When the herpes zoster virus becomes active again, it travels down the infected nerves to the skin and appears as a rash. The virus also injures the nerves under the skin. The first sign may be a tingling feeling of 'pins and needles', usually on one side of the body. Some people may feel quite ill at first, almost as though they have the flu and symptoms may include fever, headache, nausea and chills. The 'pins and needles' often develop into the intense pain and burning sensation that shingles is known for.

With shingles comes a rash

After the initial attack of shingles, a red rash generally appears two or three days later. It usually appears as a band on one side of the chest, back or face. It can be painful, itchy or both.

After a few days the rash will begin to blister. In about three weeks or so, the blisters will become scabs and begin to heal. The rash is usually limited to just one area of the body above the infected nerves.