Age: 78.0
Sex: M
Vaccine: VARZOS
Symptoms: Gait disturbance, Impaired work ability, Injection site pain, Musculoskeletal pain, Pain
Clinical narrative: soreness at the injection site; PAIN in right buttock causing inability to work\ he is in horrible pain and cannot function, he can't work.; excruciating pain right buttock cheek; excruciating pain; can't walk without holding onto something\ It is hard for him to walk; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 78-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles (had mild case of shingles on his jaw when he was age 42 years old).   On 2nd March 2022, the patient received the 1st dose of Shingrix (intramuscular). On 2nd March 2022, several hours after receiving Shingrix, the patient experienced pain and walking difficulty. On 2nd March 2022 15:30, the patient experienced buttock pain. On 4th March 2022, the patient experienced inability to work. On an unknown date, the patient experienced injection site pain. The patient was treated with lidocaine (Lidocaine Patch). On an unknown date, the outcome of the injection site pain, buttock pain, pain, walking difficulty and inability to work were not recovered/not resolved.   It was unknown if the reporter considered the injection site pain, buttock pain, pain, walking difficulty and inability to work to be related to Shingrix.  Additional details were provided as follows: This case was reported by the patient's wife. On 2nd march 2022 around 10 or 11 am the patient received dose of Shingrix vaccine into intramuscularly in the left deltoid and experienced little soreness at the injection site which was still be sore today(day of reporting) if he touched the area (where the injection was given. A few hours after the shot around 3:30 pm when he got up from sitting he was in excruciating pain though he had not done anything out of the ordinary. The pain was in his right buttock cheek.  On 3rd march 2022 his buttock pain was getting worse so his wife drove him to work (instead of him driving himself like normal).  On 4th march 2022 he did not even go to work because he was in horrible pain and could not function, he could't work.  The patient couldn't walk without holding onto something such to keep the weight off of the buttocks. The patient was using a cane. It was hard for him to walk. The pain is extremely localized to one spot of the buttocks that he could point to (touch) and it was extremely sore.  The pain hurted more (was more sore) when he was walking. It will also will throb while he was sitting.  The patient was currently using over the counter stuff including lidocaine patches to got comfortable. The patient's wife stated that her husband was never in pain and did not even took Tylenol. She had never seen him this uncomfortable before.  She also said his pain was worse today(day of reporting) and it was not getting better. She states that he tried to get into see the doctor today(day of reporting) but could not get in.  The patient had an appointment to saw the doctor on Monday but he may have to go to the emergency room if it gets worse because the pain was crippling. The patient's wife stated that he did communicate with the doctor regarding his pain and his doctor suggested the lidocaine patches but the doctor did not think the pain was related to Shingrix. This pain had not resolved he was worse today(day of reporting) than yesterday(day before reporting) and was not getting better. The patient had a history of never had a reaction to any past vaccinations.