Age: 51.0
Sex: F
Vaccine: FLUX, VARZOS
Symptoms: Musculoskeletal pain, Neuralgia, Nuclear magnetic resonance imaging, Pain, Pain in extremity
Clinical narrative: This spontaneous report as received from a physician refers to a 51 year old female patient. The patient's medical history included neck problems from a past motor vehicle accident and no history of hypersensitivity, who did not have the pneumococcal injection, and got the flu shot every year. In middle December 2012 the patient was vaccinated with ZOSTAVAX of an unknown dose in the right posterior aspect part of the arm "subq" (subcutaneously) and at the same time, received an influenza virus vaccine (manufacturer unknown) of an unknown dose in the deltoid of the left arm in middle December 2012. No history of "hypersensitivity" further explained as two years ago, approximately in May 2011 she had a TD, absorbed (manufacturer unknown) shot and did not have a response. In 1990, she had Hep B vaccine (manufacturer unknown) injections. The physician's relevant concomitant medications were unknown. In middle December 2012, this physician received ZOSTAVAX and stated that within a few days from getting the injection, she had a "pretty big response" further described as "got redness", a large, huge egg-sized bump that was red, swelling and itching" and did get a headache. Three weeks later in January 2013, she had "scapular" pain, numbness of the right hand then excruciating pain explained as numbness in the thumb, index finger and middle finger of the right hand. On unknown date, she initially saw an orthopedic doctor who ordered an MRI (magnetic resonance imaging), results were not reported and also saw a neurosurgeon. She reported that she did tell her neurosurgeon that she had received the ZOSTAVAX and where it was injected and the neurosurgeon said that it could have irritated. Since 23-JAN-2013, she reported that she has been "miserable" and stated that this was when she lost her reflexes in the right arm further described as a "flaccid arm". On 16-MAY-2013, the physician stated that it was a "odd" spot to put the injection, reporting that it was close to the "brachial plexus" under the arm or the "bat wing" area, not far from the armpit. On 16-MAY-2013, she stated that her symptoms had gotten better, that she has had two steroid "MEDROL" dose packs and has avoided had any neurosurgical intervention and has also had physical therapy. She explained that she has a "bad neck" but was had scapular pain in the location of the C-5, C-6 and C-7 (cervical vertebra) the posterior arm has some pain and numbness, the index finger was described as "neuropathic" pain, but the middle finger and grasp strength was better and her reflexes have come back. As of 16-MAY-2013, it was unknown if the physician had any relevant laboratory data. As of 16-MAY-2013, it was unknown if she would continue to receive the ZOSTAVAX or the flu vaccination and it was unknown if she continues to have a headache, a large, huge egg-sized bump that was red, swelling and itching. As of 16-MAY-2013, she continued to be miserable since 23-JAN-2013, her symptoms have gotten better but she continued to have scapular pain in the location of the "C-5, C-6, C-7," (cervical vertebra), the posterior arm pain and numbness, the index finger is described as "neuropathic" pain, but the middle finger and grasp strength was better and her reflexes have come back. The outcome was unknown. Additional information has been requested.