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How Many Shingles Vaccines Do I Need

Vaccination Of People 50 Through 59 Years Old

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

Zostavax is approved by FDA for people age 50 years and older. However, CDC does not recommend routine use of this vaccine in people age 50 through 59 years. Healthcare providers considering the herpes zoster vaccine for certain persons in age ranges should discuss the risks and benefits of vaccination with their patients. Although the vaccine has short-term efficacy, there have been no long-term studies of vaccine protection in this age group. In adults vaccinated at age 60 years or older, vaccine efficacy wanes within the first 5 years after vaccination, and protection beyond 5 years is uncertain therefore, adults receiving the vaccine before age 60 years might not be protected when their risks for herpes zoster and its complications are highest.

Also, healthcare providers may want to first consider whether the patients 50 to 59 years old would have poor tolerance to herpes zoster or postherpetic neuralgia symptoms. For example, if the patient has

  • preexisting chronic pain, severe depression, or other co-morbidities,
  • intolerance to treatment medications due to hypersensitivity or interactions with other medications, or
  • extenuating employment-related factors.

No data are available about the effectiveness of herpes zoster vaccine in adults who become immunosuppressed after their vaccination.

What Else To Know About The Shingles Vaccine

Ready to get vaccinated? This is the essential info on how the shots are given, what to expect with side effects, and more.

You need two doses of Shingrix to get full protection from shingles. You should get your second dose 2 to 6 months after the first. Your doctor or pharmacist will inject the vaccine into the muscle of your upper arm, so wear clothes that give easy access to that area.

If it has been more than 6 months since you got your first dose, go ahead and get your second dose. You donât need to start over, Dooling says.

Because Shingrix is so new, experts arenât sure whether youâll eventually need another shot, or a booster, years down the road.

âThe CDC is actively following how protected people remain after the two-dose series,â she says. We know that after 4 years, protection remains above 85%. Only time will tell how durable that protection is.â

You do not have to wait between Shingrix and COVID-19 vaccination. The CDC has determined its safe to get the COVID-19 vaccine at the same time as Shingrex, but recommends they be given in different arms. You should not get eithe vaccine if you have COVID.

Side effects are fairly common. You may have heard that people sometimes have unpleasant side effects soon after they get the shingles vaccine.

âShingrix tends to have has more side effects than some vaccines, like those for the seasonal flu,â says Kistler. The shingles vaccine may cause:

Does Medicare Cover The Shingles Vaccine

En español | Unlike some common vaccines, like those for the flu, hepatitis B and pneumonia, shingles shots are not covered under Medicare Part B, the component of original Medicare that includes doctor visits and outpatient services. Part A, which deals with hospital costs, doesnt cover shingles shots either.

Medicare coverage for Shingrix and Zostavax, the two commercially available shingles vaccines, is provided only if you are enrolled in a stand-alone Part D drug plan or a Medicare Advantage plan that includes Part D drug coverage.

Medicare requires Part D plans to cover the shingles vaccine, so if youre enrolled in Part D, you shouldnt have difficulty obtaining the shot. Most require a copayment, which can vary widely from plan to plan.

And if you havent yet met your plans deductible for the year, youll likely pay the full price. For Shingrix, the newer vaccine, that averages around $190, according to GoodRx, a website and app that tracks prescription prices.

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What Are The Advantages Of Getting The Shingles Vaccine

The shingles vaccine reduces your risk of getting shingles. Shingles causes a painful rash that usually develops on one side of your body or face. Some people describe the pain as an intense burning or shooting sensation. The rash is often a single strip that wraps around one side of your body or is on one side of your face. It consists of blisters that normally crust over in seven to 10 days. The rash generally clears up within a month.

Some people with shingles also experience additional symptoms including fever, headache, chills or upset stomach.

For some people, the pain from the rash can last for months or even years after the rash goes away. This long-term pain is called postherpetic neuralgia , and it is the most common complication of shingles.

