Age: 76.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Back pain, Blood test normal, Breast pain, Injection site erythema, Myalgia
Clinical narrative: Mild pain on my back; 2 bright red rashes on left arm/Pink rash on left side of my back; Sharp pain under left breast; Red area at vaccination site; Swollen area at vaccination site; Hot area at vaccination site; This case was reported by a consumer and described the occurrence of injection site erythema in a 76-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included chickenpox. Previously administered products included Lipitor, Synthroid, Singulair, Fosamax, Calcium, Vitamin b12, Biotin, Vitamin D, Moderna vaccine (first dose received on 1st January 2021), Moderna vaccine with an associated reaction of myalgia (Mild reaction to second shot with muscle aches and chills but gone by afternoon of 3rd February 2021) and Zostavax (received a dose in 2010).   On 23rd June 2021, the patient received Shingrix. On 5th July 2021, 12 days after receiving Shingrix, the patient experienced red rash and breast pain. On an unknown date, the patient experienced injection site erythema, injection site swelling, injection site warmth and back pain. The patient was treated with ceftriaxone sodium (Rocephin), methylprednisolone (Depo-Medrol), methylprednisolone (Medrol) and ibuprofen (Advil). On an unknown date, the outcome of the injection site erythema, injection site swelling and injection site warmth were recovered/resolved and the outcome of the back pain and breast pain were not recovered/not resolved and the outcome of the red rash was unknown.   It was unknown if the reporter considered the injection site erythema, injection site swelling, injection site warmth, back pain, red rash and breast pain to be related to Shingrix.  Additional details were reported as follows: This case was reported by the patient for herself. The patient had excellent health and last wellness bloodwork showed all within normal ranges. The patient received shingrix vaccine and experienced approximately 2 by 3 inch red, swollen and hot area at vaccination site for about 10 days. The patient also stated that a few days after the shot she started having mild pain in her left back which she first thought was muscular but she began to realize it was concentrated in a very small area. It had now persisted for over six weeks. On 5th July 2021, the patient also developed 2 bright red rashes about the size of a nickel under her left arm on the anterior breast tissue. This was followed by sharp pains in the area under her left breast where bra band would ride.  There was also a pink rash that extended around on the left side of back.. On 6th July, the patient  was able to see her doctor who was not sure what it might be.  He treated her with shots of Rocephin and Depo-Medrol.,advil,Medrol. The next day she was in excruciating pain involving the side of her left breast and around to back. The patient called her doctor's office on 9th July for something for pain and his NP (nurse practitioner) ordered a Medrol 4mg pack. Advil did also provide some relief from the pain.  The pain in her side and back eventually lessened but continued for about 10 days.  The patient still had the mild localized pain in her back..