Tuesday, May 21, 2024

How To Administer Shingles Vaccine

Can The Shingles Shot Cause Guillain

New Shingles Vaccine

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.

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.

For more information, refer to Immunization of Immunocompromised Persons, and Immunization of Persons with Chronic Diseases in Part 3.

Who Should Get Shingrix

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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Who Should Not Get The Shingles Vaccine

Some people shouldnt get the shingles vaccine. These people include those:

  • Who currently have shingles.
  • Who have had a severe allergic reaction to the shingles vaccine in the past.
  • Who have tested negative for immunity to the varicella-zoster virus, meaning youve never had chickenpox. If youve never had chickenpox, you should get the chickenpox vaccine.
  • Who are ill. You should wait until your illness has passed before receiving the shingles vaccine.
  • Who are pregnant or breastfeeding.

What Is The Shingles Vaccine

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The shingles vaccine can protect you against shingles and postherpetic neuralgia , which is the most common complication of shingles. Shingles is a painful rash caused by the varicella-zoster virus, the same virus that causes chickenpox. The rash usually develops on one side of your body or face. It starts with red bumps and then the bumps turn into fluid-filled blisters.

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How Is Shingles Spread

You do not “catch” shingles it comes on when there’s a reawakening of chickenpox virus that’s already in your body. The virus can be reactivated because of a range of issues, including advancing age, medicine, illness or stress.

Anyone who has had chickenpox can get shingles. It’s estimated that around 1 in 5 people who have had chickenpox go on to develop shingles.

Read more about the causes of shingles.

Is It Possible To Get Shingles Twice

Most people who get shingles only experience it one time in their lives. However, it is possible to get shingles more than once . This is known as recurrent shingles. Getting vaccinated can help minimize the chance that this will happen.

These are only a few of the many questions people may have about Shingrix. To learn more about the vaccine and shingles, individuals can consult a medical professional.

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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?

How Long After Ive Received The Shingles Vaccine Am I Contagious

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

With the currently authorized shingles vaccine, Shingrix, you wont be contagious. The old vaccine, Zostavax, used a weakened form of the live varicella-zoster virus. Therefore, people worried about spreading the disease to the people around them.

Shingrix doesnt use a live version of the varicella-zoster virus. It is inactivated, which means it uses a dead version of the virus. Therefore, you have no risk of transmitting the disease to anyone.

A note from Cleveland Clinic

No one likes to get shots, especially for something youve already been vaccinated for. But the newer version of the shingles vaccine is one youll want to offer up your arm for. The Shingrix vaccine is more than 90% effective at helping you prevent shingles. Since most of us have had chickenpox in the past, the shingles vaccine is an easy way to prevent the dormant chickenpox virus from creeping up and hitting you again with shingles.

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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:

Who Is Eligible For The Vaccine

People aged 70 years of age are eligible for the vaccine.

The vaccine is also available for those previously eligible but who missed immunisation. For example, anyone in their 70s who has not yet had the vaccine.

You become eligible for the shingles vaccine as you turn 70 and remain eligible up to the age of 79.

People under 70 years of age are at lower risk of shingles but will become eligible for the vaccine when they turn 70. People aged 80 years and over are not eligible for the shingles vaccination because the vaccine becomes less effective as people get older. If you are worried about shingles speak to your GP.

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Vaccination Of People 50 Through 59 Years Old

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.

Administration With Other Vaccines

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CDC general recommendations advise that recombinant and adjuvanted vaccines, such as Shingrix, can be administered concomitantly, at different anatomic sites, with other adult vaccines, including COVID-19 vaccines. Concomitant administration of Shingrix with Fluarix Quadrivalent , 23-valent pneumococcal polysaccharide vaccine and Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed , and 13-valent pneumococcal conjugate vaccine has been studied, and there was no evidence for interference in the immune response to either vaccine or safety concerns. Coadministration of Shingrix with adjuvanted influenza vaccine and COVID-19 vaccines is being studied.

Shingrix and pneumococcal vaccine can be administered at the same visit if the person is eligible for both. When both pneumococcal conjugate vaccine PCV13 and PPSV23 are recommended for an adult, PCV13 should always be administered first and can be administered concomitantly with Shingrix.

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Dose Route Of Administration And Schedule

Live attenuated zoster vaccine

Dose

Each dose is 0.65 mL .

Route of administration

Each dose is 0.5 mL .

Route of administration

Intramuscular, into the deltoid region of the upper arm.

Administration of the RZV as a subcutaneous injection is a vaccine administration error and should be avoided. However, if Shingrix is inadvertently administered subcutaneously, that dose will be considered as valid in the vaccine series. The second dose will be given as per vaccine schedule.

