Results:
We included 20 patients presented with shingles (one of whom had Ramsay Hunt Syndrome RHS). The sex ratio (M/F) was 0.8. The median age was 68.5 years (ranging between 22 and 80 years). Nine patients had a minimum age of 70 years. The administered vaccines were an mRNA vaccine for 15 patients, a viral vector vaccine for four patients, and an inactivated vaccine for one patient. Symptomatology occurred after the first dose of an mRNA vaccine in 10 patients, and in two patients after the second dose of the viral vector vaccines. The symptoms delay ranged from one day to 30 days (mean of 4.5 days). Four patients had a medical history of diabetes. No concomitant use of immunosuppressants was reported for all patients. All patients recovered within a few days and no severe cases were reported.
An 80-year-old patient with a medical history of colorectal neoplasia received an inactivated vaccine and got the second dose without recurrence of the event. Another patient presented facial paralysis with aggravation of the initial symptomatology (vesicular rash of the left auricle one week after receiving his first dose) three days after receiving the second dose of mRNA vaccine; noting that the initial symptomatology was not entirely disappeared when the patient received the second dose. This patient was diagnosed with Ramsay Hunt Syndrome.