Tuesday, May 21, 2024

How Old Should You Be To Get The Shingles Vaccine

Who Shouldnt Receive Shringrix

Shingles vaccine: Should I get it?

Although vaccines go through rigorous safety testing to ensure they are safe, they arent suitable for everyone. You shouldnt receive Shingrix if you:

  • have an active shingles infection
  • have a severe illness or a fever of 101.3°F or higher
  • have had a severe allergic reaction to Shingrix or any ingredient in the vaccine
  • have no immunity to varicella based on a blood test carried out for other reasons
  • are pregnant or breastfeeding

If you currently have shingles, another serious illness, or a fever of 101.3°F , wait until these issues have resolved to receive a Shingrix vaccination.

Persons With Chronic Diseases

Autoimmune disease

Although definitive data are lacking, individuals with autoimmune disease not being treated with immunosuppressive drugs are not considered significantly immunocompromised. Individuals 50 years of age without contraindications should receive RZV.

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What Everyone Should Know About The Shingles Vaccine

Shingles vaccination is the only way to protect against shingles and postherpetic neuralgia , the most common complication from shingles.

CDC recommends that adults 50 years and older get two doses of the shingles vaccine called Shingrix to prevent shingles and the complications from the disease. Adults 19 years and older who have weakened immune systems because of disease or therapy should also get two doses of Shingrix, as they have a higher risk of getting shingles and related complications.

Your doctor or pharmacist can give you Shingrix as a shot in your upper arm.

Shingrix provides strong protection against shingles and PHN. In adults 50 years and older who have healthy immune systems, Shingrix is more than 90% effective at preventing shingles and PHN. Immunity stays strong for at least the first 7 years after vaccination. In adults with weakened immune systems, studies show that Shingrix is 68%-91% effective in preventing shingles, depending on the condition that affects the immune system.

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Dead At Least 29 Wounded Including 7 Teens In Chicago Weekend Shootings

The pain kicked in and the third day was probably the worst, Minogue said.

Two vaccines have earned FDA approval to prevent shingles. The newest one, Shingrix, was in such high demand in 2019, its manufacturer GlaxoSmithKline had to increase production. Shingrix is approved for people age 50 and older.

Minogue said she doesnt understand why its not available for younger people.

I know people whove had it more than once and theyre in their 40s, so it doesnt make sense that you cant get the vaccine until youre 50, said Minogue.

Dr. David Schwartz indicated that the age recommendation is based on FDA testing and risk.

The risk of getting shingles is relatively low among younger people, he argued.

The reality is, if you had chickenpox as a kid, your risk of getting shingles increases every year you get older.

The ability of the body to keep the original chicken pox virus in check seems to wane with time, Dr. Schwartz said.

If you are older than 50 years old, you may want to consider the shingles vaccine, but acording to Dr. Schwartz, you should be aware that there can be complications such as swelling at the injection site and fever.

The two-dose Shingrix vaccine is not covered by all insurance companies, so it is advised to check if it is available to you.

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How Many Doses Of The Vaccine Do I Need

Zoster Vaccine Schedule Cdc

In most cases, the shingles vaccine is given as one dose.

If you have a severely weakened immune system you will be offered a second dose of the vaccine at least 8 weeks after your first dose.

Speak to a healthcare professional about getting other vaccines at the same time so they can advise what’s best for your individual circumstances.

You should ideally wait seven days between the coronavirus vaccination and shingles vaccination.

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What Are The Possible Reactions After The Vaccine

The shingles vaccines are very safe. Common reactions to the vaccines include headache as well as soreness, redness and swelling where the vaccine was given. Itching and a rash may also occur after getting Zostavax® II. Other reactions that may occur after getting Shingrix® include fever, muscle soreness, fatigue, shivering, nausea, vomiting and diarrhea.

It is important to stay in the clinic for 15 minutes after getting any vaccine because there is an extremely rare possibility, less than 1 in a million, of a life-threatening allergic reaction called anaphylaxis. This may include hives, difficulty breathing, or swelling of the throat, tongue or lips. Should this reaction occur, your health care provider is prepared to treat it. Emergency treatment includes administration of epinephrine and transfer by ambulance to the nearest emergency department. If symptoms develop after you leave the clinic, call 9-1-1 or the local emergency number.

It is important to always report serious or unexpected reactions to your health care provider.

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The Shingles Vaccination And Costs

The first shingles vaccine, Zostavax, was introduced in 2006 and contains a much weakened chicken pox virus. This attenuated dose stimulates your immune system to continue fighting the latent virus, keeping it dormant in your nerve tissue. The vaccine is FDA-approved for people over the age of 50, with the CDC recommending vaccination for those age 60 and older.

A new vaccine was introduced in 2017, Shingrix, with a much higher efficacy rate. Shingrix is administered in two shots over a six month period and has the benefit of being 90% effective in preventing shingles.

Insurance coverage and cost vary greatly. Medicare Part D and Medicare Advantage Plans with built-in drug coverage cover the shingles vaccine. Keep in mind that there may be a copay involved or you may have to pay out of pocket and then seek reimbursement. Most private insurance plans cover the shot for beneficiaries who are 60 or older.

