Friday, July 12, 2024

What Is The Cdc Recommendation For Shingles Vaccine

Make A Plan To Get 2 Doses

New CDC guidelines for shingles and pneumonia vaccines
  • You can get Shingrix at your doctors office or pharmacy. Talk to your doctor or pharmacist about getting Shingrix.
  • Plan to get your second dose of Shingrix 2 to 6 months after your first dose.

Five years later, I still take prescription medication for pain. My shingles rash quickly developed into open, oozing sores that in only a few days required me to be hospitalized. I could not eat, sleep, or perform even the most minor tasks. It was totally debilitating. The pain still limits my activity levels to this day.

A 63-year-old harpist who was unable to continue playing due to shingles

What Should Immunocompromised Patients Know

Immunocompromised means that a persons body has:

  • a weakened immune system, and
  • is unable to fight off even a weakened form of a virus.
  • Zostavax is a live virus, which means a weakened form of the shingles virus is injected into a patients body. Since an immunocompromised patient has difficulty combatting weakened forms of a virus, these patients may actually develop shingles.

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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 .

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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.

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    Is Shingles Vaccine Safe And Effective For People With Diabetes

    Errata: Vol. 55, No. RR

    Yes, the shingles vaccine is safe and effective for people with diabetes. Vaccines must pass rigorous development and testing procedures to demonstrate their safety for authorized use in the United States.

    The Centers for Disease Control and Prevention recommends that adults age 50 and over get two doses of Shingrix as prescribed to help prevent shingles and its complications. The Advisory Committee on Immunization Practices specifically notes people with type 1 and type 2 diabetes should receive the Shingrix vaccine.

    People 19 and older who are immunocompromised should also get the vaccine. This may include people living with diabetes. If you are younger than 50, talk with a healthcare provider about whether you should get the shingles vaccine.

    In healthy people over age 50, the shingles vaccine is more than 90% effective at preventing shingles and postherpetic neuralgia. In immunocompromised individuals, a 2022 study found that Shingrix had a 64.1% effectiveness rate at preventing shingles.

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    Who Should Get Zostavax

    People 60 years of age or older should get shingles vaccine . They should get the vaccine whether or not they recall having had chickenpox, which is caused by the same virus as shingles. Studies show that more than 99% of Americans aged 40 and older have had chickenpox, even if they dont remember getting the disease. There is no maximum age for getting shingles vaccine.

    Two vaccines are licensed and recommended to prevent shingles in the U.S.. Zoster vaccine live has been in use since 2006. Recombinant zoster vaccine , has been in use since 2017 and is recommended by ACIP as the preferred shingles vaccine.

    Even if you have had shingles, you can still receive shingles vaccine to help prevent future occurrences of the disease. There is no specific length of time you must wait after having shingles before receiving shingles vaccine, but generally you should make sure the shingles rash has disappeared before getting vaccinated. The decision on when to get vaccinated should be made with your healthcare provider.

    Talk with your healthcare provider if you have questions about shingles vaccine. Shingles vaccine is available in doctors offices and pharmacies. To find doctors offices or pharmacies near you that offer the vaccine, visit Zostavax or HealthMap Vaccine Finder.

    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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    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.

    Counseling Patients About Shingrix

    Dr. Sandra Lealâs Shingles Vaccine Recommendation to Diabetic Adults

    Know the benefits and side effects of Shingrix so youre prepared to talk with your patients before administering the vaccine.

    What to tell patients about Shingrix benefits:

    • You can protect yourself against shingles. Shingles is a very painful disease, and your risk of getting it increases as you age. Also, you are more likely to have severe, long-term pain if you get shingles when you are older. About 1 out of every 3 people in the United States will develop shingles in their lifetime.
    • Shingrix provides strong protection against shingles and long-term pain from the disease. Two doses of Shingrix are more than 90% effective at preventing shingles. So its very important that you get this vaccine.

    What to tell patients about Shingrix side effects:

    What to tell patients about dose two:

    • You need to come back in 2 to 6 months for your second dose. We can make that appointment now.
    • Even if you have side effects from the first dose, it is important to get the second dose to build strong protection against shingles. Your reaction to each dose may be different just because you have a reaction to the first dose does not mean that you will have a reaction to the second.

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    Should You Get Shingrix If You Had The Zostavax Shingles Vaccine

    It is recommended that you get two doses of Shingrix even if you got a different shingles vaccine in the past. Before Shingrix was approved, the Zostavax shingles vaccine was available. It was discontinued in November 2020 as Shingrix is much more effective. If you had the Zostavax vaccine, talk to your healthcare provider about getting Shingrix.

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    Research Into Mrna Vaccines For Shingles

    Several companies are researching the potential use of mRNA vaccines for shingles. Pfizer and BioNTech are partnering on an mRNA shingles vaccine just as they did with vaccines for the flu and COVID-19.

