Age: 55.0
Sex: F
Vaccine: VARZOS, VARZOS, VARZOS
Symptoms: Feeling abnormal, Frustration tolerance decreased, Herpes zoster, Injection site pain, Injection site swelling
Clinical narrative: Frustration; Shingles/ shingles leg and is spreading; rash on legs / spread to my arms, breasts, abdomen and hip/ Bumps all around/ areas became painful/ hurting; I am miserable; Site is very swollen and extremely painful; Injection site pain / site is very swollen and extremely painful; Could not sleep; This case was reported by a consumer via call center representative and described the occurrence of shingles in a 55-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included triamcinolone cream for swelling.   On 1st July 2020, the patient received the 1st dose of Shingrix. On an unknown date, the patient started triamcinolone at an unknown dose and frequency. On 2nd July 2020, 1 days after receiving Shingrix and unknown after starting triamcinolone, the patient experienced shingles, painful rash and feeling abnormal. In July 2020, the patient experienced injection site swelling, injection site pain and insomnia. On an unknown date, the patient experienced frustration. The patient was treated with valaciclovir hydrochloride (Valtrex), hydroxyzine hydrochloride (Hydroxyzine) and calamine. The action taken with triamcinolone was unknown. In July 2020, the outcome of the insomnia was recovered/resolved. On an unknown date, the outcome of the shingles, injection site swelling, injection site pain, painful rash and feeling abnormal were not recovered/not resolved and the outcome of the frustration was unknown.   It was unknown if the reporter considered the shingles, injection site swelling, injection site pain, painful rash, feeling abnormal, insomnia and frustration to be related to Shingrix. It was unknown if the reporter considered the shingles, painful rash, feeling abnormal, insomnia and frustration to be related to triamcinolone.  Additional details were provided as follows: The patient received vaccine in her left arm. On 2nd July 2020, the patient began to develop a rash on her left leg. She thought the rash was bug bites. Several more days passed, and the rash spread to her left hip and under her left breast and the areas became painful. The patient went to see her health care professional (HCP) and was diagnosed with shingles on 6th July 2020 and put on hydroxyzine and valtrex.  The patient said the symptoms had not yet improved and she still had new rashes till the time of reporting. The patient was miserable and did not want this to happen to anyone else. The patient was healthy, woman who got the shot on the advice of her doctor during a routine check-up. The patient received the vaccine last Wednesday July 1, 2020 and by July 2, 2020 bumps were already started to form on her legs.  The patient went to the doctor on July 6, 2020 the earliest she could get in due to the holiday weekend. By then the rash had spread to her arms, breasts, abdomen and hip. The patient must take time off work, had the expense of medications and the frustration of dealing with shingles.  The patient had a bad reaction to triamcinolone cream in the form of bumps all around. She immediately took a shower to get the triamcinolone cream off and has coated her legs in calamine. The patient could not sleep for 3 days. She was having shingles outbreaks happening till the time of reporting. The bulk of the rash was on her left side but she had right abdomen involvement. She mentioned although she was warned of injection site pain, her pain was intense, the site was very swollen and extremely painful. She could see the swelling through her tshirt. The patient was super frustrated, because the shingles shot vaccine, gave her shingles, and she did not know what resolution she was looking for, she definitely want learning, but she was going to be hurting for a long time. She mentioned she was going to lose the month of July in the summer to enjoy summer with her grandkids. She was just super sad. The patient called back again, asking for a treatment regimen. The patient reported that her shingles was now on her right leg and was spreading. The reporter consented to follow up.