on a shelf to dress\had to use left hand to put right arm up.  No concomitant medication was reported.   This case was linked to MOD-2021-201104, MOD-2021-021849 (Patient Link).   Most recent FOLLOW-UP information incorporated above includes: On 18-Apr-2022: Follow-up report contains no new information.