Who Shouldn’t Get A Shingles Vaccine
The CDC says some people shouldn’t get the shingles vaccine. That includes those who:
- Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix
- Tested negative for VZV immunity
- Currently have shingles
- Have a severe or moderate acute illness, such as a respiratory infection
Your healthcare provider can answer any questions you have about whether the vaccine is safe for you.
What Does The Shingles Vaccine Do
The shingles vaccine can prevent shingles. Every year, about 1 million people in the United States get shingles. Anyone whos had chickenpox can get shingles. Thats because the varicella-zoster virus lives silently in your nervous system after you’ve had chickenpox. The virus can reactivate later in your life if your immune system is weakened. Your risk of getting shingles goes up as you get older. In the United States, 1 in 3 people will get shingles in their lifetime.
What Vaccines Can Help Prevent Shingles
There is currently one vaccine available in the U.S. to prevent shingles. Shingrix was approved in 2017 and it is more than 90% effective in preventing shingles. With Shingrix, you get two shots between 2 and 6 months apart and protection lasts an estimated 4-5 years. Doctors recommend it for healthy people over 50 as well as those 19 years of age and older who are or will be immunodeficient or immunosuppressed due to disease or therapy..
An earlier vaccine called Zostavax was removed from the market in 2020. That vaccine used a weak form of the chickenpox virus to send your bodyâs immune system into action to fight the disease. Shingrix does not. If you received the Zostavax vaccine, it is recommended that you also receive Shingrix.
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Is Shingrix Safe For Everyone
Ask your doctor, pharmacist, or healthcare provider if Shingrix is right for you. You should not get the Shingrix vaccine if you:
- Have ever had a severe allergic reaction to any component of the vaccine
- Had a severe allergic reaction to your first dose of Shingrix
- Currently have shingles
- Have a fever of 101.3Â°F or higher
- Have a weakened immune system due to a condition or medication
- Have had a stem cell transplant
- Are pregnant or breastfeeding
Serious Side Effects Of Shingrix
Along with its needed effects, zoster vaccine, inactivated may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking zoster vaccine, inactivated:
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Who Should Not Get Shingrix
You should not get Shingrix if you:
- Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix.
- Currently have shingles.
- Currently are pregnant. Women who are pregnant should wait to get Shingrix.
If you have a minor illness, such as a cold, you may get Shingrix. But if you have a moderate or severe illness, with or without fever, you should usually wait until you recover before getting the vaccine.
Why Do I Need Two Doses Of Shingrix
In addition to a painful rash, shingles can lead to serious health complications like PHN, pneumonia, vision loss, hearing problems, and encephalitis . Research indicates that about 1% to 4% of people with shingles will be hospitalized.
Two doses of Shingrix offer effective protection against shingles and related complications for at least seven years. Among healthy adults ages 50-69, Shingrix is more than 90% effective in preventing PHN when two doses are administered. Among adults ages 70 and older, it is 89% effective.
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Side Effects Of Shingles Vaccine
The most common shingles shot side effects include pain and soreness at the injection site. Some people also notice a bit of redness, swelling or itching at the site of the shot. Other side effects of the shingles vaccine may include fatigue, muscle pain, headache, shivering, fever, stomach pain, or nausea. According to the CDC, side effects are more common in younger people than older people.
Most people can resume their regular activities immediately after vaccination. However, about 1 out of 6 people develop flu-like symptoms that last anywhere from 1 to 3 days.
Side effects can occur after the first, second, or both doses of Shingrix vaccine. If possible, it is a good idea to schedule vaccination the day before some downtime, so you can rest if you develop side effects.
If you develop flu-like symptoms after shingles vaccination, you can take ibuprofen or acetaminophen to control your fever and improve comfort. Those who develop flu-like symptoms after their first dose of vaccine may want to pre-medicate with ibuprofen or acetaminophen an hour or so before their second dose. Your healthcare provider can answer your questions about shingles vaccine side effects and pre-medication for vaccination.
Serious side effects are rare, but not impossible, after shingles vaccination. If you develop hives, swelling of the face or throat, difficulty breathing, a rapid heartbeat, or sudden dizziness or weakness, and seek medical care immediately.
A Closer Look At The Safety Data
Both Shingrix and Zostavax shingles vaccines have been shown to be safe and well tolerated. Common side effects, such as soreness and redness at the injection site, are usually mild to moderate in intensity and resolve quickly on their own.
In 8 clinical trials of more than 10,000 participants:
- Grade 3 reactions were common after patients received Shingrix.
- About 1 out of 10 adults who received Shingrix reported grade 3 injection-site symptoms such as pain, redness, and swelling.
- About 1 out of 10 reported grade 3 systemic reactions such as myalgia , fatigue , headache, shivering, fever, and gastrointestinal illness.
