Age: 80.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Injection site cellulitis, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: This case was reported by a nurse via call center representative and described the occurrence of rash in a 80-year-old female patient who received BOOSTRIX (batch number 9ZS2S, expiry date 11th February 2019). The patient's past medical history included shingles (The patient had shingles three times prior to this incident) and laceration of leg. On 24th January 2017, the patient received BOOSTRIX .5 ml. On 27th January 2017, 3 days after receiving BOOSTRIX, the patient experienced rash. On 1st March 2017, the patient experienced injection site lump. In March 2017, the patient experienced injection site warmth, injected limb mobility decreased, joint range of motion decreased, crust, injection site induration and injection site cellulitis. On an unknown date, the outcome of the rash and injection site lump were recovering/resolving and the outcome of the injection site warmth, injected limb mobility decreased, joint range of motion decreased, crust, injection site induration and injection site cellulitis were unknown. The reporter considered the rash and injection site lump to be related to BOOSTRIX. It was unknown if the reporter considered the injection site warmth, injected limb mobility decreased, joint range of motion decreased, crust, injection site induration and injection site cellulitis to be related to BOOSTRIX. Additional details were provided as follows: The reporter stated that the patient had just come into the clinic to report the rash she had from the vaccine. The patient was given the BOOSTRIX vaccine in left arm on a Tuesday and by Friday, she had developed a rash. The patient described the rash as looking like pimples. They were small and looked like they were filled with water. They first started out appearing slowly then spread like wildfire on her chest, the patient said. She did not report this to anyone. She used essential oils like lavender and others to treat such things that heal burns to help with the rash. The oils helped to clear up the rash on her chest. The rash on her chest had almost cleared when she noticed a rash on her left arm on 1st March 2017. The rash spread to her neck and to the top of her ears quickly. There was a lump that appeared on her arm that was at the injection site. The lump was described as being the size of the bottom of a coffee cup. The lump was warm to the touch but she did not have a fever even when the side effects first started. The rash had gotten worse and crusting of the skin has gone down. She had limited range of motion in that left arm now whereas before she had full range of motion before. She had about 45 degree of range in the left arm. She was unable to straighten her arm completely. She described that since she was unable to move her arm as before, she was unable to fasten her undergarments behind her back. She was unable to curl her own hair because she did not have the mobility to do so as she had before. On 3rd March 2017, she started massing her left arm herself trying to get the hard lump out of her arm. The patient said that the lump felt like a hard rock. She started helping herself by massaging the arm. The lump had started to travel down her arm and was breaking up the hard spot after massaging the spot. The patient thought in the beginning that she might have shingles again. The reporting nurse touched the lump on the date of reporting and she said it felt like the patient had a fever in her arm or it could be cellulitis. The nurse thought the arm felt like it was on fire. The patient still had the lump, but it was smaller than it was. The patient had not complained about the experience, even to the nurse. The patient originally came to the clinic after a cut on her leg. A doctor there recommended that she get the vaccine since it had been ten years since her last shot. The patient did not have a doctor. She came to the clinic to find out information about the rash requested by her children since she lives alone. Her children were concerned after seeing pictures she had taken of the rash and history of shingles. The reporter would be the person that could provide more details as needed.