Who Needs A Shingles Vaccine

shingles

Shingrix is recommended for adults aged 50 or older. You should still get the vaccine even if youve had shingles in the past, as it is possible to get it again.

You can also get Shingrix if you received Zostavax in the past. This is important because studies have shown that the efficacy of Zostavax over time.

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Can Pneumococcal Pneumonia Be Prevented

There are several vaccines available for prevention of this illness. The CDC has different recommendations for each vaccine, as well as eligibility criteria to receive them.

  • Pneumococcal polysaccharide vaccine : This vaccine is effective against 23 different types of the S. pneumonia bacteria. The CDC recommends this vaccine for:
  • Everyone 65 years of age and older
  • People ages 2-64 with certain medical conditions
  • People ages 19-64 who are smokers
  • Adults 19 years and older who have received the PCV15 as part of a vaccine series

It is not recommended for children younger than 2 years old.

  • Chronic renal failure
  • Cochlear implant
  • Congenital or acquired immunodeficiency, including B- or T-lymphocyte deficiency, complement deficiency, phagocytic disorder
  • Lowered immunity caused by medicines such as high-dose prednisone, and other immunodeficiency
  • Blood cancers, including leukemia, lymphoma, and multiple myeloma
  • Nephrotic syndrome
  • Sickle cell disease and other “hemoglobinopathies”
  • Solid organ transplants
  • If you are an adult who gets one dose of PCV20, you don’t need to repeat it, but if you got a dose of PCV13, PCV15 or PPSV23, you may need an additional pneumonia vaccine to complete your series.

    You Can Get A Shingles Vaccine Two Ways:

    At the pharmacy. Youll still need a doctors prescription, but once thats been transmitted, you can get the shot at a retail pharmacy.

    Most major chains and some independent pharmacies can administer the vaccine. Just make sure to use a store in your drug plans network so that it can bill your plan directly and youll owe just the copayment.

    At the doctors office. If youre vaccinated in a doctors office, check whether it can bill your drug plan directly or works with a pharmacy that can do so. If so, it will work as mentioned above, with you owing a copayment. If not, you may need to pay the full cost up front and then file a claim for reimbursement from your plan.

    Remember that the doctors fee for administering the vaccine may exceed your plans allowable charge, in which you case youre on the hook for the difference. It pays to check beforehand.

    Editor’s note: This article was originally published on Jan. 1, 2014. It has been updated with the latest information regarding Medicare coverage in 2020.

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    Are There Any Restrictions After A Shingles Shot

    You should not receive the shingles vaccine if you are pregnant, if you have an active shingles infection, or if you previously had an allergic reaction to any component of the vaccine. If youre eligible for the vaccine and receive the vaccination, there are no restrictions afterward and you can leave the doctors office or pharmacy as soon as the shot is complete.

    What Is Mrna And What Is An Mrna Vaccine

    Should you get two types of shingles shots? | ABC7

    Messenger RNA is a bit of genetic code that teaches the bodys immune system how to make antigens, which are proteins that prompt an immune system response.

    Messenger RNA vaccines carry this code inside a fatty covering that is injected into muscle tissue. If you contract the virus later, your body will already know how to fight it.

    BioNTech co-founder Ãzlem Türeci told The Atlantic that mRNA vaccines were like showing our immune system a wanted poster of a foe and instructing the immune system to target that outlaw for destruction.

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    Shingles Vaccine And Insurance

    Private health insurance plans often cover vaccination costs. Still, a patient might have a charge depending on the specific insurance plan.

    Medicaid may or may not cover the vaccine cost.Medicare Part D plans cover the shingles vaccine, but there may be a cost to the patient depending on the plan. Usually, the fees are less than $50 per dose.

    Medicare Part B does not cover the shingles vaccine.