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Tetanus Diphtheria And Pertussis

The tetanus, diphtheria, and pertussis vaccine combined is recommended if you have not received a tetanus shot in the last 10 years or have only had the tetanus and diphtheria combined vaccine and not the Tdap in the past.

Tetanus is caused by a bacteria in soil, dirt and manure and can impair the nervous system. Diphtheria is caused by a bacteria that attaches to the lining of the respiratory system, which causes difficulty breathing and swallowing and can get into the bloodstream and damage the heart, kidneys and nerves. Pertussis can be a very serious disease, especially for vulnerable populations, such as infants, young children and older adults. Pertussis causes coughing fits due to the bacteria attaching to the lining of the upper respiratory system.

The vaccine is greater than 95 percent effective in preventing tetanus and diphtheria and 70 percent effective in preventing pertussis. You can get this vaccine from your health care provider.

Does The Vaccine Work

Who Should Get the New Shingles Vaccine?

In December 2017 Public Health England published an evaluation of the first three years of the shingles vaccination programme in England . This showed that the shingles vaccine was 62% effective against shingles and 70 to 88% effective against post-herpetic neuralgia in this period. Public Health England estimates that there were 17000 fewer GP consultations for shingles than expected in this 3-year period.

In the early 2000s researchers carried out a very large study of Zostavax, the shingles vaccine used in the UK, involving over 38,000 adults aged 60 or older. The results showed that:

  • In adults aged between 60 and 70, the vaccine reduced the number of cases of shingles by 51.3%
  • In adults aged over 70, the vaccine reduced the number of cases of shingles by 38%
  • The vaccine reduced the incidence of post-herpetic neuralgia by over 66% in all age groups
  • For those who did get shingles, the vaccine reduced the severity of the disease.

Read the abstract of this study , published in 2005 by Oxman et al.

Adults aged 80 or over are not offered the shingles vaccine. This is because the effectiveness of the vaccine declines with age in older age groups.

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What Is The Brand Name Of The Shingles Vaccine

There are 2 shingles vaccines used in the UK:

  • Zostavax, a live vaccine given as 1 dose
  • Shingrix, a non-live vaccine given as 2 doses, 2 months apart

Most people will have the Zostavax vaccine. The Shingrix vaccine is recommended if Zostavax is not suitable for you, for example if you have a condition that affects your immune system.

You can read more about the shingles vaccines in the patient information leaflets:

Which Vaccines Do Older Adults Need

As you get older, a health care provider may recommend vaccinations, also known as shots or immunizations, to help prevent certain illnesses.

Talk with a doctor or pharmacist about which of the following vaccines you need. Make sure to protect yourself as much as possible by keeping your vaccinations up to date.

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Talk With Your Health Care Provider

Tell your vaccine provider if the person getting the vaccine:

  • Has had an allergic reaction after a previous dose of live shingles vaccine or varicella vaccine, or has any severe, life-threatening allergies.
  • Has a weakened immune system.
  • Is pregnant or thinks she might be pregnant.
  • Is currently experiencing an episode of shingles.

In some cases, your health care provider may decide to postpone shingles vaccination to a future visit.

People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting live shingles vaccine.

Your health care provider can give you more information.

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When Should You Get Vaccinated Against Shingles

What vaccines should senior citizens get?  Summer Setting

Most people should be vaccinated against shingles at ages 50 and over. People ages 18 and over who have health conditions or take medications that can weaken the immune system should consider getting the shingles vaccine before age 50.

For people receiving the vaccine at ages 50 and over, there is no particular time and no maximum age when you should be vaccinated.

Vaccination against shingles can be done on its own or alongside other vaccinations, like for the flu or pneumonia. Generally, the vaccine is given in two doses, with the second dose given 2 to 6 months after the first dose.

For people who are receiving the shingles vaccine because of an immune deficiency, the second dose can be given sooner: 1 to 2 months after the first dose.

In this case, if possible, shingles vaccination should be timed with your immune response. This could mean waiting until after a flare-up of your condition has subsided or getting the vaccine before you receive certain immune-suppressing medications.

7 years and remains effective afterward.

Speak with a doctor about how often you should be vaccinated for shingles based on your specific immune system and health concerns.

The shingles vaccine that is currently available in the United States was introduced in 2017, so you may have questions about it. Below are answers to some of the most common questions.

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How Effective Is The Shingles Vaccine In Preventing Shingles

The shingles vaccine can provide strong protection against shingles and postherpetic neuralgia , the most commonly occurring shingles complication.

The shingles vaccine is 97% effective in preventing shingles in people ages 50 to 69 years old. Its 91% effective in people ages 70 years and older.

In addition, the shingles vaccine is 91% effective in preventing PHN in people ages 50 to 69 years old. Its 89% effective in people ages 70 years and older.

