Tuesday, April 9, 2024

When Do You Take The Second Shingles Vaccine

Fever And Feelings Of Malaise

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

Fever is one of the most common side effects of many vaccines, including Shingrix. This symptom often accompanies other feelings of malaise, such as muscle pains, chills, and headaches. A fever indicates that the bodys immune system is doing its job of responding to the vaccine.

Ibuprofen, acetaminophen, and other OTC fever reducers can help keep a fever and many accompanying symptoms at bay. However, if you develop a high-grade fever of 103°F or higher, reach out to your doctor immediately.

When To See A Doctor For The Possible Side Effects Of A Shingle Vaccine

Most side effects of the shingles vaccine will resolve on their own within a few days of vaccination or can be treated with over-the-counter medications like acetaminophen or ibuprofen.

In the rare case that you develop a more serious reaction after vaccination, you should call a doctor or go to a health clinic.

Medical emergency

Its rare but possible to have a serious allergic reaction to a shingles vaccine. Call emergency services or go to the nearest emergency room if you experience the following symptoms after a vaccination:

  • hives

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 .

Also Check: What To Eat If You Have Shingles

What Is The Shingles Vaccine

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.

What Else To Know About The Shingles Vaccine

Shingles vaccination for 70

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:

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How Do I Get The Shingles Vaccination

Once you become eligible for the shingles vaccination, a GP or practice nurse will offer you the vaccine when you attend the surgery for general reasons.

You can have a shingles vaccine at the same time as most other vaccines. But try to leave 7 days between the shingles vaccine and a coronavirus vaccine, so that if you have any side effects you’ll know which vaccine they were from.

If you are worried that you may miss out on the shingles vaccination, contact your GP surgery to arrange an appointment to have the vaccine.

Will There Be Any Side Effects From The Shingles Vaccination

There are 2 shingles vaccines: Zostavax and Shingrix .

With both vaccines it’s quite common to get redness and discomfort at the vaccination site, headaches and fatigue, but these side effects should not last more than a few days. See a GP if you have side effects that last longer than a few days, or if you develop a rash after having the shingles vaccination.

Read more about the shingles vaccine side effects.

Read Also: Why Do You Get The Shingles

Why Is Shingrix Administered In Two Doses

Shingrix is typically given in two doses, usually as a shot to the upper arm.

A 2021 study found that adults over 65 were significantly less likely to develop either shingles or PHN after getting two doses of Shingrix than they were after one dose. Two doses of Shingrix also offered better protection against shingles complications to adults over 80 and immunocompromised adults.

Previously, Zostavax was offered to older and immunocompromised adults to prevent shingles, PHN, and other shingles-related health problems. Zostavax is a live vaccine, which means it contains a weakened version of the herpes zoster virus. Shingrix is a recombinant vaccine, meaning that it uses only a small piece of the virus.

In 2017, the Food and Drug Administration approved Shingrix for the prevention of shingles and related complications. Zostavax is no longer available in the U.S. People who have gotten Zostavax in the past should now get Shingrix.

Studies have shown that Zostavaxa one-dose vaccineis generally less effective than two doses of Shingrix in preventing shingles complications among older and immunocompromised adults. Shingrix currently offers the best chance of protection against shingles, PHN, and shingles-related hospitalization.

Can I Get Shingrix If Ive Never Had Chickenpox

New CDC guidelines for shingles and pneumonia vaccines

If youve never had chickenpox , the CDC recommends that you get the chickenpox vaccine instead of Shingrix. Researchers havent studied Shingrix in people who have never had chickenpox. And Shingrix is not approved for preventing chickenpox.

If you cant recall whether youve had chickenpox, you may need to be screened for it. But this will depend on your age.

Its assumed that people born in the United States and elsewhere before 1980 have been exposed to chickenpox. Therefore, you may be able to receive Shingrix. You should check with your doctor first to make sure.

Recommended Reading: What Antiviral Medication Is Used For Shingles

The Problem With Medical Records Tracking Vaccine Schedules

Another obstacle is the fact that it can be difficult for family physicians to know exactly what vaccinations a patient has received. Unlike pediatric patients, who typically have accessible records of their vaccination schedule, it can be trickier for adults.

For adults, it becomes quite challenging, especially when they switch providers, because often times you have to track down records to find out if theyve been vaccinated, said Jain.

