The two symptoms of shingles are a very unpleasant pain and a rash where the pain is. The pain often comes before the rash. Most of my patients describe the pain as "burning" or "stabbing." The pain often gets worse when the skin. Jan 19, 2018. Shingles resources and references include Shingrix and Zostavax vaccination recommendations, as well as disease- and vaccine-related resources and. A tutorial from the Patient Education…