Can Shingles Be Prevented With A Vaccine

In May 2006, the U.S. Food and Drug Administration approved the first vaccine for adult shingles. The vaccine known as Zostavax is approved for use in adults ages 50 and over who have had chickenpox. The U.S. Centers for Disease Control and Prevention recommends the vaccine for people 60 years of age and over who have had chickenpox. It is a onetime injection that does not need to be repeated. The shingles vaccine contains a booster dose of the chickenpox vaccine usually given to children. Tests over an initial four-year period showed that the vaccine significantly reduced the incidence of shingles in these older adults. The single-dose vaccine was shown to be more than 60% effective in reducing shinglessymptoms, and it reduced the incidence of postherpetic neuralgia by at least two-thirds. Studies are ongoing to evaluate the effectiveness of the vaccine over a longer term. Even if you already have had shingles, you can still have the vaccine to help prevent future outbreaks.

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Why Can’t You Get The Shingles Vaccine Before 50

  • Why Can’t You Get the Shingles Vaccine Before 50? Topic Guide
  • Shingles is a painful belt-like patterned rash caused by varicella-zoster virus . Shingles is more common in adults over 50 years of age and in people with conditions that weaken the immune system.

    The varicella-zoster virus is a type of herpesvirus. Other herpesviruses include the herpes simplex virus, which causes cold sores and genital herpes.

    The shingles vaccine is available for adults 50 years and older to reduce the chance of developing shingles. Shingrix requires two doses administered two to six months apart. The two doses of Shingrix are more than 90% effective at preventing shingles and postherpetic neuralgia. Protection from the Shingrix shingles vaccine stays above 85% for at least four years after vaccination.

    The Shingrix shingles vaccine is not approved by the Food and Drug Administration for use in people under 50 years of age. However, adults 19 years and older with weakened immune systems may also get two doses of shingles vaccine, due to a higher risk of getting shingles and related complications.

    The vaccine has only been tested in adults 50 years and older and The Advisory Committee on Immunization Practices , a committee that is part of the Centers for Disease Control , does not recommend zoster vaccination for people younger than age 50 years regardless of their history of shingles.

    Tetanus Diphtheria And Pertussis Vaccines

    Should you get the new vaccine for shingles?

    Tetanus, diphtheria, and pertussis are diseases caused by bacteria that can lead to serious illness and death.

    • Tetanus is caused by bacteria found in soil, dust, and manure. It can enter the body through a deep cut or burn.
    • Diphtheria is a serious illness that can affect the tonsils, throat, nose, or skin. It can spread from person to person.
    • Pertussis, also known as whooping cough, causes uncontrollable, violent coughing fits that make it hard to breathe. It can spread from person to person.

    Getting vaccinated is the best way to prevent tetanus, diphtheria, and pertussis. Most people get vaccinated as children, but you also need booster shots as you get older to stay protected against these diseases. The CDC recommends that adults get a Tdap or Td booster shot every 10 years. Ask a health care provider when you need your booster shot.

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    Why More Adults Arent Getting The Super

    Despite such impressive results, only about 35 percent of adults 60 and older reported receiving the shingles vaccine in 2018. Whats behind the hesitation? A couple of things. First, says Kristin Christensen, M.D., an internal medicine specialist affiliated with Penn Medicine, in Radnor, Pennsylvania, some of us dont take shingles as seriously as we should: People think, If its not going to kill me I dont need it, without realizing that singles can be incapacitating, causing severe pain that can really limit peoples functioning.

    Whats more, difficulty in getting the vaccine may have discouraged those who sought out the vaccine earlier on. The company that makes the vaccine couldnt keep up with the initial demand, resulting in long waiting lists at pharmacies that dispensed the vaccines.

    Then theres the hit to your wallet. Shingrix costs on average about $195 per injection, and two injections are required. But unlike the flu and pneumonia vaccines, which are fully covered as preventive services under Medicare Part B, the shingles shot falls under the prescription drug plan under Medicare Part D. Depending on your plan, even after youve met your annual deductible youll likely end up shelling out money for it. If youre between the ages of 50 and 65, and covered by a private health insurance, ask your doctor about getting your vaccine now, while youve got good coverage, Schaffner suggests.

    On Mixing And Matching Covid

    This is different from getting multiple vaccines in the same sitting.

    “If you are in a location and can get your third shot or Covid-19 booster, and the type you received for your first two shots in the series is not available, it’s reasonable to receive the other type as a booster,” Dr. Sobhanie says.

    This only applies to the Pfizer and Moderna mRNA Covid-19 vaccines.

    Heres what doctors want you to know about Covid booster side effects

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    How Can I Get The Shingles Vaccine

    You can buy the shingles vaccine at most pharmacies and travel clinics. Shingrix® is given as a series of 2 doses, 2 to 6 months apart, and costs about $150/dose. Zostavax® II is given as 1 dose and costs about $200. Some health insurance plans may cover the cost of the vaccine check with your provider.

    If you buy the vaccine at a travel clinic, a doctor or nurse on site will be able to immunize you. Most pharmacists in B.C. are also able to immunize.

    If you want to be immunized by your doctor, find out if they have a supply of the shingles vaccine.

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