Age: 60.0
Sex: F
Vaccine: VARZOS
Symptoms: Blood glucose increased, Chills, Dyspnoea, Fatigue, Feeling hot
Clinical narrative: left arm is heavy feeling; sweaty feeling; blood sugar yesterday was 230 and today it was 178 /higher than normal blood sugar for her; still feels tired; achy; her body began feeling hot all over; she had chills/ body chills; leg cramps/on her calves, shins and the top of her feet; SOB; have caused a racing heart; This case was reported by a consumer via call center representative and described the occurrence of shortness of breath in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   Co-suspect products included salbutamol sulphate (Albuterol) unknown for shortness of breath.   Concurrent medical conditions included asthma, diabetes and atrial fibrillation.   On 8th June 2021 12:30, the patient received the 1st dose of Shingrix (intramuscular). On 8th June 2021, the patient started Albuterol at an unknown dose and frequency. On 8th June 2021, 5 hrs 30 min after receiving Shingrix and less than an hour after starting Albuterol, the patient experienced heart racing. On 8th June 2021 18:00, the patient experienced shortness of breath. On 8th June 2021 20:00, the patient experienced hot feeling generalized, chills and leg cramps. On 9th June 2021, the patient experienced tiredness, pain and blood sugar increased. On 10th June 2021, the patient experienced heaviness in arm and sweating. The patient was treated with furosemide (Lasix) and cetirizine hydrochloride (Zyrtec). The action taken with Albuterol was unknown. On 8th June 2021, the outcome of the shortness of breath and heart racing were recovered/resolved. On 9th June 2021, the outcome of the hot feeling generalized, chills and leg cramps were recovered/resolved. On an unknown date, the outcome of the tiredness, pain, heaviness in arm, blood sugar increased and sweating were not recovered/not resolved.   It was unknown if the reporter considered the shortness of breath, heart racing, hot feeling generalized, chills, leg cramps, tiredness, pain, heaviness in arm, blood sugar increased and sweating to be related to Shingrix. The reporter considered the heart racing to be possibly related to Albuterol. It was unknown if the reporter considered the hot feeling generalized, chills, leg cramps, tiredness, pain, heaviness in arm, blood sugar increased and sweating to be related to Albuterol.  Additional details were provided as follows: The case was reported by the patient for herself. The patient received 1st dose of Shingrix vaccine and she started experiencing shortness of breath at about 6pm that night.  The patient has asthma and took Albuterol to help the shortness of breath, which she believes may have caused a racing heart.  The shortness of breath resolved 20 minutes after taking the Albuterol (no dose shared). The patient also has Afib and was instructed to take Lasix (no dose shared) for a racing heart.  The racing heart resolved 20 minutes after taking the Lasix.  The patient stated that, at 8pm that night her body began feeling hot all over at the same time she had chills and leg cramps.  The patient experiencing the leg cramps were on her calves, shins and the top of her feet.  The patient stated that, the symptoms from 8pm resolved by the time she arose in the morning.  The health care professional told her to take Benadryl.  The patient only had Zyrtec and took two Zyrtec yesterday and two Zyrtec at the time of reporting (no dose given) The patient was feeling better at the time of reporting, but still feels tired, achy, sweaty feeling and her left arm was heavy feeling. The patient also has diabetes and her blood sugar yesterday was 230 and it was 178 at the time of reporting, which are both higher than normal for her. The reporter did not consent to follow-up. Note- there is discrepancy in the reported time to onset for the events SOB, heart racing, chills, body feeling hot and leg cramps. In the structured field and from narrative, the value seems different however, captured as per narrative information.