Wednesday, February 28, 2024

When Should I Get 2nd Shingles Shot

Who Can Have The Shingles Vaccination

You Ask. We Answer. | How long should I wait to get the shingles shot?

Shingles vaccination is available to everyone aged 70 to 79.

When you’re eligible, you can have the shingles vaccination at any time of year.

The shingles vaccine is not available on the NHS to anyone aged 80 or over because it seems to be less effective in this age group.

Read more about who can have the shingles vaccine.

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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How Well Does Shingrix Work

Two doses of Shingrix provide strong protection against shingles and postherpetic neuralgia , the most common complication of shingles.

  • In adults 50 to 69 years old with healthy immune systems, Shingrix was 97% effective in preventing shingles in adults 70 years and older, Shingrix was 91% effective.
  • In adults 50 years and older, Shingrix was 91% effective in preventing PHN in adults 70 years and older, Shingrix was 89% effective.
  • In adults with weakened immune systems, Shingrix was between 68% and 91% effective in preventing shingles, depending on their underlying immunocompromising condition.

In people 70 years and older who had healthy immune systems, Shingrix immunity remained high throughout 7 years following vaccination.

Read Also: How Long Does Shingles Rash Last

Can The Shingles Shot Cause Guillain

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.

What Should You Do If You Have Shingles

Shingles Online and Print Materials

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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Should You Get A Second Booster

Whether to get a second booster is nowhere near black and white. Helen Petousis-Harris and Janine Paynter explain why we can’t ‘boost’ our way out of this grey area.

The information about second Covid-19 boosters can be a bit confusing, and while yes, they are useful not all experts currently agree on their best use. Given how fast the Covid-19 situation moves, opinion is subject to change at a moments notice on new intel, including ours.

How protected are we with our current Covid-19 vaccines in the age of new variants?

We are actually in pretty good shape, thanks to some super public health decisions that gave us time to get immunologically prepared for the virus. Most people in Aotearoa have been vaccinated with at least two doses of the vaccine, and a while a large proportion have also subsequently been infected, Covid-related deaths have been declining for months globally and remain at an all-time low.

Most people in the world now have some defence against severe disease through vaccination, infection, or both. However, the game and the goal posts keep changing, and complacency would be folly.

The current vaccines were aimed at preventing severe disease and death, and they have saved an estimated 20 million lives already. The first vaccines deployed were effective beyond expectation. They initially prevented infection, so visions of elimination seemed feasible until new variants emerged that were able to evade immunity.

What can a first booster do for you?

What Are The Symptoms Of Shingles

The most common symptoms are pain, itching or tingling of the skin. This is followed by a painful rash with blisters. The rash is usually only on a small area on one side of the body. Other early symptoms can include headache, fever, chills and nausea. The rash from shingles usually lasts two to four weeks.

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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.

New Shingles Vaccine Shingrix Much More Effective

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

This past fall, a new shingles vaccine, Shingrix, was approved by the FDA and marked the first major development in the prevention of this devastating disease in over 10 years. The excitement about this new vaccine, coupled with the fact that one in every three adults will suffer from the shingles, has generated a lot of buzz and a lot of questions among my patients here at Methodist Physicians Clinic Indian Hills.

Also Check: When Can 60 And Older Get The Vaccine

Also Check: How To Treat Pain After Shingles

Redness At Injection Site

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.

Have Pain Meds Handyjust In Case

There is no need to do anything before your vaccine, Dr. Patel says. Most people have very mild symptoms such as soreness of the arm at the site of the injection, so be sure to choose the non-dominant arm, she says. However, if after getting the vaccine you have a fever or feel achy, she suggests taking an over-the-counter pain medicine such as ibuprofen or acetaminophen. Symptoms should resolve in a day or two,” she says.

In rare cases, a patient may have an anaphylactic reaction. Signs of this serious side effect include swelling of the face, dizziness, and trouble breathing. If these are symptoms you experience, seek medical assistance immediately, Dr. Patel says.

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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.

How Long After Ive Received The Shingles Vaccine Am I Contagious

Considering the Shingles 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.

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Who Should Not Get Shingrix

You should not get Shingrix if you:

  • Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix.
  • Currently have shingles.
  • Currently are pregnant. Women who are pregnant should wait to get Shingrix.

If you have a minor illness, such as a cold, you may get Shingrix. But if you have a moderate or severe illness, with or without fever, you should usually wait until you recover before getting the vaccine.

Shingrix Approved In The Us For Prevention Of Shingles In Adults Aged 50 And Over

Pooled clinical trial results showed > 90 percent efficacy across all age groups

Issued: London UK

GlaxoSmithKline plc today announced that the US Food and Drug Administration has approved Shingrix for the prevention of shingles in adults aged 50 years and older. Shingrix is a non-live, recombinant subunit vaccine given intramuscularly in two doses.

