Sunday, February 25, 2024

When Should I Get My Second Shingles Shot

Are Shingrix And Zostavax The Same

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

Both Shingrix and Zostavax can decrease the risk of shingles. However, they differ in effectiveness, administration, and side effects. Shingrix is a recombinant zoster vaccine and Zostavax is a live vaccine. Meaning, Shingrix contains an inactivated form of the varicella-zoster virus and Zostavax contains a live, weakened form of the virus. Another difference is that Shingrix is injected into the muscle while Zostavax is injected underneath the skin. Compared to Zostavax, Shingrix is a newer shingles vaccine.

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.

How To Pay For Shingrix

Commercial insurance covers about 96% of insured people for the Shingrix vaccine. Most people with private insurance will pay under $5 for each dose.

Programs like Medicaid cover Shingrix in certain states. Medicare Parts A and B do not cover the shingles vaccine. But individuals covered under Medicare prescription drug plans, or Part D, will have their vaccines covered.

For people who do not have access to insurance, there are a number of vaccine assistance programs and affordable health coverage options available. Many of these programs provide vaccines at little or no cost.

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Who Should Get Shingrix

Anyone who has ever had chickenpox can develop shingles later in life. However, it is vital for older adults and people with weakened immune systemssuch as people with kidney disease or human immunodeficiency virus to get the shingles vaccine.

The CDC recommends that all adults ages 50 and up and immunocompromised adults ages 19 and over get two doses of Shingrix. This includes people who don’t know whether they had chickenpox and people who previously received Zostavax or the chickenpox vaccine.

Swelling Around The Injection Site

Shingles Recurrence: What You Should Know

Swelling around the injection site is another common side effect of Shingrix. Like pain and redness, minor swelling can usually result from a localized immune system response, which isnt necessarily dangerous.

You can apply hydrocortisone cream on or around the injection site to reduce redness and swelling. However, if you experience severe swelling that doesnt go away, or the swelling accompanies other symptoms of an allergic reaction, seek medical attention right away.

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Routine Vaccination Of People 50 Years Old And Older

CDC recommends Shingrix for the prevention of herpes zoster and related complications. CDC recommends two doses of Shingrix separated by 2 to 6 months for immunocompetent adults aged 50 years and older:

  • Whether or not they report a prior episode of herpes zoster.
  • Whether or not they report a prior dose of Zostavax, a shingles vaccine that is no longer available for use in the United States.
  • It is not necessary to screen, either verbally or by laboratory serology, for evidence of prior varicella.

Recombinant and adjuvanted vaccines, such as Shingrix, can be administered concomitantly, at different anatomic sites, with other adult vaccines, including COVID-19 vaccines. Coadministration of RZV with adjuvanted influenza vaccine and COVID-19 vaccines is being studied.

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.

Also Check: What Can Cause A Shingles Outbreak

Shingrix For Prevention Of Shingles

Shingrix is a vaccine thats used to prevent shingles . Its approved for use in people:

  • ages 50 years and older
  • ages 18 years and older who have an increased risk of shingles

People with an increased risk of shingles include those with a weakened immune system, such as people with HIV.

Shingrix is not meant for use in preventing chickenpox .

Effectiveness for prevention of shingles

Shingrix has been found to be effective in helping to prevent shingles. For details on how the drug performed in clinical studies, see Shingrixs

state that Shingrix is the preferred vaccine for shingles. They recommend it for:

  • all adults ages 50 years and older
  • adults ages 18 to 50 years with a weakened immune system

For The Best Vaccine Experience Go Into It With Doctor

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

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.

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Who Is At Risk For Shingles Infection

Although it can occur at any age, shingles is more common in older adults and in people with compromised immune systems. In fact, those who are immunocompromised are 1-6 times more prone to infection and have a significantly higher risk of recurrence.

Even people with normal immune systems are at greater risk as they age. Because our immune systems tend to weaken as we get older, by age 50 many people previously infected with chickenpox will have lost the specific immunity they developed after the original infection. When this happens, the virus can wake up and trigger shingles. Some experts believe that chronic stress, some medications and certain health conditions may also trigger the virus to reactivate.

In addition, people who have had COVID-19 are at increased risk. In a recent study, researchers have found that patients over 50 with a history of COVID-19 infection have a 15 percent higher risk of getting shingles, says Dr. Kumar.