    A major advantage to the technology is the ability to develop new vaccines quickly. The fact that mRNA vaccines are synthetic and dont rely on actual virus particles also means they can be quickly produced in large numbers.

    While the Shingrix vaccination is considered safe, the FDA has confirmed a link between Shingrix and Guillain-Barre Syndrome. Phasing out the old vaccine with the introduction of a new one, as the FDA did when Shingrix replaced Zostavax, might eliminate this potential issue.

    Pfizer and BioNTech hope to begin clinical trials later this year.

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    Who Shouldnt Get The Shingles Vaccine

    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 Brain Damage

    Prevention of Herpes Zoster Recommendations of the Advisory Committee ...

    Brain damage involves the destruction or deterioration of a persons brain cells.5

    Most Zostavax cases involving brain damage pertain to acquired brain injuries. These injuries are associated with pressure on the brain and may result from a neurological illness .6

    Symptoms of brain damage can include:

    • difficulty processing information,
    • sensory problems, and
    • bladder or bowel dysfunction.10

    Treatment typically involves medications and rehabilitative therapy. Most people that suffer from the condition recover at least partially. Severe cases of myelitis can lead to major disabilities.11

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    What Are The Complications Alleged By The Plaintiffs In The Zostavax Lawsuits

    Thousands of Zostavax lawsuits have been filed against the drugs manufacturer Merck & Co Inc. Pharmaceuticals since 2016. The plaintiffs in these lawsuits allege that, in addition to the above complications, the administration of Zostavax causes:

    • neurological diseases or disorders, like brain inflammation and brain damage,
    • spinal cord inflammation ,
    • stiffness in the neck and back.3

    Encephalitis can be very serious. In extreme cases, it can cause brain damage and death.

    Further, treatment of the affliction can be difficult. Patients require extensive care with ongoing monitoring of their heart and respiratory system. Treatment also involves precise management of a persons fluid and electrolyte balances.4

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    Are There Any Complications Associated With Copd Without Vaccination

    If you have COPD, getting a respiratory infection can make your symptoms worse. This is called COPD exacerbation and can make it much harder for you to breathe.

    COPD exacerbations can sometimes be treated at home. But people with more severe COPD may need to be hospitalized. This can involve the use of oxygen therapy or mechanical ventilation to help your body get enough oxygen.

    Some other potential complications that can happen due to respiratory infections in people with COPD include:

    • Pneumonia.Pneumonia is an infection that causes the air sacs in the lungs to swell or fill with liquid.
    • Pleural effusion.Pleural effusion is a buildup of fluid in the tissues between the lungs and the chest wall.
    • Lung abscess. A lung abscess is a pocket of pus that forms in your lungs, often due to a bacterial infection.
    • is a life threatening bodily response to an infection.
    • Respiratory failure. With respiratory failure, your lungs cannot get enough oxygen to your blood or cannot remove enough carbon dioxide from the blood.

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    Vaccination Of Immunocompromised Adults 19 Years And Older

    CDC recommends two doses of RZV for the prevention of shingles and related complications in adults aged 19 years who are or will be immunodeficient or immunosuppressed because of disease or therapy. The second dose of RZV should typically be given 26 months after the first. 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. For more detailed clinical guidance see .

    Shingles Vaccine Lawsuit Update

    October 2013 ACIP Meeting — Herpes Zoster Vaccine (HZV)

    Our law firm is handling Zostavax and Shingrix vaccine lawsuits. These vaccines were intended for the prevention of herpes zoster which is more commonly known as the shingles virus.

    These herpes lawsuits allege that the shingles vaccine was unsafe for patients. The key injury, incredibly, is that the Zostavax shingles vaccine causes shingles and zoster-related injuries. So the very thing meant to protect them against shingles actually caused shingles.

    The Zostavax shingles suits make a lot of allegations against Merck. Many of the extraneous claims have already been dismissed. Lawyers make a lot of claims when they file lawsuits like this, sometimes too many. But the core of it is plaintiffs attorneys allege that Merck knew or should have known of the risks and reactions associated with their product.

    Because Merck knew of the risks, it had a legal obligation to provide warnings. These should have fairly and accurately depicted the severity of the risks associated with the Zostavax. This is particularly true because there were better options available than Zostavax on the market.

    The Shingles Virus The New Jersey Lawsuit

    This lawsuit filed in New Jersey alleges that nearly 1,000 victims took Zostavax vaccine to avoid shingles, but instead developed a recurring strain of herpes zoster, which is more difficult to treat than usual.

    Zostavax MDL Update

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    Whos 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 .

    Can You Get Shingles After Youve Been Vaccinated

    While the shingles vaccine is highly effective, some people can still get shingles. However, people who do get shingles after getting the shingles vaccine usually have milder symptoms and a shorter illness. Youll also be less likely to have complications from shingles, including postherpetic neuralgia.

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    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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