Dr. Thomas Breuer, Senior Vice President and Chief Medical Officer of GSK Vaccines said: Shingrix represents a significant scientific advancement in the field of vaccinology. The vaccine has shown over 90% efficacy across all age groups in the prevention of shingles, a painful and potentially serious disease that affects 1 in 3 people in the United States.1 The risk and severity of shingles increases with age as the immune system loses the ability to mount a strong and effective response to infection. Shingrix was developed specifically to overcome the age-related decline in immunity.

Approval of Shingrix is based on a comprehensive Phase III clinical trial program evaluating its efficacy, safety and immunogenicity in more than 38,000 people. In a pooled analysis of these studies, Shingrix demonstrated efficacy against shingles greater than 90% across all age groups, as well as sustained efficacy over a follow-up period of 4 years.2,3 By preventing shingles, Shingrix also reduced the overall incidence of postherpetic neuralgia , a form of chronic nerve pain and the most common complication associated with shingles.

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Vaccination Can Prevent A Painful Shingles Infection

Shingrix, the newest shingles vaccine, is more than 90 percent effective in preventing shingles, post herpetic neuralgia and other associated complications. It has proven to be more effective than the previously used single-dose vaccine which was only 51 percent effective. A physician order is required but the vaccine itself can be administered at most retail pharmacies.

The vaccine is a two-shot series, with the second shot being given two to six months after the first. Doctors recommend that all adults 50 years and older, without contraindications, receive the vaccine, even if they have had shingles and/or received the previous one-dose vaccine.

Those who are immunocompromised or expect to be immunocompromised for example, those starting long-term steroid treatment or cancer treatment or preparing for organ transplant should be vaccinated earlier ideally 19 years of age or older.

Know Your Shingles Risk

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

You can get shingles at any age if youve had chickenpox.

But older adults and those who are immunocompromised get it most often. Two-thirds of shingles cases in Canada happen to people over 50 years old. The severity of shingles and its complications also increase with age.

Age is the most important risk factor.

Donât Miss: One Bundle Of Shingles Covers

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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 you’ve 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.

What Are The Main Differences Between Shingrix And Zostavax

Shingrix is a recombinant, adjuvanted zoster vaccine that was first FDA-approved in 2017. It uses the varicella-zoster glycoprotein E antigen to produce an immune response in the body. An adjuvant, or added ingredient, helps boost the bodys immune response to the virus. Because Shingrix is an inactivated vaccine, it can be used in immunocompromised patients or those with a weakened immune system.

Shingrix is administered as an injection into the muscle . It is given in two separate doses with a period of two to six months in between. The second dose is necessary to ensure long-term effectiveness.

Zostavax, approved in 2006, is a live attenuated herpes zoster vaccine. In other words, Zostavax contains a weakened version of the actual virus to produce an immune response. For this reason, it is not recommended for those who are immunocompromised. Or else, the vaccine itself could cause an infection.

Zostavax is administered as a single injection underneath the skin . It comes in a frozen version and a refrigerator-stable version. The frozen version must be kept frozen during transport and storage to ensure its effectiveness while the refrigerator-stable Zostavax can be kept in a refrigerator until it needs to be used.

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Shingrix: Dont Miss Your Second Dose

If you received one dose of the Shingrix® vaccine but a shortage kept you from getting your second dose a painful case of shingles still could be in your future.

The makers of Shingrix claim its protection is sustained at a high level for at least four years but only if you get both doses two to six months apart. Many people rushed to get the Shingrix vaccine after it was introduced in 2017. But, shortages left some people without the crucial second dose. Supplies have rebounded, and the vaccine is now widely available.

Shingles is a painful rash that follows nerve pathways. It is caused by the varicella-zoster virus . The virus can lie dormant in the nerves for many years. People older than age 50 have a greater risk of developing shingles.

Who should get vaccinated?

Shingrix is recommended for adults age 50 and older who have normal immune systems. The Centers for Disease Control & Prevention recommends that people previously vaccinated with the less-effective Zostavax® vaccine, be revaccinated with Shingrix even if they have never had chickenpox. Many patients who could not take Zostavax may be able to receive Shingrix.

Because the vaccine is preventive, health plans often fully cover the cost for members who fit the CDC prescribing guidelines .

If you have questions or need help locating a pharmacy or clinic with the Shingrix vaccine, call the customer service number on the back of your ID card or on page 23 of Blue & You.

Will There Be Any Side Effects From The Shingles Vaccination

Shingles Online and Print Materials

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.

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