Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Muscle tightness, SARS-CoV-2 test
Clinical narrative: muscles tight; shingles; This is a spontaneous report from a contactable consumer (patient). A 52-year-old male patient received bnt162b2 (BNT162B2), via an unspecified route of administration (at the age of 52-years-old), administered in Arm Right on 12Apr2021 13:45 (Lot Number: ER8731; Expiration Date: 31Jul2021) as 1st dose, single for COVID-19 immunization. Medical history included psoriatic arthritis (diagnosed with this for a few years, like maybe 6 or 7 years), cholesterol. Concomitant medications included pravastatin and ezetimibe, both taken for cholesterol and from unspecified start dates and ongoing. The patient experienced shingles on 17Apr2021, muscles tight on an unspecified date. He received the 1st dose of the Pfizer-BioNTech Covid-19 Vaccine on 12Apr2021. Then on 17Apr2021, he developed a red spot on his shoulder (on left shoulder, It was a red spot with bubbles filled with fluid), cold chills, and a "funny feeling" or pain on his left hand or arm ("Then, he went and got worse. Then, he had chills and no fever but he had cold chills"). He added that Saturday morning, he was not feeling right. Then added that it was like Friday he had a cold or something. He adds that he does not get high fevers so he thought he had like allergies but it was not so, and he had cold spells. He did not have a fever. The skin on his left hand felt funny when he was touching it, it was almost painful. Like, when someone touches their hand it feels okay but this almost felt painful to touch. It was his left hand. It was his left shoulder almost close to his neck where the red spot was. Saturday, he saw the spot and felt symptoms. He thought maybe he touched something, or something bit him. Sunday, the symptoms did not go away. He started feeling worse, feeling sick but not a fever. He said it persisted until Sunday. By Monday morning, because his wife is a daycare director, he told her he got sicker and not to go because he felt sick and he did not know if he had COVID or he did not know what he had. They went to the clinic to make sure it was not COVID. He got tested for COVID, but also told them he discovered the red spot and he had symptoms. They tested him for COVID and it was negative. The doctor looked at the red spot and saw his symptoms and said that patient has shingles. He then was diagnosed with shingles and was given medication for it. The doctor told him all the signs were matching with shingles. Patient asked the doctor if this is related to the vaccine and the doctor said honestly she does not know if it is related. He was given a drug for 7 days, Valacyclovir. Treatment: Valacyclovir 1000 MG 3 times a day for 7 days. He started this medication on Monday. He has also taken Advil. The doctor told him to take Advil. He usually takes it in the morning, and then if he starts to need it because shingles can make people feel cold and flulike symptoms from the shingles. It goes away but it is not consistent. He takes it whenever he does not feel well. The headache is because of the spot the infection is, close to his neck. It gets muscles tight and that creates pressure. It is hard for him to lay down and sleep because of the shingles. He wanted to know if this is a normal reaction with the vaccine and if he should still receive the 2nd dose, and what he should do next. Currently, symptoms "Skin on left hand felt funny" comes and goes, "cold chills" got better but did not go away completely. All the symptoms, like usually he will take Advil, and they will go away. He adds that the chills will go away and get better as the days progress with medications. He did not have a cough. The headaches were intense. The red spot on shoulder, the dot is on his left side of his chest and it moves around, now it is bigger on his chest. The shingles expanded and went to his chest, too. Shingles are painful and no fun. The patient underwent lab tests and procedures which included SARS-CoV-2 test: negative on 19Apr2021. Therapeutic measures were taken as a result. The outcome of the events was unknown.  No follow-up attempts are needed. No further information is expected.