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Is The Second Shingles Shot Worse

Side Effects Of Shingles Vaccine

VERIFY: Are side effects from the second vaccine dose worse than the first dose?

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.

Know The Benefits And The Side Effects

Shingrix is more than 90% effective at preventing shingles and long-term nerve pain. You may experience some short-term side effects because Shingrix causes a strong response in your immune system.

After getting Shingrix:

  • Most people had a sore arm.
  • Many people had redness and swelling where they got the shot .
  • Many felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea.

About 1 out of 6 people who got Shingrix experienced side effects that prevented them from doing regular activities like yardwork or swimming. Side effects usually go away after 2 to 3 days. Remember that the pain from shingles can last a lifetime, and these side effects should only last a few days.

A New Shingles Vaccine

  • U.S. News & World Report

If youre 50 or older, you’re advised to get immunized to protect yourself from shingles. If the new shingles vaccine made you feel worse than you expected, you’re not alone. Skin rash, joint pain, flu-like symptoms, headaches and fatigue are some complaints from patients who’ve had the recently approved Shingrix vaccine. Side effects can last two or three days, and the injection site in the upper arm can hurt. “Part of the problem is that health care providers may not have fully understood the instructions of administration,” said Talia Swartz, MD, PhD, assistant professor of medicine and infectious diseases at the Icahn School of Medicine at Mount Sinai. Providers can refer to the website of Shingrix manufacturer GSK for complete administration instructions for this relatively unfamiliar vaccine, Dr. Swartz suggested. “As providers are more comfortable with it, I believe the administration errors would be expected to be reduced,” she said.

– Talia Swartz, MD, PhD, Assistant Professor, Medicine, Infectious Diseases, Icahn School of Medicine at Mount Sinai

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Coverage And Cost Comparison Of Shingrix Vs Zostavax

For adults aged 50 years and older, only plans with Medicare Part D coverage will cover the Shingrix vaccine. However, there may still be a copay even with Medicare Part D coverage. The average cash price for one Shingrix dose is $167, though you may be able to use a prescription discount card to lower this cost. Check with your local pharmacy to see if you can use a Shingrix SingleCare card.

Like Shingrix, Zostavax is primarily covered by Medicare Part D plans or Medicare Advantage plans with Medicare Part D coverage. The copay for Zostavax with insurance can vary. With an average cash price of $278, Zostavax can be expensive with or without insurance. Using a prescription discount card for Zostavax may be able to reduce this cost.

*

*not reportedFrequency is not based on data from a head-to-head trial. This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more.Source: DailyMed , DailyMed

What To Know About Myocarditis

Shingles and Shingrix

While rare, cases of myocarditis or inflammation of the heart muscle and pericarditis inflammation in the sac that surrounds the heart have been reported in adolescents and young adults who have had the Pfizer or Moderna vaccines. Cases typically resolve on their own with care, and health officials say the benefits of the vaccine far outweigh the known risks, especially since a viral infection like COVID-19 can also cause myocarditis.

Myocarditis and pericarditis have the following symptoms:

  • Shortness of breath
  • Feelings of having a fast-beating, fluttering or pounding heart

Seek medical care if you or your child has any of these symptoms. Patients can usually return to their normal daily activities after their symptoms improve, the CDC says.

Rachel Nania writes about health care and health policy for AARP. Previously she was a reporter and editor for WTOP Radio in Washington, D.C. A recipient of a Gracie Award and a regional Edward R. Murrow Award, she also participated in a dementia fellowship with the National Press Foundation.

Editor’s Note: This story, originally published Sept. 24, has been updated to reflect new information.

More on Vaccines

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Know Your Risk Of Getting Shingles And Complications

About 1 out of every 3 people in the United States will develop shingles during their lifetime.

If youve had chickenpox, you are at risk for shingles. More than 99% of Americans born before 1980 have had chickenpox, even if they dont remember it.

Your risk of getting shingles and having serious complications increases as you get older.

About 1 in 10 people who get shingles develop nerve pain that lasts for months or years after the rash goes away. This is called postherpetic neuralgia and is the most common complication of shingles.

Shingles may lead to other serious complications involving the eye, including blindness. Very rarely, it can also lead to pneumonia, hearing problems, brain inflammation or death.

Should You Get A Flu Shot

In general, every person with diabetes needs a flu shot each year. Talk with your doctor about having a flu shot. Flu shots do not give 100% protection, but they do make it less likely for you to catch the flu for about six months.

For extra safety, its a good idea for the people you live with or spend a lot of time with to get a flu shot, too. You are less likely to get the flu if the people around you dont have it.

The best time to get your flu shot is beginning in September. The shot takes about two weeks to take effect.

If youre sick , ask if you should wait until you are healthy again before having your flu shot. And dont get a flu shot if you are allergic to eggs.

You are advised to continue to take the general precautions of preventing seasonal flu and other communicable illnesses and diseases:

  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash. If you dont have a tissue, cough or sneeze into your elbow, not your hand.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
  • Avoid touching your eyes, nose, or mouth. Germs spread that way.
  • Try to avoid close contact with sick people.
  • If you get sick, stay home from work or school and limit contact with others to keep from infecting them.

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How Does The Shingles Vaccine Work

The vaccine recommended for most people is a live vaccine called Zostavax. It contains a weakened chickenpox virus . Its similar, but not identical, to the chickenpox vaccine.

People with a weakened immune system cannot have live vaccines. They will be offered a non-live vaccine called Shingrix. It activates the immune system but also contains an ingredient called an adjuvant, which helps to boost the response to the vaccine.

