Received May 4, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 79MR9 | IM / RA |
A 55-year-old female with a history of vaccine and medication reactions presents with severe generalized myalgia and stiffness and dark urine. The symptoms began one day 4/2 after receiving the second Shingrix vaccine. Outpatient blood work confirms a diagnosis of rhabdomyolysis despite reporting subjective improvement, second blood test revealed higher enzyme level and she was directed to go to the emergency room. She had denied any strenuous activity, trauma, or drug use, or falls. She was subsequently admitted and started on IV fluids. Her CPK downtrended, the patient remained asymptomatic. She was subsequently discharged on 4/4/2026.
None
Depression, Anxiety, IBS, Kidney stones, Osteopenia, Urinary incontinence
Desfenlafaxine, Naprosyn, Premarin
Covid vaccine, Hydrocodone, Oxycodone, Codeine, Cephalexin, Estradiol
Sodium 138 mEq/L (137-145) 04/04/26 03:59 Potassium 3.9 mEq/L (3.6-5.1) 04/04/26 03:59 Chloride 111 mEq/L (98-107) H 04/04/26 03:59 Carbon Dioxide 20 mEq/L (22-30) L 04/04/26 03:59 Anion Gap 10.9 (7.8-17.3) 04/04/26 03:59 BUN 12 mg/dL (7-17) 04/04/26 03:59 Creatinine 0.6 mg/dL (0.6-1.0) 04/04/26 03:59 Estimated GFR 105.9 mL/min (>=60) 04/04/26 03:59 Glucose 112 mg/dL (70-100) H 04/04/26 03:59 Calcium 8.2 mg/dL (8.4-10.2) L 04/04/26 03:59 Total Bilirubin 0.3 mg/dL (0.2-1.3) 04/04/26 03:59 AST 64 U/L (14-36) H 04/04/26 03:59 ALT 58 U/L (0-35) H 04/04/26 03:59 Alkaline Phosphatase 81 U/L (38-126) 04/04/26 03:59 Creatine Kinase 1559 IU/L (30-135) H 04/04/26 03:59 Total Protein 5.3 gm/dL (6.3-8.2) L 04/04/26 03:59 Albumin 3.1 gm/dL (3.5-5.0) L 04/04/26 03:59 Urine Color Yellow (PALE-DK YEL) 04/03/26 14:25 Urine Appearance Clear (CLR-TURBID) 04/03/26 14:25 Urine pH 6.0 (5.0-9.0) 04/03/26 14:25 Ur Specific Gravity 1.025 (1.005-1.030) 04/03/26 14:25 Urine Protein Negative mg/dL (NEGATIVE) 04/03/26 14:25 Urine Ketones Trace (NEGATIVE) H 04/03/26 14:25 Urine Blood Trace-intact (NEGATIVE) H 04/03/26 14:25 Urine Nitrite Negative (NEGATIVE) 04/03/26 14:25 Ur Leukocyte Esterase Negative (NEGATIVE) 04/03/26 14:25 Urine RBC 0-2 cell/HPF (0-4) 04/03/26 14:25 Urine WBC 0-5 cell/HPF (0-5) 04/03/26 14:25 Ur Epithelial Cells Few EPI/hpf 04/03/26 14:25 Urine Bacteria Negative (NONE) 04/03/26 14:25 Hyaline Casts 0 cast/LPF (0-2) 04/03/26 14:25 Urine Glucose Negative (NEGATIVE) 04/03/26 14:25
Covid 19 MRNA Pfizer 2/6/2023