 [ Symptoms ] should one get vaccinated for shingles again in 5 or 10 years as a booster provided shingles does not present itself [ Disease ] she probably does not need an x ray but she does need a skilled clinician to perform a careful exam straddle injuries and i have seen hundreds of them can cause some significant injuries but most are either repairable some cause hiddle tears or lacerations requiring sutures or heal on their own a gentle and kind medical professional needs to look at those girl parts and see what injuries have occurred what you can see could only be part of the damage this exam can be done painless but prepare her for the unavoidable embarrassment of someone looking at her private parts if she prefers to see a female provider see if this can be arranged in the meantime put some cool compresses on those painful parts and get her some medical care do not worry serious internal injuries would not be very likely