- Most people who got Shingrix reported at least some pain at the injection site.
- A 2013 study showed that patients with a history of a previous shingles rash had the same side effects after Zostavax as those with no history of shingles. See Safety of zoster vaccine in elderly adults following documented herpes zoster.
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How Well Does Shingrix Work
Two doses of Shingrix provide strong protection against shingles and postherpetic neuralgia , the most common complication of shingles.
- In adults 50 to 69 years old with healthy immune systems, Shingrix was 97% effective in preventing shingles in adults 70 years and older, Shingrix was 91% effective.
- In adults 50 years and older, Shingrix was 91% effective in preventing PHN in adults 70 years and older, Shingrix was 89% effective.
- In adults with weakened immune systems, Shingrix was between 68% and 91% effective in preventing shingles, depending on their underlying immunocompromising condition.
In people 70 years and older who had healthy immune systems, Shingrix immunity remained high throughout 7 years following vaccination.
Side Effects Of The Shingles Vaccine
Shingles is a common disease, affecting about 1 out of 3 adults during their lifetime.
Shingles is most common among older adults. However, shingles can also occur in healthy younger adults and in children. Those with immune systems that have been weakened by HIV, AIDS, cancer or treatment with certain drugs are also at an increased risk of getting shingles. Shingles causes a painful rash and blisters and can lead to serious complications, including post-herpetic neuralgia.
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Should I Get A Vaccine
Doctors say most healthy people over 50 should get Shingrix, as well as anyone 19 or older who are immunocompromised. Itâs available at pharmacies as well as doctorsâ offices. Most people have been exposed to the chickenpox even if they didnât actually develop symptoms.
You should get the Shingrix vaccine unless:
- You are allergic to any part of the vaccine
- Had a blood test that proves you never had chicken pox
- Have shingles now
- Are breastfeeding or nursing.
Shingles Vaccine: Expert Q& a
Never Too Late to Seek Protection Against ‘Debilitating’ Virus
Shingles can make everyday tasks — from getting dressed to getting into bed — a painful proposition. The culprit behind this agonizing rash, which is especially common in older people, is the same virus responsible for another common but debilitating condition: chicken pox.
“Most of us never get rid of the chicken pox virus,” William Schaffner, MD, president of the National Foundation for Infectious Diseases, tells WebMD. “It lies dormant like a bear in a cave during winter. When a person gets shingles, the virus has reawakened.”
Fortunately, a vaccine is available that greatly reduces the risk of shingles. Schaffner, who is also a professor in Vanderbilt University School of Medicine’s infectious diseases division and chair of the schoolâs department of preventive medicine, spoke with WebMD about getting protected.
Can The Shingles Shot Cause Guillain
Though rare, but Guillain-Barré syndrome can occur with both the shingles vaccine and the shingles virus itself.
Symptoms of this serious autoimmune disorder include a loss of sensation and muscle paralysis that tends to come on quickly, typically spreading up from your lower extremities.
It can be life-threatening, so contact a healthcare provider immediately if you think you may have symptoms.
Redness At Injection Site
Redness at and around the injection site is common and may appear immediately or some days after receiving Shingrix. This redness commonly develops due to a localized immune system response, which shouldnt cause further concern.
Arm redness should disappear within a few days after receiving the vaccine. However, if you experience redness with a rash or severe pain, let your doctor know as soon as possible.
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What Are The Possible Side Effects Of Shingrix
Studies show that Shingrix is safe. The vaccine helps your body create a strong defense against shingles. As a result, you are likely to have temporary side effects from getting the shots. The side effects might affect your ability to do normal daily activities for 2 to 3 days.
Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Some people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. Some people who got Shingrix experienced side effects that prevented them from doing regular activities. Symptoms went away on their own in about 2 to 3 days. Side effects were more common in younger people.
You might have a reaction to the first or second dose of Shingrix, or both doses. If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen.
Guillain-Barré syndrome , a serious nervous system disorder, has been reported very rarely after Shingrix. There is also a very small increased risk of GBS after having shingles.
If you experience side effects from Shingrix, you should report them to the Vaccine Adverse Event Reporting System . Your doctor might file this report, or you can do it yourself through the VAERS websiteexternal icon, or by calling 1-800-822-7967.
If you have any questions about side effects from Shingrix, talk with your doctor.
Cdc Says Waiting Longer Between Covid Vaccine Doses Could Reduce Myocarditis Risk
Miller was rushed to Henry Ford West Bloomfield Hospital, where he was diagnosed with myocarditis, an inflammation of the heart muscle, and pericarditis, an inflammation of the outer lining of the heart. His doctor advised him not to receive a second dose of either the Pfizer or the Moderna vaccines.