Very occasionally, people develop chickenpox following shingles vaccination . Talk to a GP if this happens to you.

Common Questions About The Shingles Vaccine Answered Here

VERIFY: Are side effects from the COVID vaccine worse after second dose?

National Library of Medicine

Heres an interesting email from my friend and ID-colleague Dr. Carlos Del Rio :

Went Tuesday to see my PCP for a routine visit and had my second dose of Shingrix that day. I had gotten my first dose about 3 months ago and had severe chills and even a fever of 38.5 after the first dose. With the second dose the response was not as severe but did have chills and rigors for about 18 hrs. Stupid of me, but the next day I went to get my labs checked, and everything was fine except my HS-CRP which was 14.72 .

Anyway..Shingrix is a good vaccine but it is a tough one to take and really gives you a nice TNF storm!

For the few of you out there in ID-World who dont know him, you must understand it takes quite the force to slow down the high-energy machine that is Carlos. He is the very definition of indefatigable. So its not surprising he told me he went to work after both shots, rigors and all.

But Carlos post-shingles vaccine experience reminds me that were now two years into the recombinant zoster vaccine era, and that immunization for this common adult infection shingles, or zoster has brought with it all sorts of new questions.

So here are a bunch of common ones we ID doctors field on a regular basis:

But lets go back to Carlos for a moment, and how these side effects he experienced compare to herpes zoster:

And to be clear, Shingrix side effects way milder than having shingles!

And look, my colleagues agree:

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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.

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 youve 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.

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Is The Shingles Vaccine Safe

The FDA have approved the use of both shingles vaccines in healthy adults over the age of 50.

However, there are some instances in which a person should not get either vaccine â if they are pregnant or breastfeeding, allergic to any ingredient in the vaccine, or have a weakened immune system, for example.

Who Shouldnt Get The Shingles Vaccine

Yes? : shingles

There are a few situations in which shingles vaccination may not be right for you. You should not get Shingrix if youâve ever had a severe reaction to a vaccine. This means you had trouble breathing or swelling in your mouth or airway, a life-threatening condition called anaphylaxis.

You should also skip Shingrix if:

  • You have allergies to any parts of the vaccine. These include gelatin and the antibiotic neomycin. If you have other allergies, tell your doctor or pharmacist about them before you get Shingrix.
  • You currently have shingles or another illness. You can get the vaccine when youâre well.
  • You are pregnant or breastfeeding. You should wait until youâve stopped breastfeeding to get vaccinated.
  • You happened to test negative for VZV, the virus that causes chickenpox. If youâre older than 50, you probably had chickenpox even if you donât remember it. The CDC does not recommend testing for this. However, if a blood test shows youâve never had the childhood illness, you should get the chickenpox vaccine instead.

If you have a disease or take medications that affect your immune system, talk to your doctor about the pros and cons of Shingrix.

âItâs an individualized decision based on factors such as the specific medications and conditions of the person sitting in front of you,â Kistler says. She often consults with her patientsâ specialist doctors to make decisions about Shingrix.

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What Is Shingles / Herpes Zoster

  • Shingles, also known as herpes zoster, is caused by the same virus as chickenpox. After chickenpox blisters heal, the herpes zoster virus stays, hiding in the bodys nerve cells.
  • The virus may be inactive for many years, but for unknown reasons, it can become active again and cause shingles. It can happen to anyone who has had chickenpox, but the risk increases as you get older, especially if you are over 50 years of age two thirds of shingles cases occur over the age of fifty.
  • Nearly one in three Canadians develops shingles during their lifetime.
  • Shingles causes a painful, blister-like rash that usually appears on one side of the body or face. Up to 4 days before the rash appears, there is often pain, itching or tingling at the site.
  • The blisters scab over in 3 to 5 days and can last for 2 to 4 weeks. You might also have a fever, chills, headache and upset stomach.
  • In addition to the pain from the rash, the underlying nerve pain caused by shingles has been described as burning, throbbing and/or stabbing. It can last for months or years.
  • People with shingles may have other complications, including scarring, bacterial skin infections, weakness, muscle paralysis and loss of hearing and/or vision.

Is There Any Reason I Shouldnt Get It

Only if you have a compromised immune system.

Show Sources

News release, FDA. William Schaffner, MD, president, National Foundation for Infectious Diseases professor, chairman, department of preventive medicine professor of medicine, division of infectious diseases, Vanderbilt University School of Medicine.

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Pain At Injection Site

Pain at the injection site is a common side effect of many vaccines, including Shingrix. This pain is generally mild but can feel like anything from slight discomfort to deep bruising. In some cases, injection site pain can be severe enough to limit arm movement.

To ease this discomfort, you can apply cold packs to the affected area for 20 minutes at a time.

If these arent effective, over-the-counter pain remedies may help. However, if you have injection site pain that is severe or lasts longer than 2 to 3 days, follow up with your doctor.

Administration With Other Vaccines

Why are side effects worse after the 2nd COVID-19 vaccine dose?

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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Long Term Side Effects

In rare cases, the live shingles vaccine, Zostavax, can cause a skin rash or shingles.

The rash that occurs with shingles can affect any area of the body, but it often appears as a line of blisters that wraps around the torso.

Within a few days the blisters cluster, and they continue to form for several more days. The blisters can take 2â3 weeks to heal, according to the American Academy of Dermatology.

Other common symptoms of shingles include:

two shingles vaccines for adults: the recombinant zoster vaccine and the zoster virus vaccine .

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