Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Mammogram abnormal, Rotator cuff syndrome, Skin discolouration, Urinary tract infection
Clinical narrative: New white spot and under the arm in the lymph node area; headache; vertigo; UTI; I did not feel like myself, I was not as upbeat. I was rundown; Rotator cuff syndrome; chills; Sore arm at injection site; Tired / Fatigue/more tired; Malaise/didn't feel good; This case was reported by a consumer via call center representative and described the occurrence of injection site pain in a 72-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included rotator cuff syndrome. Concurrent medical conditions included autoimmune disorder (which attacks the mucus in her mouth). Concomitant products included dapsone.   On 4th November 2019, the patient received the 1st dose of Shingrix. In November 2019, less than a month after receiving Shingrix, the patient experienced injection site pain, fatigue, malaise, chills, feeling abnormal and rotator cuff syndrome. In December 2019, the patient experienced urinary tract infection. On an unknown date, the patient experienced skin discoloration, headache and vertigo. On an unknown date, the outcome of the injection site pain, skin discoloration and vertigo were not recovered/not resolved and the outcome of the fatigue, urinary tract infection, chills and headache were recovered/resolved and the outcome of the malaise, feeling abnormal and rotator cuff syndrome were unknown.   It was unknown if the reporter considered the injection site pain, fatigue, malaise, urinary tract infection, chills, headache, vertigo, feeling abnormal and rotator cuff syndrome to be related to Shingrix. The reporter considered the skin discoloration to be possibly related to Shingrix.  Additional details were provided as follows: The patient received Shingrix in the left arm deltoid. She did not recall if it was intramuscular or not and had sore arm at injection site arm got progressively worse first couple of weeks and at the time of reporting it was starting to get better.  The injection site arm and felt that it was possibly a rotator cuff issue like what she had with her other arm.  The patient had Tired, Malaise, Fatigue and did not feel good and was more tired. The patient did not feel like myself and was not as upbeat. I was rundown on and off. The patient had Urinary tract infection she had never had one before. The patient finding on mammogram and she had a yearly physical and mammogram and was called back because of a new white spot and under the arm in the lymph node area. She spoke to the nurse about how she thinks it could be related to the Shingrix shot.  The reporter told her that the shingles shot can cause pain problems, chills, headache, Vertigo. The caller was joking about how she could not find the paperwork which she had which had the information about the injection. She jokingly said it's not fun getting old and losing things. The reporter consented to follow up.      Lab Comments: she had a yearly physical and mammogram  and was back because of a new white spot and under the arm in the lymph node area.