Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site mass, Insomnia, Pain in extremity, Rash, Rash macular
Clinical narrative: some itching too; All of those areas are red and slightly raised; Red patch on back; Spots of rash on her belly; rash has presented in various areas; flu-like symptoms; Feverish / feeling hot; was uncomfortable; tossed / redness also presented that evening with a knot / areas are red; Injection site knot; was restless; turned throughout the night; arm is still sore; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 50-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles (had shingles in January 2020, on left ear, left side of neck and over collarbone).   On 24th June 2020, the patient received the 1st dose of Shingrix. In June 2020, less than a day after receiving Shingrix, the patient experienced pain in arm. On 24th June 2020, the patient experienced influenza-like symptoms, feeling hot, discomfort, injection site erythema, injection site mass, restlessness and sleeplessness. On 26th June 2020, the patient experienced rash, itchy rash, raised rash, skin red and spot-like rash. On an unknown date, the outcome of the influenza-like symptoms, injection site erythema and restlessness were recovering/resolving and the outcome of the feeling hot, discomfort, injection site mass, sleeplessness, raised rash, skin red and spot-like rash were unknown and the outcome of the rash, pain in arm and itchy rash were not recovered/not resolved.   It was unknown if the reporter considered the influenza-like symptoms, feeling hot, discomfort, injection site erythema, injection site mass, restlessness, sleeplessness, rash, pain in arm, itchy rash, raised rash, skin red and spot-like rash to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix in the right arm. The reporter stated that, after vaccination, the patient felt feverish but did not had fever. In the evening after vaccination, the patient was uncomfortable, felt hot  restless and tossed and turned throughout the night. The patient also had redness at injection site and injection site knot in the evening after vaccination. The reporter stated that, the area started out the size of a quarter. On 26th June 2020, it was 5 inches across arm and flu like symptoms were better. The reporter stated that, the arm was still sore and had rash presented in various areas. Less than a week, the patient had pain in arm. 2 days after vaccination, the patient had rash, pruritus, swelling, skin red and spot-like rash. The rash was along the line of her chest where the bottom of a sports bra would be. The reporter stated that the rash on chin below lip in the area that the man might had a gotee and also had on fore head between eye brows. The patient had spoty rash on belly and 3 red patches on back. all of those area were red and slightly raised with some itching too. The reporter stated that, the patient was on intermittent fasting and was in 20 hours of fasting currently. The reporter consented to follow up.