Herpes zoster at the vaccination site in immunized healthy children

Pediatr Dermatol. 2018 Mar;35(2):230-233. doi: 10.1111/pde.13415. Epub 2018 Feb 6.


In this case series, we report seven immunized healthy children without underlying immunodeficiency who presented with herpes zoster that correlated with varicella-zoster vaccination site. The morphology of the lesions included erythematous papules, pseudovesicles, and plaques, with associated pain in two and pruritus in three patients; systemic symptoms ranged from none to low-grade fevers, upper respiratory symptoms, and joint pain. These cases highlight the clinical, diagnostic, and therapeutic implications of herpes zoster in vaccinated children.

Keywords: Oka; dermatomal rash; immunization; varicella.

Publication types

  • Case Reports

MeSH terms

  • Chickenpox Vaccine / adverse effects*
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Herpes Zoster / diagnosis*
  • Herpes Zoster / etiology
  • Herpesvirus 3, Human / immunology*
  • Humans
  • Infant
  • Male
  • Vaccination / adverse effects*


  • Chickenpox Vaccine