Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Metabolic function test, Musculoskeletal pain, Pain, Post herpetic neuralgia, Rash
Clinical narrative: Information has been received from a certified medical assistant concerning a 71 year old female with an allergy to BIAXIN and CIPRO an history of cholesterol high, osteopenia and postmenopausal bleeding who on 13-JUL-2007 was vaccinated with ZOSTAVAX via an unspecified route in the left arm (Oka/Merck) (Lot # 656395/0290U of Lot # "6290U", invalid). Concomitant therapy included NEXIUM, PROTONIX, calcium (unspecified), PRAVACHOL, AMBIEN, PREVACID, hydrochlorothiazide, ZOLOFT, TENORMIN and PRINIVIL. The certified medical assistant called to report that the patient developed "shingles and related symptoms". The patient complained on 20-JUL-2007 of right shoulder and rash on the right arm. She came to the office on 25-JUL-2007 due to pain on the right shoulder and rash on the upper right arm. On 17-AUG-2007, the office noted that the patient had shingles for 5 weeks now and that it was very painful. She had constipation, painful rash on unspecified leg and shingles on the right arm. On 06-SEP-2007, the patient was still having pain on the right shoulder. On 23-JAN-2008, the patient called and noted she was having "unspecified issues". The patient was prescribed acyclovir cream, FAMVIR, and ULTRAM for the shingles and related symptoms. Diagnostic tests included SGOT, basic metabolic panel, thyroid test, hemoglobin, WBC differential, and lipid panel (results not provided). The medical assistant also reported that the patient had a "drug reaction/allergy: zostavax because of shingles." Additional information has been requested. Follow-up information has been received concerning a white, retired female with hypertension and arthritis and an history of menopause, heel spurs, stomach problems and cholecystectomy who on 13-Jul-2007 was vaccinated with a first 0.65 ml dose of zoster vaccine live via an unspecified route in the left arm (Oka/Merck) (Lot # 656395/02900).  Additional concomitant therapy included temazepam (RESTORIL).  The patient was seen in the office on 13-July-2007 fore recheck of her blood pressure when she was vaccinated.  Vital signs included weight 167.4 BP 150/80. pilse 64, repirations 16 and temperature 98.0. On 20-Jul-2007 the patient was seen at the office for a venicular red painful rash in the right axillary. Vital signs included weight 157, BP 182/90, pulse 72, respirations 18 and temperature 98.7.  Treatment included acyclovir cream, famciclovire (FAMVIR), and tramadol hydrochloride (ULTRAM).  The patient was seen in the office on 25-Jul-2007 for shingles for 2 weeks with pain.  It was reported that she had gone to the urgent care twice.  She was taking acetaminophen codeine phosphate (TYLENOL #3) and Ibuprofen.  Vital signs included weight 165, BP 162/96, respirations 18, pulse 78.  On 17-Aug-2007 the patient was seen at the physicians again.  She had shingles for 5 weeks this was very painful.  However, it was reported that it was improving with ice, creamand tramado hydrochloride (ULTRAM).  There was a rash with small dots that was not itchy on her legs (the left leg rash was greater than the right).  The patient was also constipated fromthe tramadol hydrochloride (ULTRAM). Peri-colace was prescribed. Vital signs included weight 161, BP 148/88, pulse 78 respirations 14 and temperature 98.1.  On 06-Sep-2007 the patient was seen in the office again with pain in the right shoulder into the axilla that was somewhat improved and a right anterior/posterior shoulder rash that was still present with no papules.  She was diagnosed with post-herpetic neuralgia and prescribed gabapentin (NEURONTIN) and cyclobenzaprine hydrochloride (MSD) for "job" Vital sighns included weight 163. BP 150/80. respirations 12 and pulse 88.  Additional information has been requested.