This case was reported by a consumer via call center representative and described the occurrence of stiff neck in a 83-year-old female patient who received SHINGRIX. The patient's past medical history included shingles (experienced twice before the reporting date) and migraine. Concomitant products included Diltiazem, Rosuvastatin, Aspirin (Baby) and ATANOL. On 11th April 2018, the patient received the 1st dose of SHINGRIX. On 11th April 2018, less than a day after receiving SHINGRIX, the patient experienced stiff neck, pain in arm, shoulder pain and neck pain. On 12th April 2018, the patient experienced visual disturbance, migraine aura and fatigue. On 13th April 2018, the patient experienced diarrhea and gastrointestinal symptom. On 14th April 2018, the patient experienced headache. In April 2018, the patient experienced stress and feeling unwell. On 16th April 2018, the patient experienced blood pressure high. On 17th April 2018, the patient experienced poor sleep. The patient was treated with RITALIN SR, BENADRYL, DECADRON and Hydration. In April 2018, the outcome of the shoulder pain and gastrointestinal symptom were recovered/resolved. On an unknown date, the outcome of the stiff neck, pain in arm, blood pressure high, neck pain and feeling unwell were recovering/resolving and the outcome of the visual disturbance, stress, migraine aura and poor sleep were not recovered/not resolved and the outcome of the diarrhea was recovered/resolved and the outcome of the fatigue and headache were unknown. The reporter considered the stiff neck, pain in arm, shoulder pain, visual disturbance, migraine aura, diarrhea, fatigue, blood pressure high, poor sleep, gastrointestinal symptom, neck pain and feeling unwell to be related to SHINGRIX. It was unknown if the reporter considered the stress and headache to be related to SHINGRIX. Additional details were provided as follows: The patient received SHINGRIX vaccine on unknown arm. The patient received CENTRUM VITAMINS as concomitant medication. The patient daughter calling on behalf of her mother. The patient received the SHINGRIX in her physician's office last Wednesday around noon. Within hours, her neck was stiff and sore and her arm was sore with her shoulders hurting. She had a migraine the following day with visual disturbances and a migraine aura and colors. By Friday on 13th April 2018, her migraine symptoms were persisting and her physician and ophthalmologist suggested hydration. She had a weird headache on Saturday 14th April 2018 (3 days after vaccination) and then Sunday she was better. On Monday, 16th April 2018 (5 days after vaccination) she was really bad and her blood pressure elevated and was high. The patient claimed that the aura goes from one eye to another and sometimes it was in both eyes. The patient went to the emergency room on Monday and was released that day. They did a CT scan and the results came back normal. They administered her a migraine cocktail through IV with BENADRYL, RITALIN and DECADRON to slow down the ocular issues and they hydrated her with a liter of fluid and she slept. A day before reporting night was really bad for her but on the reporting day she was feeling better but she was still seeing spots with flowers and bugs and bright lights make it worse. Her elevated blood pressure was still not back to normal. It was 122/92 when she went to the emergency room and it is currently at 170/82 but normally it reads at 140/80. Her reaction to the SHINGRIX vaccine was causing her mother to be stressed which the daughter believed could be elevating her blood pressure. The physician contact details were provided.