mild case of shingles,right side chest and body; Itching; feels like little needles, deep sirenessas/ tickeling skin; fractured rib; shingles pain; breathing problem; slowed down my phisical activity, life quality changing; This case was reported by a consumer via call center representative and described the occurrence of shingles in a 68-year-old patient who received Herpes zoster (Shingrix) for prophylaxis.   The patient's past medical history included shingles (had shingles last year). Concurrent medical conditions included type ii diabetes mellitus.   On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced shingles, pruritus, pins and needles, rib fracture, pain, difficulty breathing and activities of daily living impaired. The patient was treated with lidocaine. On an unknown date, the outcome of the shingles, pain and difficulty breathing were not recovered/not resolved and the outcome of the pruritus, pins and needles, rib fracture and activities of daily living impaired were unknown.   It was unknown if the reporter considered the shingles, pruritus, pins and needles, rib fracture, pain, difficulty breathing and activities of daily living impaired to be related to Shingrix.     Additional Information: GSK receipt date:15-Apr-2022 Reporter's comment: The patient had shingles last year from the date of reporting, the symptoms currently were less severe than last year.  The patient was very fortunate to not have any skin or dermis break down, his/her symptoms were to the right side of chest and body. The patient did had type 2 diabetes and her personal opinion was that his/her shingles pain symptoms were effected by his/her sugar levels. The patient was currently experiencing a mild case of the shingles virus.  The patient had one vaccination prior to this shingles episode. The patient have had other medical things going on that effect his/her physical quality of life very much. The patient was adjusting to and sooner the better get his/her second vaccination to get over this. The patient also experienced itching skin, tickling skin, skin sometime felt like little needles and sometimes deep sirenessas though the patient had fractured rib, the patient had tried large lidocaine. The patient stated that, the patches but the patches were more trouble than they were worth they fall off fairly quickly. The patient questioned that, what did the manufacturer said about the receiving his/her second vaccine now as the patient had active virus. The Centers for Disease Control and Prevention (CDC) stated that people who currently have shingles should not receive Shingrix. The medical representative would advised the patient to contact the physician or pharmacist to verify shingles was cleared up before receiving the second Shingrix vaccine. The second Shingrix vaccine could be given between 2 and 6 months after the first Shingrix vaccine. The patient was overdue for second vaccine.  Pharmacist suggested that perhaps the patient could wait till after he went through this bout of shingles yet too he/she said he/she had no clinical data that said the patient had have to eait. Yet the patient wanted to know that not long ago, 4 months he/she noticed that having breathing problem. Breathing problem was diagnosed that the patient had a genetic inherited collapsed wind pipe. This had slowed down his/her physical activity a lot. A farm and still the patient on tractor several times a day yet this inability to breathe normally now with shingles pain symptoms were really a bad life quality changing situation and if by any way getting. The second vaccine might be in any way help speed up his/her getting done with this round of shingles would be great.  The reporter consented to follow-up.