Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Sinus disorder, Upper-airway cough syndrome
Clinical narrative: This case was reported by a consumer via call center representative and described the occurrence of fever in a 72-year-old female patient who received SHINGRIX for prophylaxis. The patient's past medical history included sinus disorder (headache and post nasal drip could be attributed this), allergy (headache and post nasal drip could be attributed this), headache and postnasal drip. On 4th September 2018, the patient received the 1st dose of SHINGRIX (intramuscular). On 8th September 2018, 4 days after receiving SHINGRIX, the patient experienced injection site swelling. In September 2018, the patient experienced fever, chills, fatigue, headache, swollen glands, postnasal drip, soft stools, dizziness, injection site erythema, sinus disorder, muscle pain, upset stomach, general body pain, allergy, feeling hungry and feeling queasy. On an unknown date, the outcome of the fever, chills, fatigue, headache, swollen glands, postnasal drip, soft stools, injection site erythema, sinus disorder, muscle pain and injection site swelling were recovering/resolving and the outcome of the dizziness was recovered/resolved and the outcome of the upset stomach was resolved with sequelae and the outcome of the general body pain, allergy, feeling hungry and feeling queasy were not recovered/not resolved. It was unknown if the reporter considered the fever, chills, fatigue, headache, swollen glands, postnasal drip, soft stools, dizziness, injection site erythema, sinus disorder, muscle pain, upset stomach, general body pain, allergy, feeling hungry, feeling queasy and injection site swelling to be related to SHINGRIX. Additional information was received as follows: The patient received SHINGRIX on the left deltoid. The patient said that her healthcare professional did not acknowledge the problems she was having. Till the time of reporting, the patient had side effects from the vaccine, the more common side effects would only last about 3 days. The patient stated that some symptoms included the above listed, got worsen on the 4th day after the vaccine. The patient stated that she continued to have a low fever (99 degrees Fahrenheit) on the daily basis that started at mid-day and went down during the night. The patient also had general body aches and a lot of fatigue. The patient stated that she usually had allergy and sinus issues around this time of the year (2018), and had the headache and post nasal drip which was occurring more than usual. The patient stated that the headache and post nasal drip could be attributed to her allergy or sinus problems but she was not certain. The patient had an upset stomach and was stating that she would feel hungry and ate, and then felt queasy after she eat, and then she would have loose stools, but stated that it was not the diarrhea. Her stomach would be fine for a day and then got upset again. Initially, there was a small mark at the injection site, but by the 4th day after receiving SHINGRIX, it was bright red and swollen, about 2 inches in diameter. It was barely visible at the time of reporting. The patient's physician was aware of her symptoms, which she stated were tapering at the time of reporting but she stated that she did not have a good relationship with her physician so did not have many recommendations. The patient was referred back to her physician. The patient provided contact details of physician.