Contraindications And Precautions For Herpes Zoster Vaccination

Shingrix should not be administered to:

  • A person with a history of severe allergic reaction, such as anaphylaxis, to any component of this vaccine.
  • A person experiencing an acute episode of herpes zoster. Shingrix is not a treatment for herpes zoster or postherpetic neuralgia . The general guidance for any vaccine is to wait until the acute stage of the illness is over and symptoms abate.

There is currently no CDC recommendation for Shingrix use in pregnancy therefore, providers should consider delaying vaccination until after pregnancy. There is no recommendation for pregnancy testing before vaccination with Shingrix. Recombinant vaccines such as Shingrix pose no known risk to people who are breastfeeding or to their infants. Providers may consider vaccination without regard to breastfeeding status if Shingrix is otherwise indicated.

Adults with a minor acute illness, such as a cold, can receive Shingrix. Adults with a moderate or severe acute illness should usually wait until they recover before getting the vaccine.

To learn more, see Contraindications and Precautions, General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices .

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Reasons To Get The Shingles Vaccine

Once a person develops chickenpox after contracting the varicella-zoster virus, the virus never leaves the body. It remains dormant in the nerve roots and can reappear as shingles later in life.

The primary symptom of shingles is a painful rash on one side of the body, most often on the torso or face. People initially have pain or a burning sensation on the skin without a rash, and then painful blisters develop. The rash lasts approximately seven to 10 days and fully clears within two to four weeks.

The likelihood of developing shingles increases dramatically after age 50. Therefore, the Centers for Disease Control and Prevention recommends that all adults age 50 and over receive two doses of Shingrix to prevent shingles. The vaccine is recommended even if a person is unsure if they have ever had chickenpox.

People with weakened immune systems are at higher risk for shingles. Therefore, the Food and Drug Administration also recently approved Shingrix vaccination for adults age 18 and older who are at risk for shingles due to immunodeficiency or immunosuppression caused by an underlying disease or medication.

Who Should Not Get The Shingles Vaccine

How Old Do You Need To Be To Get The Shingles Vaccine Shingrix?

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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Does Medicare Cover The Shingles Vaccine In 2022

En español | No and yes. Medicares Part A and Part B dont cover shingles vaccinations, even though the Centers for Disease Control and Prevention recommends that everyone age 50 and older get the vaccine. Medicare Part B covers some other vaccines as free preventive care, such as the flu and pneumonia vaccines.

With that said, Medicare Part D covers the shingles vaccine, as do private Medicare Advantage plans that include drug coverage. These plans must cover all commercially available vaccines needed to prevent illness, except for those that Part B covers.

In the United States, about 1 in every 3 people are at risk for shingles or herpes zoster, the same virus strain that causes chicken pox. If youve had chicken pox, the virus stays dormant in your system and may reappear as shingles later in life, which is why the vaccine is recommended.

Who Can Have The Shingles Vaccination

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.

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Go Over Your Allergies

If you are allergic to any of the vaccines ingredientslike soap bark, neomycin, or polysorbateor had an allergic reaction to a previous dose of Shingrix, you should not get the vaccine, Dr. Friedland says. You should also talk to your doctor if you have a weakened immune system due to HIV/AIDS or another disease that affects the immune system or are on immune system-suppressing drugs or treatments like adalimumab , infliximab , or etanercept .

Why Is It Important To Receive A Vaccination Against Shingles

If I had chills after COVID-19 vaccine, will I feel sick after a booster shot?

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.

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How Should You Treat Shingles

Antiviral medicines like acyclovir, valacyclovir, and famciclovir have been developed to reduce the length and severity of the illness. They are most effective when started soon after the shingles rash appears. Consequently, you should call your health care provider to explore treatment options as soon as you contract or believe you have contracted shingles.

Topical or oral pain medicines may help reduce the pain caused by shingles. Wet compresses, calamine lotion, and colloidal oatmeal baths may also help relieve itching.

How Can You Prevent Shingles

Vaccination is the ONLY way to reduce the risk of getting shingles. The CDC recommends that people aged 50 years and older get two doses of the Shingrix® shingles vaccine.

If you have questions about your shingles vaccination, you should talk with your Rite Aid Pharmacist or other health care professional.

