Thursday, February 29, 2024

When Can I Get My Second Shingles Vaccine

How Long After Ive Received The Shingles Vaccine Am I Contagious

Yes, you can get the shingles vaccine after getting your COVID vaccine

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.

Why Do I Need Two Doses Of Shingrix

In addition to a painful rash, shingles can lead to serious health complications like PHN, pneumonia, vision loss, hearing problems, and encephalitis . Research indicates that about 1% to 4% of people with shingles will be hospitalized.

Two doses of Shingrix offer effective protection against shingles and related complications for at least seven years. Among healthy adults ages 50-69, Shingrix is more than 90% effective in preventing PHN when two doses are administered. Among adults ages 70 and older, it is 89% effective.

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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Administration With Other Vaccines

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.

Is It Possible To Get Shingles Twice

National Shortage of Shingrix (Shingles Vaccine)

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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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.

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I Received The Chickenpox Vaccine Can I Still Get Shingles

Chickenpox vaccine became widely available in the United States in 1995 and, since then, most children receive it as part of their routine vaccination schedule.

However, even vaccinated individuals can get chickenpox and subsequently shingles later in life due to waning immunity over time. In fact, research data actually shows that cases of shingles are increasing worldwide even though vaccination rates are also on the rise.

There are two possible reasons for this, says Dr. Kumar. First and foremost, people are living longer and as we age, our immune systems become less effective, leaving us more vulnerable to viral infections like shingles. Secondly, advances in immunosuppressant treatments for certain conditions are artificially suppressing the immune systems in people of all ages, also leaving them vulnerable, he adds.

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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 . It’s 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.

Who Should Not Get The Shingles Vaccine

New shingles vaccine – if you’re a boomer, you need to take it

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.

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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:

Shingrix Shingles Vaccine: Side Effects Shortages Age And More

Americans seem to have a love-hate relationship with the new shingles vaccine.

Love, because Shingrix which offers much better protection against the painful rash than its predecessor Zostavax is so popular that there are shortages of the vaccine.

Hate, because people are also complaining the shot is painful and comes with unpleasant side effects.

My arm feels like Mike Tyson punched it 9 times, one man tweeted last month after getting the new vaccine.

Today, I got the shingles vaccination. Now my left arm hurts so much, a woman tweeted this week.

The Shingles vaccine is 97% effective, which is awesome. The side effects are killing me, which sucks . Still better than getting Shingles by a

Others complained of fever, muscle aches, feeling lousy & virusy and suffering like Ive been hit by a Mack truck.

Its not their imagination.

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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 .

Who Should Get The Shingles Vaccine

GSK Shingles Vaccine

The CDC recommends it for healthy adults over the age of 50, but the FDA has approved Shingrix for people 18 and older who are or who will be at increased risk of shingles due to immunodeficiency or immunosuppression caused by known disease or therapy. This includes those who have already had shingles, which you can have more than once. Vaccination lowers the chances of a second round of the painful rash and of a serious outbreak and complications, Kistler says.

Thatâs why Duncan Isley, who had shingles at 45, recently got vaccinated. The outbreak he had was âfairly mildâ compared with the stories heâs heard from others. But itâs something he doesnât want to repeat.

âI had the classic torso rash and back pain. It was a very painful experience to be sure, and I still have some lingering, minor nerve sensations from time to time,â says Isley, who is now 53 and lives in Durham, NC. âI tell my close friends they should get vaccinated.â

You should also get vaccinated with Shingrix if you got an older shingles vaccine called Zostavax, which was withdrawn from the market in 2020. Zostavaxâs protection wears off with time, says Kathleen Dooling, MD, MPH, a medical officer and shingles disease expert at the CDC.

In the first year after vaccination, Zostavax prevented shingles about 60% of the time. âThat decreases in subsequent years, so that after a number of years itâs not clear that the vaccine is providing any protection,â she says.

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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.

What Are The Side Effects Of The Shingles Vaccine

Most side effects of the shingles vaccine are mild and typically last only 2 to 3 days.

One of the most common side effects of the shingles vaccine is an injection site reaction. This can include redness, swelling, or soreness where you got your shot.

Other side effects can include:

  • muscle aches and pains

Side effects felt throughout your body are typically more common after receiving the second and booster doses of the COVID-19 vaccine. Like the shingles vaccine, COVID-19 vaccine side effects typically last only a couple of days.

When COVID-19 and flu circulate at the same time, it has the potential to cause many people to become ill and overburden the healthcare system. As such, its essential to receive both COVID-19 and flu vaccines.

Its safe to receive your COVID-19 and flu vaccine at the same time.