I was like, thats crazy, Miller said, noting that he knows the heart inflammation condition following vaccination is extremely rare.
Miller is one of a very small group of people in the United States who have experienced myocarditis following vaccination with the Pfizer-BioNTech or the Moderna Covid vaccines based on mRNA technology.
Myocarditis is a condition that has long been linked to a number of viral infections, including influenza, coxsackieviruses, as well as Covid. It has also been observed as an infrequent but worrisome side effect of the mRNA Covid vaccines.
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When Should I See A Doctor Because Of The Side Effects I Experience From Shingrix
Shingrix causes a strong response in your immune system, so it may produce short-term side effects. These side effects can be uncomfortable, but they are expected and usually go away on their own in 2 or 3 days. You may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen. Contact your healthcare provider if the symptoms are not improving or if they are getting worse.
In clinical trials, Shingrix was not associated with serious adverse events. In fact, serious side effects from vaccines are extremely rare. For example, for every 1 million doses of a vaccine given, only one or two people might have a severe allergic reaction. Signs of an allergic reaction happen within minutes or hours after vaccination and include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness. If you experience these or any other life-threatening symptoms, see a doctor right away.
What Are The Side Effects
Shingrix can make the area where you get the shot swell or feel sore. Other effects include:
- Many people who get the vaccine have muscle aches, headaches, or feel tired.
- About 1 in 4 people have a fever or an upset stomach.
Younger people are more likely to have these side effects, and they typically last 2 or 3 days.
Itâs also possible to have an allergic reaction to an ingredient in the vaccine. If you have problems breathing, feel your face or throat swelling, or feel weak or dizzy after the shot, call 911 and get medical help right away.
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Side Effects Of The Shingles Vaccines
What patients can expect after Shingrix or Zostavax injections.
Any medicine, including vaccines, carries a risk of adverse events or side effects. The CDC estimates that vaccine-related reactions occur once in a million doses, usually within a few minutes or hours of the injection. Generally they are minor and subside within a day or two.
The two available vaccines for shingles-Shingrix and Zostavax-each has its own associated side effects. Patients should be informed about what to expect prior to vaccination to help them manage their expectations.
GSK, the manufacturer of Shingrix, says its most common side effects include pain, redness, and swelling at the injection site muscle pain tiredness headache shivering fever and upset stomach. While severe allergic reactions are less common, they may range from hives, swelling of the face and throat, and difficulty breathing to a fast heartbeat, dizziness, and weakness.
In Shingrix clinical trials, the majority of people complained of mild to moderate pain in their arm, as well as redness and swelling at the injection site. About one in six people experienced side effects that prevented them from doing regular activities for two to three days. These side effects were reportedly more common in younger people.
Both Merck, which manufacturers Zostavax, and GSK acknowledge that their vaccines may not protect all individuals, so some people who get shingles vaccine may still develop shingles.
How Effective Is Shingrix
The risk of getting shingles increases as you get older, so its important to get vaccinated. Shingrix also provides strong protection against PHN, the most common complication from shingles.
- Among adults age 50 to 69 years who got two doses, Shingrix was 97 percent effective in preventing shingles. In this age group, it was also 91 percent effective in preventing PHN.
- Among adults age 70 years and older who got two doses, Shingrix was 91 percent effective in preventing shingles. In this age group, it was also 89 percent effective in preventing PHN.
- Among adults age 70 years and older who got two doses, Shingrix is more than 85 percent effective in preventing shingles for four years following vaccination.
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Another Jab At Shingles
In October 2018, the FDA approved Shingrix, a two-shot shingles vaccine for patients 50 and older. To be the most effective, patients must get the second shot between two to six months after the first. Clinical trials demonstrated that it was 91% to 97% effective in preventing shingles, and that protection seems to stay strong, at least for the first four years in the patients who were tracked.
There has slowly been uptick, but still very large group of those aged 50 and older who have not received it, saysNatalie Baker, DNP, president of the gerontological advanced practice nursing association .
Given its improved efficacy and the fact that the efficacy of Zostavaxwanes over the course of a few years, regulators recommended getting the Shingrix shots even if you already received Zostavax, which was discontinued in 2020. A lot of our older adults have received Zostavax, but, unfortunately, it just does not continue to be effective, she says, explaining that even those patients should get the Shingrix vaccine.
More Information On Side Effects
Reactions listed under possible side effects or adverse events on vaccine product information sheets may not all be directly linked to the vaccine. See Vaccine side effects and adverse reactions for more information on why this is the case.
If you are concerned about any reactions that occur after vaccination, consult your doctor. In the UK you can report suspected vaccine side effects to the Medicines and Healthcare products Regulatory Agency through the Yellow Card Scheme . See more information on the Yellow Card scheme and monitoring of vaccine safety.
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