Sex: F
Vaccine: VARZOS
Symptoms: Nightmare, Pain, Pain in extremity, Peripheral swelling, Product supply issue
Clinical narrative: This case was reported by a consumer and described the occurrence of bad dreams in a female patient who received SHINGRIX for prophylaxis. Co-suspect products included SHINGRIX for prophylaxis. On 1st March 2018, the patient received the 1st dose of SHINGRIX. On an unknown date, the patient received the 2nd dose of SHINGRIX. On 1st March 2018, less than a day after receiving SHINGRIX and not applicable after receiving SHINGRIX, the patient experienced bad dreams. On 2nd March 2018, the patient experienced feeling abnormal, tiredness, irritability and feelings of worthlessness. In March 2019, the patient experienced pain in arm, swelling arm, generalized aching and influenza-like symptoms. On an unknown date, the patient experienced product supply issue. The patient was treated with TYLENOL. On 5th March 2018, the outcome of the feeling abnormal, tiredness and irritability were recovered/resolved. On an unknown date, the outcome of the bad dreams, swelling arm, generalized aching, influenza-like symptoms and feelings of worthlessness were recovering/resolving and the outcome of the pain in arm was not recovered/not resolved and the outcome of the product supply issue was unknown. It was unknown if the reporter considered the bad dreams, pain in arm, swelling arm, generalized aching, influenza-like symptoms, feeling abnormal, tiredness, irritability and feelings of worthlessness to be related to SHINGRIX. Additional details were provided as follows: The age at vaccination was not reported for the 1st dose and it was not applicable for the 2nd dose of SHINGRIX. The case was reported by the patient for herself. The patient received the SHINGRIX vaccine into the left upper arm. The patient's upper left arm was sore and swollen, and she ached all over. She did not have the flu, though the symptoms were similar. The patient had heard stories about people who got shingles and she remembered her father had shingles years ago and it was not fun. The vaccine was administered by the pharmacist. The patient was fine for the rest of that day. But that night, she had bad dreams. She woke up on 2nd March feeling crappy but went to work, took TYLENOL every four hours and managed to fumble her way through the day. In the evening, the patient drove home, had some hot chowder, took some more TYLENOL, lay on the couch with a heating pad and then clambered into bed. The next day after vaccination, the patient woke up feeling awful; not quite bad enough to stay home from work but miserable, nonetheless, her body ached. She was tired and irritable and felt as if someone had clubbed her in the upper arm with a baseball bat and then emptied a bee hive on her arm and encouraged the bees to had at it. This went on for about three days and petered out. The weeks and the months went by and in late July, the patient headed over to the pharmacy to get her second shot, all the while patting herself on the back because the deadline for getting it was still about a month away. The pharmacy did not have any of the vaccine left. The patient went home and waited for days with no call, checked again, and was told there was no vaccine. The pharmacy never called her. The patient went for her annual physical late last month, a year after her first shingles shot. She told her doctor about what had happened. The doctor prescribed the vaccine again, sent it to a different pharmacy this time and told the patient to stay in touch. The patient stated she felt better but three days post vaccine, her arm was still sore.