She said it can be complicated to try and decipher which vaccines patients have received and which ones they should get without clear records.

For adults over the age of 65, you want to find out if theyve gotten the two pneumonia vaccinations that are recommended, so it becomes a challenge to find out if theyve gotten both, or just one, she said.

Same thing goes now for the shingles vaccination. Youre kind of tracking down records, and when you dont have them, you have to make a clinical judgment.

Despite these challenges, Jain says the fact that Shingrix is a newly minted vaccination may make things a bit more straightforward.

The nice thing about Shingrix is that its so new, most patients have not gotten it, she said. Even if theyve had Zostavax, its recommended that they get Shingrix in addition to it, so thats a little bit less of a challenge with a new vaccination.

Is The Shingles Vaccine Covered By Insurance

The shingles vaccine may be covered by insurance depending upon the insurance program:

  • Medicare: Medicare Part D covers shingles vaccine expenses, but it depends on the plan. You may need to pay either in part or full and then get it reimbursed. Medicare part B does not cover the vaccine.
  • Medicaid: Medicaid may or may not cover the vaccine. You can find out by contacting your insurer.
  • Private health insurance: Most private health insurance programs cover the shingles vaccine, but you may need to pay some part of the expenses depending on your plan.
  • Vaccine assistance program: Check with the Shingrix manufacturer, GlaxoSmithKline, if they have a Shingrix vaccine assistance program. Through vaccine assistance programs, people who cannot afford the vaccine can get help in the form of free vaccination.

Also Check: How Many Shingle Shots Do You Get

Who Shouldnt Receive Shringrix

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.

What Are The Possible Side Effects Of Shingrix

Do You Have Shingles? Here Are The Signs And Symptoms

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.

Also Check: What Kind Of Doctor To See For Shingles

What If I Wait Too Long To Take The Second Shingrix Dose

The Centers for Disease Control and Prevention state that if more than 6 months have passed since you received your first dose, you should get the second dose as soon as possible. You dont have to start the doses all over again.

Also, if you get the second dose within 4 weeks after the first dose, it should not be counted. You should get your follow-up dose at least 1 to 2 months after the first dose, per your doctors recommendation.

If Youre 50 Or Older Get Shingrix

  • Shingrix provides strong protection from shingles and long-term nerve pain.
  • Get Shingrix even if you already had shingles, because you can get the disease more than once.
  • Your risk of shingles and complications increases as you age.
  • You need 2 doses of Shingrix. Get the second dose 2 to 6 months after you get the first dose.

Also Check: How Long Do Shingles Blisters Last

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.

Persons With Chronic Diseases

Shingles: What you need to know about causes, symptoms, and prevention.

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.

Read Also: How Do You Feel When You Have Shingles

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.

How Long After Ive Received The Shingles Vaccine Am I Contagious

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.

Also Check: Does Medicaid Cover Shingles Shots

Why Is It Important To Receive A Vaccination Against Shingles

About 33% of adults in the U.S. will develop shingles at some point in their lives. Shingles can cause painful blisters, a rash, chills, and fever, among other symptoms. Many people who have shingles later develop PHN, which can cause long-lasting pain that is difficult to treat.

Getting the Shingrix vaccine can help individuals avoid shingles and PHN and help prevent shingles from spreading to vulnerable people.

Redness At Injection Site

Everything Shingles and Shingle Vaccine Answers

Redness at and around the injection site is common and may appear immediately or some days after receiving Shingrix. This redness commonly develops due to a localized immune system response, which shouldnt cause further concern.

Arm redness should disappear within a few days after receiving the vaccine. However, if you experience redness with a rash or severe pain, let your doctor know as soon as possible.

Recommended Reading: What Are Shingles And What Causes Them

When To See A Healthcare Provider

For most people, the effects of Shingrix are mild and short-term. In very rare cases, Shingrix can cause more serious side effects.

Seek urgent medical care if you experience signs of a severe allergic reaction a few minutes or hours after your second dose of Shingrix, such as:

  • Rapid heartbeat
  • Facial swelling
  • Swelling in the throat or mouth

You should also let your healthcare provider know if your Shingrix side effects are severe or arent going away on their own.

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 members do not give medical advice.

Also Check: Does Walgreens Offer Shingles Vaccine

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