    Who Shouldn’t Get It

    A person should not get Shingrix if:

    • They have ever had a severe allergic reaction to any component of the vaccine or the first dose of the vaccine.
    • They test negative for immunity to varicella-zoster virus.
    • They currently have shingles.
    • They are pregnant.

    If you are experiencing a moderate to severe illness, with a fever or not, you should consider waiting until you are better before getting the vaccine.

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    Do You Need The Shingles Vaccine

    rmgadminGeneral Posts, Shingles

    Shingles is a painful, viral infection that causes an itchy, red rash on one side of the body, and its caused by the same virus that causes chickenpox. Eventually, the blisters of the rash will form scabs in around 10 days before clearing up in roughly four weeks.

    While its not a life-threatening infection, if its not treated in a timely manner, it can lead to complications that cause pain long after the rash has cleared, a condition called postherpetic neuralgia.

    According to the Centers for Disease Control 1 out of every 3 people will develop shingles during their lives. This equates to one million cases of shingles annually in the United States.

    Anyone who has had chickenpox can get shingles.

    The good news is that the pain and inconvenience of shingles can be easily avoided by being vaccinated.

    However, there is often some confusion around this immunization, centering around who should receive the vaccine and how often it should be administered. Well break down important facts about shingles and the vaccine so you can be prepared to make an informed choice.

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    But there are other shots it’s important to ask about, as well, she said. Payne saw two patients with shingles recently who were lamenting that it might have been avoided had they gotten the Shingrix vaccine.

    Shingles, the re-emergence of the chicken pox virus in older adults, can cause a wide range of problems, from mild to severe, like itching or a painful rash, fever and fatigue.

    “It can even involve the ear and the eye, leading to deafness and blindness, depending on where you have it,” Payne said. “Sometimes that rash and the symptoms can last a few weeks. Other times, it can go on for months, even years, where people have this chronic pain that lingers from shingles.”

    The vaccine is about 97 percent effective in preventing that, she said.

    “I always tell people, if you know anyone that has ever had it, trust me, you donât want it,” Payne said. “If you qualify for , then definitely try and get it if you can.”

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    What Questions Should I Ask My Healthcare Provider

    Its normal to have questions before you get a vaccine. Some common questions you may want to discuss with your healthcare provider include:

    • When should I get the shingles vaccine?
    • What side effects should I expect?
    • How does the shingles vaccine work?
    • When should I schedule each dose of the shingles vaccine?
    • How effective is the shingles vaccine?
    • Is there any reason I shouldnt get the shingles vaccine?
    • What could happen if I dont get the shingles vaccine?

    Do I Need To Pay For Shingles Immunisation

    Vaccines covered by the NIP are free for people who are eligible. See the NIP Schedule to find out which vaccines you or your family are eligible to receive.

    Eligible people get the vaccine for free, but your health care provider may charge a consultation fee for the visit. You can check this when you make your appointment.

    If you are not eligible for free vaccine, you may need to pay for it. The cost depends on the type of vaccine, the formula and where you buy it from. Your immunisation provider can give you more information.

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    Who Should Get The Shingles Vaccine

    The CDC recommends all healthy adults ages 50 years and older get two doses of the shingles vaccine to prevent shingles and problems that can develop after youve had the disease. The two doses should be separated by two to six months. You should get the shingles vaccine even if you:

    • Have had shingles: If youve had shingles in the past, you should get the shingles vaccine to help prevent getting the disease again. You should wait until the shingles rash is gone before getting the vaccine.
    • Arent sure if youve had chickenpox: Studies show more than 99% of Americans ages 40 and older have had chickenpox at some point in their lives. You should get the shingles vaccine whether or not you remember having chickenpox because theyre caused by the same virus.
    • Received the old shingles vaccine : Before November 18, 2020, people were vaccinated with a shingles vaccine called Zostavax. You cant get Zostavax in the United States anymore. If you were vaccinated with Zostavax, you should get vaccinated with the new shingles vaccine, Shingrix.