Though were still learning more about giving the COVID-19 vaccine with other vaccines, a found no safety concerns when the COVID-19 and flu vaccine were given at the same time. Also, participants produced expected antibody responses to both vaccines.

The CDC that all people ages 6 months and older get a flu vaccine. The flu vaccine can help prevent illness and reduce the risk of serious flu-related complications in vulnerable individuals, such as:

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What If There Is A Serious Problem

An allergic reaction could occur after the vaccinated person leaves the clinic. If you see signs of a severe allergic reaction , call 9-1-1 and get the person to the nearest hospital.

For other signs that concern you, call your health care provider.

Adverse reactions should be reported to the Vaccine Adverse Event Reporting System . Your health care provider will usually file this report, or you can do it yourself. Visit the VAERS website at www.vaers.hhs.gov or call 1-800-822-7967.VAERS is only for reporting reactions, and VAERS staff do not give medical advice.

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How Many Doses Of The Vaccine Do I Need

Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health

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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For The Best Vaccine Experience Go Into It With Doctor

by Health Writer

If you havent gotten shingles yet, consider yourself very lucky. Caused by the varicella-zoster virus, the same virus responsible for chickenpox, shingles can produce some nasty symptomsnamely burning or shooting pain that can be mild or severe, tingling, and itching, and all not to be outdone by a blistering rash thats usually concentrated on one side of the body and takes about seven-to-10 days to scab over. But thanks to the shingles vaccine, you may never have to worry about experiencing any of the laundry list of symptoms.

The shingles vaccine is the only way to protect against shingles and research shows its super effective. According to the CDC, in adults 50-to-69 years old who got the recommended two doses, Shingrix was 97% effective in preventing shingles. And among adults 70 years and older, Shingrix was 91% effective. Whats more, protection stays above 85% for at least the first four years after getting vaccinated.

To make the needle-in-arm part of the vax a breeze, we asked some experts what people should know and do to prepare for shot days.

Itchy Skin Near The Injection Site

Itchy skin, also called pruritus, can potentially occur near the injection site after receiving Shingrix. Itching, swelling, and redness arent usually a huge cause for concern, as they often occur together as a localized reaction.

Applying Benadryl gel or hydrocortisone cream around the injection area can help reduce itchy, swollen, or red skin. If the itching worsens or spreads away from the injection site, get in touch with your doctor.

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Does The Vaccine Lose Effectiveness

It isn’t definitively known if the Shingrix vaccine is less effective if you are late in getting your second dose.

We do know that the second dose of Shingrix is necessary to boost your immune system to the point where it can be most effective in preventing an outbreak of shingles, so you certainly want to keep looking for the second dose and get it as soon as possible.

Most data indicates that there will be minimal if any, loss in efficacy as long as you get your second dose as soon as possible if it has been over 6 months.

However, one study suggests that if you still haven’t received your second dose 12 months after your first dose, it may not be as effective, but again, this isn’t known for sure.

Simply follow the directions per the CDC and keep looking for the second dose to be administered as soon as you can so you can have the most confidence that it will be fully effective.

References

How Do We Know The Vaccine Is Safe

Vaccine can prevent shingles

All medicines are tested for safety and effectiveness by the Medicines and Healthcare Products Regulatory Agency . The shingles vaccine meets the high safety standards required for it to be used in the UK and other European countries. The vaccine has been given to millions of people worldwide.

Once they’re in use, the safety of vaccines continues to be monitored by the MHRA.

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Skipping The Second Dose Of The Shingles Vaccine Might Mean You Have Less Protection Against This Painful Rash

Medically reviewed in March 2021

Shingles is a painful condition, and the effects of it can last for months or even years in some cases. Although there is no cure for shingles once you have it, there is a vaccine that prevents shingles in the first place.

The Centers for Disease Control and Prevention recommends that healthy adults over the age of 50 get the shingles vaccine. This is true even if youve had shingles in the past, or if you were previously vaccinated with the older shingles vaccine.

The shingles vaccine is administered in two separate dosesonce you receive the first dose, the second should be given 2 to 6 months later. After the second dose, the vaccine is more than 90 percent effective at preventing shingles, according to the CDC.

Why the second dose matters The shingles vaccine is designed to be given as two doses, not as one. Despite the effectiveness of the vaccine, some people skip their second dose. Some simply forget to follow up and lose track of the appointment date. Others may skip the second dose due to costdepending on your insurance plan, you may be responsible for a co-pay or deductible fee, or you may need to pay for the second dose out of pocket.

Getting the second dose gives you the full protection the vaccine offers. Below are some ways to make sure you get your second dose.

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