Age: 70.0
Sex: F
Vaccine: UNK, VARZOS
Symptoms: Neck pain, Pain in extremity, Peripheral swelling
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a 70-year-old female patient who received for prophylaxis. On 9th April 2018, the patient received the 1st dose of SHINGRIX. On 9th April 2018, less than a day after receiving SHINGRIX, the patient experienced pain in arm, muscle pain and bone pain. In April 2018, the patient experienced pain in joint involving shoulder region, neck pain, walking difficulty, back pain, swelling of knees and fatigue. On an unknown date, the patient experienced stiff knees, abdominal pain, head discomfort and general body pain. On an unknown date, the outcome of the pain in arm, muscle pain, bone pain, abdominal pain and head discomfort were recovered/resolved and the outcome of the pain in joint involving shoulder region and fatigue were recovering/resolving and the outcome of the neck pain, walking difficulty, stiff knees and general body pain were unknown and the outcome of the back pain and swelling of knees were not recovered/not resolved. It was unknown if the reporter considered the pain in arm, muscle pain, bone pain, pain in joint involving shoulder region, neck pain, walking difficulty, stiff knees, back pain, swelling of knees, abdominal pain, head discomfort, general body pain and fatigue to be related to SHINGRIX. Additional details were reported as follows: The patient received SHINGRIX at 4:00 PM in the left arm. The same day, in the evening, the patient experienced arm pain which progressed. She woke up in the middle of the night with severe arm pain which went deep into the muscle down to the bone. It was so severe that, she hardly slept for the next 3 nights. The arm pain alone lasted for about 6 to 7 days before it resolved. Approximately 10 days following the vaccination, the patient experienced severe shoulder joint pain in both shoulders. Each morning she would wake up with an additional pain. The day after the shoulder pain presented (11 days after vaccination), she woke up with severe pain in the back of her neck that went down to about 6 inches above her elbows. This pain went down to the bone as well. The next morning (12 days after vaccination) she had joint pain in both hips. The next day (13 days after vaccination), pain presented in the back of both knees down to her ankles. Her ankles hurt so much that she could barely walk and had to use both arms to get her off the couch. She could not bend her knees all the way due to the pain and then it presented in her wrist and finger joints. The patient also had back pain which still persisted. After about 2.5 months, the pain started to resolve. Within the last two weeks she had been able to walk better but still had pain in her knees and her left knee had swelling and she could not bend it all the way. There was pain on the top of her knee where she cannot get down on that single knee. The patient also had abdominal pain which lasted 6 days and some type of head pain which lasted a few days. The patient stated, it was hard to describe but was not a headache. The patient had pain in the toes of her right foot but never in her left toes. The patient could not give accurate times frames for all these events but stated that, at one point she had all this pain all over at the same time. The patient also experienced fatigue throughout this time frame. This case was linked to case US2018124946, reported by same reporter.