Received Aug 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | NJ374 | IM / RA |
Reported Symptoms: 10037087:PRURITUS; 10037844:RASH; Narrative: A 58yo male reported red itchy rash on the chest, stomach, arms and legs two days after received first shot of Shingles vaccine. Other Relevant HX: Two days after vaccine, broke out in rash/hives on trunk and legs. Presented to urgent care. Reports given steroid injection and 5 days of prednisone. Also was using topical triamcinolone cream. Referred to dermatology per ID e-consult recommendations. Meanwhile, ID prescribed another steroid taper via pharmacy. Per telederm assessment, not consistent with a fixed drug eruption or diffused fixed drug eruption and morphologically is more consistent with an eczematous/psoriasiform dermatoses. According to the secure messaging, the patient was using diclofenac gel for this rash it is possible this is causing or contributing to contact dermatitis (irritant versus allergic), unclear what else patient is applying to skin, so instructed patient to stop all current topical products other than what was described in derm consult: 0.1% triamcinolone cream; 12% ammonium lactate lotion; 0.5% CAMPHOR AND MENTHOL LOTION; 10 mg cetirizine.