Sex: F
Vaccine: MMR, VARZOS
Symptoms: Mumps antibody test negative, Rubella antibody positive
Clinical narrative: Patient received two doses of shingles vaccine; Immune response to Rubella but no immune response to Measles or Mumps; Immune response to Rubella but no immune response to Measles or Mumps; Bell's palsy; This spontaneous report was received from a 63-year-old female patient reporting on herself.  The patient's medical history was not reported. The patient's concurrent conditions included drug reaction or allergy to doxycycline. Concomitant medications included thyroid (WP THYROID) and unspecified hormones.   On an unknown date, when the patient was a child, was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, 1 dose, administered for prophylaxis (strength, lot #, expiry date, and route of administration were not provided).  On an unknown date in August 2020, the patient was vaccinated with a dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II) injection, administered for prophylaxis ( also reported as due to being in her 60s) (strength, lot #, expiry date, and route of administration were not provided).  On an unknown date in December 2022, the patient was vaccinated with a dose of zoster vaccine live (manufacturer unknown, also reported as shingles vaccine) subcutaneous injection, administered for prophylaxis (strength, lot #, expiry date, and route of administration were not provided). It was noted that the patient did not know the name of the shingles vaccine but did recall that she had received two doses of it (Extra dose administered).  On an unknown date in April 2023, the patient experienced Bell's palsy, which was treated with steroids and an antiviral. Subsequently, on an unspecified date, the patient's Bell's palsy resolved. On 25-APR-2024, the patient had titer performed that showed an immune response to Rubella but no immune response to Measles or Mumps, Mumps virus AB (IGG) was 59.70 H AU/mL (minor than 9 AU/mL considered negative) (conflicting information reported), Mumps Virus antibody (IGM) was minor than 1:20 titer (titer minor than 1:20 interpreted as antibody not detected), Measles AB (IGG) immune status was minor than 13.50 L AU/mL (minor than 13.50  interpreted as not consistent with immunity) and Rubella AB (IGG) was 3.42 (index) (minor than 0.90 interpreted as no consistent with immunity). Additionally, on unspecified dates, blood work related to being on hormones and checking sugar to see if she had prediabetes was performed (results not provided). It was noted that the patient had been working with her physician for medical attention to the events. At the time of reporting, the outcome of the event immune response to Rubella but no immune response to Measles or Mumps was unknown.  The causal relationship between Bell's palsy and immune response to Rubella but no immune response to Measles or Mumps and measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live (M-M-R II); and zoster vaccine live (manufacturer unknown) was unknown.   Upon internal review, the event of Bell's palsy was determined to be medically significant.  Lot # is being requested and will be submitted if received.