Do you question that correlation between Botox and Shingles?

and shingles basically never occurs more than once and certainly doesn't happen on multiple occasions with the rare exception of some severe underlying disease or immunosuppressive treatment...herpes simplex infections not only recur frequently but may mimic herpes zoster / shingles...assuming you indeed have a viral infection, this is by far the most likely explanation...and the botox per se is unlikely to have anything to do with it...rather it's the actual shot - trauma to the skin...happens all the time...and of course you don't "catch" anything from the sterile medication...if indeed you have an infection with herpes simplex - the cold sore virus - it's something you caught a long time ago...it lives harmlessly and without any hint of its presence and comes out with irritation of the skin...most likely living in your nerves for years to decades...

I have injected Botox for over 15 years. I have injected thousands and thousands and thousands of people with it. As young as 18, and as old as 87. None of them have had shingles outbreaks from it. Unfortunately you could be one of the few that the vaccine clearly doesn't protect and in fact it gave you a form of the virus which your body isn't able to get rid of, even with meds. So, you may always be prone to getting a shingles outbreak anytime something is injected. It isn't the Botox itself; it's the injection. For instance, many people will get a herpes outbreak on their lips if injected with any form of hyaluronic acid. It's not the hyaluronic acid specifically - it's the injection itself. Causing any kind of trauma triggers an outbreak. So in your case, getting Botox, and the injections themselves, can trigger the shingles to rage again. I'm sorry you are going through this, but the best advice is for you to avoid getting injections, of any kind."This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."