Received Jul 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | C3SB5 | LA |
Today (Monday) he has clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder; Herpes zoster-diagnosed with shingles/ it's not really painful enough to be shingles; It could be folliculitis; began to develop a slightly painful, not itchy vesicular rash in his left axilla; slightly painful, not itchy vesicular rash in his left axilla; This non-serious case was reported by a physician via other manufacturer and described the occurrence of shingles in a 40-year-old male patient who received DTPa (Reduced antigen) (Tdap Vaccine) (batch number C3SB5) for prophylaxis. Co-suspect products included tuberculin ppd (Tubersol) solution for injection (batch number 83821) for tuberculin test. The patient's past medical history included exposure to communicable disease. On 06-MAY-2025, the patient received Tdap Vaccine (left deltoid) and Tubersol .1 ml. On 08-MAY-2025, 2 days after receiving Tdap Vaccine and Tubersol, the patient experienced shingles (Verbatim: Herpes zoster-diagnosed with shingles/ it's not really painful enough to be shingles), folliculitis (Verbatim: It could be folliculitis), vesicular rash (Verbatim: began to develop a slightly painful, not itchy vesicular rash in his left axilla) and axillary pain (Verbatim: slightly painful, not itchy vesicular rash in his left axilla). On 09-MAY-2025, the patient experienced blister (Verbatim: Today (Monday) he has clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder). The outcome of the shingles, folliculitis, vesicular rash, axillary pain and blister were resolving. It was unknown if the reporter considered the shingles, folliculitis, vesicular rash, axillary pain and blister to be related to Tdap Vaccine and Tubersol. It was unknown if the company considered the shingles, folliculitis, vesicular rash, axillary pain and blister to be related to Tdap Vaccine and Tubersol. Additional Information: GSK Receipt Date: 01-JUL-2025 The physician reported that the patient started taking (Tubersol) tuberculin test, (once) via left forearm for Tuberculin test and received an unknown dose of suspect diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TD AP), via unknown route in the left deltoid for prophylactic vaccination (Immunization) and both with unknown strength and expiry date. The patient experienced slightly painful, not itchy vesicular rash in his left axilla. Today (Monday) on 09-MAY-2025, 3 days after, he had clusters of vesicles in the axilla, over his left biceps, and on his left posterior shoulder and diagnosed with shingles after treated with tuberculin test (Tubersol) and diphtheria vaccine toxoid, pertussis vaccine acellular, tetanus vaccine toxoid (TDAP). On 13-MA Y-2025 at 12:00 hours, 7 days 12 hours after, the patient developed diagnosed with shingles (herpes zoster). Reportedly, it could be folliculitis although he had no unusual exposure, it was not really painful enough to be shingles. It was not reported if the patient received a corrective treatment for both the events. At time of initial reporting, the outcome was not recovered or not resolved for the event rash vesicular and recovering for the events herpes zoster and rash. Additional information was received on 04-Jun-2025 from physician and update the outcome from ongoing to recovering for the event rash.
Medical History/Concurrent Conditions: Exposure to communicable disease
TUBERSOL