Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Loss of personal independence in daily activities, Neuralgia, Pain, Pruritus
Clinical narrative: her arm was very sore at the injection site; felt achy/very painful; felt like flu; severe itching; nerve pain on the inside of her arm her lower back and the top of her left thigh / the nerves were painful; nerve pain in her tongue; she had a hard time getting dressed; was a little past the 6 months when she got the 2nd dose; felt like a mild case of Shingles; got bruises from all the scratching; from all the scratching; This case was reported by a consumer via call center representative and described the occurrence of shingles in a 62-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Previously administered products included Shingrix (received 1st dose little past the 6 months).   In January 2020, the patient received the 2nd dose of Shingrix. In January 2020, 3 days after receiving Shingrix, the patient experienced shingles, contusion and scratch. On an unknown date, the patient experienced injection site pain, general body pain, influenza like illness, pruritus, nerve pain, tongue pain, activities of daily living impaired and drug dose administration interval too long. The patient was treated with steroids nos (Steroids). On an unknown date, the outcome of the shingles, pruritus, nerve pain, contusion, scratch, tongue pain, activities of daily living impaired and drug dose administration interval too long were unknown and the outcome of the injection site pain, general body pain and influenza like illness were recovered/resolved.   It was unknown if the reporter considered the shingles, injection site pain, general body pain, influenza like illness, pruritus, nerve pain, contusion, scratch, tongue pain and activities of daily living impaired to be related to Shingrix.  Additional details were provided as follows: The patient received Shingrix in early January 2020 and her arm was very sore at the injection site, such that she had a hard time getting dressed. She also felt achy like she had the flu for a day afterwards. About 3 days after getting the vaccine she developed severe itching and nerve pain on the inside of her arm above the elbow, her lower back and the top of her left thigh. The nerve pain in her arm was the same arm where she received the injection.  The itching on her arm was so bad she got bruises from all the scratching.  The patient went to a minute clinic and was given steroid, which relieved some of the itching for about 1 week. It was very itchy and very painful and the symptoms lasted about 2 months. She thinks it felt like a mild case of Shingles. There was never any breakout on her skin, but the nerves were painful. Separate from the nerve pain, she also had pain at the injection site that also took a long time to resolve. In the past week to 10 days she has started having the same nerve pain in her tongue. It was not in the same part of her tongue all the time, it moves around.  The patient went to her dentist, and her dentist did not see any signs of infection on her tongue.  The reporter consented to follow up. Emergency room visit required.