Age: 63.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Tongue ulceration, Walking aid user
Clinical narrative: Information has been received from a nurse concerning a 63 year old female nurse with borderline hypertension and hypersensitivity to DILANTIN, "PENICILLIN", tetracycline, "SULFA", rofecoxib (MSD), CELEBREX, BEXTRA, lisinopril, ACIPHEX, ampicillin, HYDRODIURIL, KEFLEX, DETROL and a history of blood transfusion in 1986 and hepatitis C in 1992 and now has stage IV cirrhosis, who on 22-APR-2009 was vaccinated with a 0.6mg dose of ZOSTAVAX (Merck) (LOT# not reported). Concomitant therapy included LASIX (furosemide), LEXAPRO, RESTORIL, MIRALAX, COLACE and "ESTRADIAL". On 21-MAY-2009 the patient experienced severe dizziness, shingles of right trigeminal nerve to right eye, blisters on top and bottom lips of her mouth, tongue is raw on edges, "mouth is on fire" and teeth are throbbing. The patient then had difficulty walking from the dizziness, her hair and scalp were covered with blisters, and she lost the feeling in her hands and arms to her elbows, and lost feeling in her feet and legs to her knees, lost all strength in both hands. The patient had fallen 8 times with multiple bruises, with blood clots forming, ataxia, gait is poor and short of breath. On unspecified date, the patient was admitted to the hospital because of the severe dizziness and formation of clots. The patient has been treated with intravenous fluids, oxygen and prednisone and BENADRYL. The patient has been seen by a neurologist. The patient has many tests/diagnostics including spinal taps, blood tests and MRI's, however no outcome was provided. The patient is now using a cane. Prior to this the patient walked 3 miles a day and was swimming twice a day. No other information was available at the time of this report. The patient was hospitalized. The reporter felt that all adverse experience involved in this case were considered other important medical events. This is one of the reports from the same patient. Additional information has been requested.   6/25/09 VAERS report received with MR attached.  6/25/09 seen for dx:  Ataxia.  weakness-Paresthesias.   8/17/09 Hospital records received - Inpatient DOS 7/6/09 to 7/9/09. Assessment: Chest pain, Muscle weakness of unknown etiology, History of gastrointestinal dysmotility disorder, depression, Obstructive sleep apnea.  Patient originally presented with symptoms of shingles with a rash on face and scalp, felt as though a 'TENS' unit was stimulating her extremities. Subsequently developed chest discomfort, dyspnea, and increasing muscle weakness.  ICD-9 Codes - multple encounters DOS 4/3/09 to 7/24/09:  292.12 Drug Psy DOs w Hallucin, E935.2 Adv Eff Opiated, E849.0 Accident in Home, 724.5 Backache NOS, 427.89 Cardiac Dysrhythmias Nec, 785.1 Palpitations, 723.1 Cervicalgia, 724.2 Lumbago, 729.2 Neuralgia/Neuritis NOS, 782.0 Skin sensation disturbed, 214.8 Lipoma Nec, 729.89 Muscskel Sympt Limb NEC, 793.99 Abn Find-Body Struct Nec, V45.89 Post-Proc States NEC, 722.52 Lumb/Lumbosac Disc Degen, 756.12 Spondylolisthesis, 272.8 Lipoid Metabol Dis Nec, 216.1 Benign Neo Skin Eyelid, 528.9 Oral Soft Tissue Dis Nec, 721.90 Spondylos NOS w/o Myelop, 724.1 Pain in Thoracic Spine, 112.0 Thrush, V75.8 Screen-Parasitic Dis Nec, 789.00 Abdomnal Pain Unspcf Site, 780.79 Malaise and Fatigue Nec, 708.0 Allergic Urticaria, 790.92 Abnrml Coagulation Prfile, 459.0 Hemorrhage NOS, 596.8 Bladder Disorder NEC, Chronic Hepatitis NEC, 729.1 Myalgia and Myositis NOS, 728.87 Muscle Weakness - General, 781.0 Abn Involun Movement Nec, 793.0 Abn Finding-Skull & Head, 781.3 Lack of Coordination, 790.1 Elevated Sedimentation Rate, 287.2 Purpura NOS, V80.0 Screen-Neurological Cond, 786.59 Chest Pain NEC, 327.23 Obstructive Sleep Apnea, 536.8 Stomach Function Dis NEC, 564.1 Irritable Bowel Syndrome, 530.81 Esophageal Reflux, 070.54 Chrnc HPT C WO HPAT Coma, 733.00 Osteoporosis NOS, 401.9 Hypertension NOS, 311 Depressive Disorder NEC, V58.65 Long-Term Use Steroids, V15.88 Personal History of Fall, 729.81 Swelling of Limb, 333.1 Tremor NEc, 009.3 Diarrhea of Infect Orig, 780.60 Fever NOS, 298.9 Psychosis NOS, V58.69 Long-Term use Meds NEC, V12.09 Prsnl HST OTH NFECT PARST, 053.9 Herpes Zoster NOS. \ksk