    How You Get Shingles

    Shingles Vaccine Info

    You dont catch shingles. Chickenpox virus caught earlier in your life reactivates later to cause shingles. You cant catch shingles from someone who has chickenpox.

    However, if you have shingles blisters, the virus in the fluid can infect someone who has not had chickenpox and they may develop chickenpox.

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    From Flu Shots To Covid

    Becca Daniels, with DEHC, prepares a COVID-19 booster shot for Judy Johnson during a health fair held by the South Carolina Department on Aging at the Arthur Christopher Community Center in Charleston on Friday, Aug. 26, 2022. Grace Beahm Alford/Staff

    With new COVID-19 boosters approved, many adults seeking that shot may want to see if there are others that can provide valuable protection against diseases like pneumonia and shingles, doctors say.

    The Food and Drug Administration approved on Aug. 31 new booster shots from Pfizer-BioNTech and Moderna that are bivalent vaccines, targeting the original strain of the SARS CoV2 virus and the BA.4 and BA.5 strains of the Omicron variant that make up 96.2 percent of all circulating strains. The Pfizer shot is approved for those ages 12 and older and Moderna is authorized for 18 and over, FDA Commissioner Robert M. Califf said. The shots can be given two months or later after the last COVID-19 vaccination, he said. The boosters are being released not only to address the current surge of illness, which is coming down but has plateaued, but also to potentially help blunt a predicted wave in the fall that is modeled to peak around Dec. 1, said Dr. Peter Marks, director of the Center for Biologics Evaluation and Research at FDA.

    Simultaneous Administration With Other Vaccines

    RZV and LZV may be administered concomitantly with other live vaccines given by the parenteral, oral, or intranasal routes. For concomitant parenteral injections, different injection sites and separate needles and syringes should be used.

    In general, inactivated vaccines including RZV may be administered concomitantly with, or at any time before or after, other inactivated vaccines or live vaccines protecting against a different disease.

    LZV may be given at any time before or after live oral or intranasal vaccines. If two live parenteral vaccines are not administered concomitantly, there should be a period of at least 4 weeks before the second live parenteral vaccine is given.

    Concomitant administration of pneumococcal 23-valent polysaccharide vaccine and LZV has not resulted in decreased efficacy and so the two vaccines can be given concomitantly.

    For more information, refer to Timing of Vaccine Administration in Part 1.

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    Who Is At Risk Of Getting Shingles

    If you have had chickenpox, youre at risk for developing shingles and this risk increases substantially as you age, with shingles being the most common in those who are more than 50 years old.

    If your immune system is suppressed because of disease, cancer treatment, or immunosuppressive drugs, you are also at a higher risk for developing shingles.

    Who Should Get Shingrix

    How Many Doses Of Zoster Vaccine

    Adults 50 years and older should get two doses of Shingrix, separated by 2 to 6 months. Adults 19 years and older who have or will have weakened immune systems because of disease or therapy should also get two doses of Shingrix. If needed, people with weakened immune systems can get the second dose 1 to 2 months after the first.

    You should get Shingrix even if in the past you:

    • Received varicella vaccine

    There is no maximum age for getting Shingrix.

    If you had shingles in the past, Shingrix can help prevent future occurrences of the disease. There is no specific length of time that you need to wait after having shingles before you can receive Shingrix, but generally you should make sure the shingles rash has gone away before getting vaccinated.

    Chickenpox and shingles are related because they are caused by the same virus . After a person recovers from chickenpox, the virus stays dormant in the body. It can reactivate years later and cause shingles.

    Shingrix is available in doctors offices and pharmacies.

    If you have questions about Shingrix, talk with your healthcare provider.

    * A shingles vaccine called zoster vaccine live is no longer available for use in the United States, as of November 18, 2020. If you had Zostavax in the past, you should still get Shingrix. Talk to your healthcare provider to determine the best time to get Shingrix.

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