Sex: U
Vaccine: FLU4, TDAP
Symptoms: Rash macular
Clinical narrative: pain at injection site/tetanus lights me up causing left arm to be tender for shots /  he is tender for shots in that arm; had muscle pain in the left deltoid; shingles had started / shingles outbreak; couple days ago 3 more spots single bumps appeared.; single bumps appeared.; Vaccine administered at inappropriate site; This case was reported by a consumer via call center representative and described the occurrence of injection site tenderness in a adult patient who received DTPa (Reduced antigen) (Tdap Vaccine) for prophylaxis.   Co-suspect products included Flu Seasonal QIV Dresden (Influenza vaccine Quadrivalent unspecified season) for prophylaxis.   The patient's past medical history included shingles, photosensitivity and chickenpox. Previously administered products included Lidocaine with an associated reaction of neuralgia, valacyclovir with an associated reaction of rash (Shingles spots), pneumonia and pneumonia. Concomitant products included Herpes zoster (Shingrix) and valaciclovir hydrochloride (Valacyclovir).   On an unknown date, the patient received Tdap Vaccine. In October 2020, the patient received Influenza vaccine Quadrivalent unspecified season. In October 2020, less than 2 months after receiving Tdap Vaccine and Influenza vaccine Quadrivalent unspecified season and an unknown time after receiving Shingrix and Valacyclovir, the patient experienced injection site tenderness, muscle pain, shingles, red spotty rash, vesicle and vaccine administered at inappropriate site. On an unknown date, the outcome of the injection site tenderness was resolved with sequelae and the outcome of the muscle pain was recovered/resolved and the outcome of the shingles was not recovered/not resolved and the outcome of the red spotty rash, vesicle and vaccine administered at inappropriate site were unknown.   It was unknown if the reporter considered the injection site tenderness, muscle pain, shingles, red spotty rash and vesicle to be related to Tdap Vaccine and Influenza vaccine Quadrivalent unspecified season.  Additional details were provided as follows: The patient reported himself. The patient reported that he has a complicated history with shingles. About 10 years ago he got shingles and he was prescribed either valacyclovir, acyclovir or famciclovir. The patient stated that he received the medication about 6-7 days after the shingles had started and the medication didn't have much effect. He provided his email address but did not want to provide a personal fax number. The patient informed that the shingles was painful and there was trails of pink bumps and he had neuralgia pain and photosensitivity.  The reporter mentioned used lidocaine patches to treat the neuralgia and the shingles caused his pre-existing tinnitus to worsen. The patient informed that he will had chicken pox type vesicles pop up on his body occasionally for about a year after the initial outbreak.  The patient stated that on 2nd june 2020 he had a shingles outbreak (shingles spots) and he took valacyclovir and the spots went away.  The patient had his first Shingrix shot on 8-Sep-2020,the shot was given in the left deltoid and it was given intramuscularly and he said he isn't sure because he didn't look but it felt like it went into the muscle. The patient did not have batch and expiry date details but he provided his pharmacy's name and location.  The reporter stated that muscle pain in the left deltoid which occurred the following day (9-Sep- 2020) and resolved after 3-4 days. The reporter stated that tetanus and other shots have done that to him in the past. He said that tetanus shots light me up. The patient reported that  5 years ago he got 2 pneumonia shots (two months apart) in the left deltoid and it almost blew his arm off therefore he is tender for shots in that arm. The patient stated that  3-4 weeks after receiving the Shingrix shot he could poke the area (of the left deltoid) and feel where the shot was given One month after getting the Shingrix shot the patient received a flu shot (in his right arm) and a Tdap shot in the hip muscle Vaccine Administered at Inappropriate Site. The reporter inquired physician  if he could get the shot into his hip (muscle) rather than his left arm due to his left arm being "tender for shots" and they agreed. Two weeks ago he went to his dermatologist because he thought he might have a shingles outbreak a real one start to come on, on his back  The physician stated that it was "herpetic" and prescribed valacyclovir. A couple days ago 3 more spots single bumps appeared.  They are not spreading and they are not causing any pain. The reporter did not consented to follow up. This case was linked with case US2020220483,US2020AMR222096,US2020220484; Sender's Comments:  US-GLAXOSMITHKLINE-US2020220483:same reporter (reporter´s case) US-GLAXOSMITHKLINE-US2020AMR222096:same patient