Also Check: If You Already Have Shingles Can You Get The Vaccine

Who Should Not Get The Vaccine

It is safe for most people to get two doses of Shingrix. However, you should talk to your healthcare provider before getting the shingles vaccine if:

  • You are pregnant
  • You have severe allergies to any of the Shingrix ingredients
  • You have ever experienced a severe allergic reaction to Shingrix

If you have a mild sickness, such as a cold, its usually safe to get the shingles vaccine. If you are moderately or severely ill, you should wait until you feel better to get your next dose of Shingrix.

You should still get the shingles vaccine if you dont remember having the chickenpox virus in the past and if youve had shingles previously. Shingrix can protect you against developing shingles again in the future.

For Patients Who Do Not Report A Prior Episode Of Varicella

What Is The Best Pain Relief For Shingles

When vaccinating immunocompetent adults aged 50 years and older, there is no need to screen for a history of varicella or to conduct laboratory testing for serologic evidence of prior varicella. More than 99% of adults aged 50 years and older worldwide have been exposed to varicella-zoster virus, and the Advisory Committee on Immunization Practices considers people born in the United States prior to 1980 immune to varicella. Therefore, even if a person does not recall having chickenpox, serologic testing for varicella immunity is not recommended. It is often a barrier to herpes zoster vaccination, and false negatives are common. However, if serologic evidence of varicella susceptibility becomes available to the healthcare provider, providers should follow ACIP guidelines for varicella vaccination. Shingrix has not been evaluated in persons who are seronegative to varicella, and it is not indicated for the prevention of varicella.

For adults 19 years of age and older who are or will be immunocompromised, see .

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Make Sure Youre The Right Age

The CDC recommends anyone 50 and older should get the shingles vaccine. This is because more than 99 percent of those over 50 years of age have had chickenpox and the varicella zoster virus stays dormant in their nervous system, waiting to reactivate with advancing age, says Leonard Friedland, M.D., vice president and director of scientific affairs and public Health for GSK Vaccines in Philadelphia. As people age, the cells in the immune system lose the ability to maintain a strong and effective response to the VZV reactivation, he says. The Advisory Committee on Immunization Practice currently does not recommend the shingles vaccination for people younger than age 50 years regardless of their history of shingles, Dr. Friedlander says. Though, if you are interested, talk to your doctor.

While younger people can get , their immune systems are more robust and should be sufficient to fight off the shingles virus immune systems naturally wean as we age, which is why those over 50 are more prone to incredibly debilitating complications. The most common complication of shingles is long-term nerve pain called postherpetic neuralgia about 10-to-18% of people who get shingles will experience PHN, Dr. Friedland says. And the risk of PHN increases with age. An older adult with shingles is more likely to develop PHN and have longer lasting and more severe pain than a younger person with shinglespeople younger than 40 rarely experience PHN, he says.

Shingles Vaccine: Who Should Get It And When

Shingles is a common viral infection that affects approximately 1 in 3 adults in the United States. It can occur in people of any age who were infected with chickenpox at any time in their life. Usually a childhood disease, chickenpox typically presents with only mild symptoms which may include an itchy, blistering rash, fatigue and fever. Most children recover without incident or complications.

However, once you have had chickenpox, the virus doesnt go away. Instead, it lies dormant within the nervous system without causing any symptoms. If the virus is reactivated, years or decades later, the resulting painful, blistery rash is called shingles.

Recommended Reading: Where Does Shingles Rash Appear

How Can I Get A Shingles Vaccine

While most people get their shingles shots at a pharmacy, some receive it at their doctors office. At one time, some states required a prescription to get the shingles vaccine at a pharmacy, but those states have recently changed their rules. Now you dont need a prescription to get the shingles vaccine.

At a pharmacy. Pharmacists in all states can administer vaccines included on the CDC-recommended adult immunization schedule, including the shingles vaccine. Make sure your pharmacy is in your Part D plans network so it can bill your plan directly. Check with your pharmacy and insurance plan for details.

At a doctors office. Its a good idea to confirm your doctor can bill Medicare Part D before you plan to get the vaccine there. Otherwise, you may need to pay for the vaccine and submit a claim for reimbursement to your Part D plan. Ask the doctors office and your plan about the rules.

Keep in mind

If you have trouble affording Part D prescription drug coverage, you may qualify for the Extra Help program, a government program that helps people with limited income and assets pay premiums and out-of-pocket costs for Part D drug coverage. Starting in 2024, the Inflation Reduction Act also expands the level of income eligibility for the Extra Help program.

Update October 11, 2022

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