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

Schedule

2 doses, 2 to 6 months apart. A 0,12 months schedule may be considered for improved adherence to the 2nd dose .

Providers should consider different strategies to promote adherence to the two dose schedule for RZV .

Who Can Give The Vaccine

There is not much you need to do to prepare to get a shingles vaccine. You dont even necessarily need an appointment.

A doctor can schedule a time to give you the vaccine, but licensed pharmacists are also allowed to administer it. Some pharmacies offer shingles vaccines on a walk-in basis. Check with your healthcare professional or pharmacy to be sure.

Whether youve made an appointment or walked into a pharmacy for vaccination, the next steps are simple.

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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.

When Should You Get Immunised Against Shingles

Video: Shingles Vaccine Again?

Anyone aged 60 years and over who wants to protect themselves against shingles can talk to their doctor about getting immunised.

Shingles immunisation is recommended for:

  • adults aged 60 years and over who have not previously received zoster vaccine
  • adults aged 70 years to 79 years, for free under the National Immunisation Program
  • adults aged 50 or over who live in the same household as someone who has a weakened immune system.

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When Should You Get Vaccinated Against Shingles

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.

What Should You Do If You Have Shingles

These simple steps can help you reduce the severity and spread of shingles:

  • Cover the rash at all times
  • Do not touch or scratch the rash
  • Wash hands often to prevent the spread of the virus
  • Before the rash develops crusts, avoid contact with:
  • pregnant women who have never had chickenpox or been vaccinated against it
  • premature or low birth-weight infants
  • people with weakened immune systems including those receiving immunosuppressive medications or undergoing chemotherapy, organ transplant recipients, and people with HIV.

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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.

Rare Side Effects Of The Shingles Vaccine

Protect yourself from shingles and flu  get both vaccines on same day ...

In rare cases, a severe allergic reaction called anaphylaxis may occur. This can be a life-threatening emergency and requires immediate medical attention.

Symptoms of anaphylaxis after receiving the shingles vaccine include:

Typically, these side effects appear immediately or within a few minutes of vaccination your vaccination provider may be present. If you experience them after leaving the office, call 911.

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What Are The Symptoms Of Shingles

Shingles is a painful rash that develops on one side of the face or body. The rash forms blisters that typically scab over in 7-10 days. Shingles typically takes 2-4 weeks to clear up.

People often feel pain, itching, or tingling in the area 1-5 days before the rash appears.

Most commonly, shingles forms a single stripe of rash on either the left or right hemisphere of the body. Occasionally, the rash occurs on one side of the face. Less commonly, the rash looks similar to chickenpox and is spread more liberally . Shingles can sometimes affect the eyes and cause loss of vision.

Other symptoms of shingles can include fever, headache, chills and upset stomach.

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.

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How Is Shingrix Given

Shingrix is given as an injection into a muscle. A healthcare provider will give you this injection.

Shingrix is usually given in a series of 2 shots:

  • the second shot may be given any time within 2 to 6 months after the first shot.

  • for people who have a weak immune system, the second shot may be given any time within 1 to 2 months after the first shot.

You may receive this vaccine at the same time that you get a flu shot.

Read all patient information, medication guides, and instruction sheets provided to you. Ask your doctor or pharmacist if you have any questions.

How Do You Get Immunised Against Shingles

Shingles Vaccine

You can only get the shingles vaccine on its own, not as a combination vaccine. It is given as a needle.

Shingles vaccines include:

Note the Zostavax vaccine contains a small amount of the live virus. Some people may not be able to receive a live vaccine for medical reasons, please discuss with your doctor or immunisation provider for further information.

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Who’s Most At Risk Of Shingles

People tend to get shingles more often as they get older, especially over the age of 70. And the older you are, the worse it can be. The shingles rash can be extremely painful, such that sufferers cannot even bear the feeling of their clothes touching the affected skin.

The pain of shingles can also linger long after the rash has disappeared, even for many years. This lingering pain is called post-herpetic neuralgia .

Shingrix Dosage And Schedule

Shingrix should be administered to immunocompetent adults aged 50 years and older and adults aged 19 years who are or will be immunodeficient or immunosuppressed because of disease or therapy as a two-dose series , 2 to 6 months apart . However, for persons who are or will be immunodeficient or immunosuppressed and who would benefit from completing the series in a shorter period, the second dose can be administered 12 months after the first. See more detailed clinical guidance.

If more than 6 months have elapsed since the first dose of Shingrix, you should administer the second dose as soon as possible. However, you do not need to restart the vaccine series.

If the second dose is given less than 4 weeks after the first dose, the second dose should be considered invalid. A valid second dose should be administered 2 months after the invalid dose .

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