Age: 57.0
Sex: M
Vaccine: UNK, TTOX, VARZOS
Symptoms: Pain, Pyrexia
Clinical narrative: This thing "walloped  me / "I have never felt this bad."; Left arm pain (at site of shingles injection); Left lymph node under arm (armpit) is slightly bulged / like a bee sting; Nausea- still feel nauseous; Diarrhea; Slight abdominal pain / (not severe); Slight abdominal / discomfort (not severe); Whole body pain / achiness / mostly in / lower back and his buttocks; Headache; Congestion / includes the nose and eye; Causing nasal drip; Sore throat; Dry mouth; Dizzy/dizziness- "little wobbly" when he gets up; Bone aches; Muscle pain/aches; Feverish feeling; Fatigue / I guess; It was hard to sleep last night due to the aching being so bad; This case was reported by a consumer via call center representative and described the occurrence of feeling bad in a 57-year-old male patient who received Herpes zoster (Shingles vaccine) for prophylaxis.   Co-suspect products included TETANUS TOXOID (TETANUS VACCINE) for prophylaxis.   Previously administered products included Moderna with an associated reaction of peripheral swelling (2nd dose received on an unknown date and also experienced lymph node, pain in the buttocks area) and Moderna (1st dose received on an unknown date.). Concurrent medical conditions included lactose intolerance, irritable bowel syndrome and gout attack. Concomitant products included colchicine and atorvastatin calcium (Lipitor).   On 30th June 2021, the patient received the 1st dose of Shingles vaccine and TETANUS VACCINE. On 30th June 2021, less than a day after receiving Shingles vaccine, the patient experienced feeling bad, injection site pain, axillary lymph nodes enlarged, nausea, diarrhea, abdominal pain, abdominal discomfort, general body pain, headache, nasal congestion, runny nose, sore throat, dry mouth, dizziness, bone pain, muscle pain, feeling hot, fatigue and sleeplessness. The patient was treated with paracetamol (Tylenol). On an unknown date, the outcome of the feeling bad, injection site pain, diarrhea, abdominal pain, abdominal discomfort, general body pain, sore throat, dry mouth, dizziness, muscle pain, feeling hot, fatigue and sleeplessness were unknown and the outcome of the axillary lymph nodes enlarged, nausea, headache, nasal congestion, runny nose and bone pain were not recovered/not resolved.   The reporter considered the feeling bad, injection site pain, axillary lymph nodes enlarged, nausea, diarrhea, abdominal pain, abdominal discomfort, general body pain, headache, nasal congestion, runny nose, sore throat, dry mouth, dizziness, bone pain, muscle pain, feeling hot, fatigue and sleeplessness to be related to Shingles vaccine.  Additional details were provided as follows: The patient received the shingles shot in left arm and unspecified tetanus shot was given at the same time in the right arm and  experienced left arm pain (at site of shingles injection), left lymph node under arm (armpit) is slightly bulged about 20% like a bee sting, nausea, diarrhea, slight abdominal pain discomfort (not severe), whole body pain (Pain scale of 1 to 10), achiness is mostly in his lower back and his buttocks, headache, nasal congestion, runny nose, dry mouth, dizziness and bone pain , muscle pain/aches, feverish feeling, patient was not to the point of shivering and he did not have a fever when he took his temperature (98 degrees and 98.4 degrees) twice. The patient did not have a fever at the time of the report, fatigue. The patient was hard to sleep last night due to the aching being so bad. The patient took the Tylenol as treatment drug. The patient also normally takes Lipitor but had not taken it for 2 days prior and colchicine for acute gout attack, had taken it for 2 days prior. The reporter considered the enlargement of lymph nodes, nausea, diarrhea, abdominal discomfort, general body pain, headache, nasal congestion, runny nose, dry mouth, dizziness and bone pain to be related to tetanus shot. The reporter consent to follow up.