Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Anion gap decreased, Arthropod bite, Autoimmune disorder, Blister, Blood immunoglobulin G increased
Clinical narrative: This spontaneous report as received from a nurse refers to a 58 year old female patient. The patient's medical history included a rash from SILVADENE cream. On 05-JUN-2013 the patient was vaccinated with ZOSTAVAX lot # J000783, .65 ml, subcutaneous. The nurse reported that the patient was diagnosed by a physician with a left "external" ear infection as well as Athlete's foot of an unspecified foot in "October 2014". On 03/04/2015, the patient experienced unspecified symptoms of her left eye and was diagnosed with bacterial conjunctivitis. The nurse stated that the patient was administered a shot of DECADRON and a shot of KENALOG. The nurse reported that the patient was given a prescriptions for KEFLEX and TOBRADEX eye drops. On 03/06/2015, the patient presented to the emergency room due to developing a rash (unspecified location) "four days prior to 03/06/2015" and left eye swelling (unspecified date). The nurse reported that the patient was diagnosed with chickenpox, was not admitted to the hospital and that the patient was referred to an ophthalmologist who confirmed that the patient had chickenpox. The nurse also reported that unspecified labs were drawn (unspecified date) that confirmed that the patient had chickenpox. The nurse stated that the ophthalmologist prescribed the patient VALTREX on 03/06/2015. The outcome of varicella was reported as recovered/resolved. Follow up information was received 23-JUN-2015 from medical records regarding a 58 year old female (184 pounds, 66 inches) allergy to sulfonamides, non smoker with elevated cholesterol and history of episcleritis (2000), hysterectomy, foot surgery and tonsillectomy. Family history of cardiovascular disease, diabetes, and cancer. On 05-JUN-2013 the patient was vaccinated with ZOSTAVAX lot # J000783, .65 ml, via subcutaneous left arm at 0925. On 04-MAR-2015, the patient presented to urgent care center with left eye edema and it was noted the patient was administered injection of DECADRON 4 mg and KENALOG 40 mg. Diagnosis of insect bites and bacterial conjunctivitis and the patient was given prescriptions for KEFLEX 500 mg tid and TOBRADEX eye drops 0.3% qid left eye. On 06-MAR-2015, the patient presented to the emergency room with complaints of a body rash for the last four days. On examination the physician noted diffuse macular papular discrete lesions 3 mm or so over body, back and trunk. The patient complained of left eyelid pain and swelling. The physician noted based on exam, the patient needs to see ophthalmologist and case discussed with same. The physician noted basic metabolic panel and complete blood count were negative. The patient was discharged to home in stable condition probable autoimmune. On 06-MAR-2015, eye exam left eye: erythema noted on eyelid, mild to moderate swelling of the eyelid, excess tearing, diffuse hyperemia of the conjunctiva. Pustule like vesicles noted on the face. Physician diagnosis herpes zoster and patient given VALTREX 1 tablet bid x 10 days. On 09-MAR-2015, patient with follow up eye exam. It was reported patient eye very sore, red and swollen and also upper and lower lids very sore. On examination notable pox on upper lid, nose and forehead. Physician impression herpes zoster left eye. The patient to continue VALTREX and return to office in one week. On 10-MAR-2015 varicella zoster virus antibody, IgM result 1.11 and varicella zoster antibody, IgG result 6.2. The physician is aware of positive varicella titers. All available medical records will be provided upon request. Additional information has been requested.