Age: 71.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Immediate post-injection reaction, Injection site pain, Lymphadenopathy, Neck pain, Pain
Clinical narrative: Swelling on neck was hard / swelling size of a large jelly bean and than to a size if thumb in lenght; Neck that was really sore and tender; swollen node moved or another node has become swollen that is located near jawbone or ear; Injection hurt pretty bad; aches/ Body aches and pain; Sore arm; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 72-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent 2020-2021 season) for prophylaxis.   The patient's past medical history included breast cancer and fibromyalgia.   On 16th September 2020, the patient received the 1st dose of Shingrix and the 1st dose of Influenza vaccine Quadrivalent 2020-2021 season (intramuscular). In September 2020, immediately after receiving Shingrix and Influenza vaccine Quadrivalent 2020-2021 season, the patient experienced pain in arm. On 16th September 2020, the patient experienced injection site pain and general body pain. On 23rd September 2020, the patient experienced neck swelling, neck pain and enlargement of lymph nodes. The action taken with Influenza vaccine Quadrivalent 2020-2021 season was unknown. On 20th September 2020, the outcome of the injection site pain, general body pain and pain in arm were recovered/resolved. On an unknown date, the outcome of the neck swelling and neck pain were not recovered/not resolved and the outcome of the enlargement of lymph nodes was unknown.   It was unknown if the reporter considered the injection site pain, general body pain, pain in arm, neck swelling, neck pain and enlargement of lymph nodes to be related to Shingrix and Influenza vaccine Quadrivalent 2020-2021 season.  Additional details were reported as follows: The patient's medical history included breast cancer. The patient received 1st dose of Shingrix and an unknown name of the high dose flu shot for seniors for both on left arm. Due to history of breast cancer, it was advised not to receive vaccines on right arm. The patient reported the injection hurt pretty bad and that began to ache that evening, but woke up the next day with severe aches. The patient believed severity might also been attributed to fibromyalgia. The body aches and pain and sore arm completely resolved on 20th September 2020. 7 days after vaccination, there was swelling on left side of neck that was really sore and tender. The patient reported that swelling started off as the size of a larger jelly bean and then expanded to the size of a thumb in length. Initially the swelling on neck was hard but now it had reportedly gotten softer. The patient suspects that the swollen node moved or another node became swollen that was located near jawbone or ear. The patient was concerned due to history od breast cancer and the involvement of two lymph nodes on arm during that battle. The patient reported never developed a fever and not felt bad. The reporter consented to follow up.