Monday, February 19, 2024

When Should I Get The Second Shingles Shot

Can You Get Shingles After Youve Been Vaccinated

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

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.

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.

Dosage For Shingles Prevention

Shingrix is given as two 0.5-mL injections in your upper arm. Youll receive two doses of this vaccine.

Over time, some vaccines protection begins to fade, so may you need booster doses. They help keep the vaccine working. But you dont need a booster dose after getting the two doses of Shingrix.

Shingrix dosing schedule for people ages 50 years and older

For people ages 50 years and older taking Shingrix, the second dose is given 2 to 6 months after the first dose.

Shingrix dosing schedule for people ages 18 years and older with an increased risk of shingles

For people ages 18 years and older with an increased risk of shingles who are taking Shingrix, the second dose may be given 1 to 2 months after the first dose.

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Warnings Of Shingrix And Zostavax

Shingrix and Zostavax can cause hypersensitivity, or allergic, reactions in those with allergies to vaccine ingredients. Zostavax may cause severe allergic reactions in those with a known allergy to gelatin or neomycin. Severe allergic reactions can lead to severe rash and trouble breathing .

Zostavax should be avoided in those who take immunosuppressive agents and those who are affected by medical conditions that weaken the immune system.

Ask your doctor or pharmacist about other precautions before getting a shingles vaccine.

New Booster Doses Expected To Provide At Least Four Months Of Protection

How Soon Should You Get The Second Shingles Shot

A syringe with a booster COVID-19 vaccine is held by a Nomi Health worker in West Valley City on Thursday, July 14, 2022. Want an updated COVID-19 booster shot? Well, if youve recently had the virus, youll need to wait.

Jeffrey D. Allred, Deseret News

Want an ? Well, if youve recently had the virus, youll need to wait.

Spacing out the time between infection and vaccine doses improves the long-term antibody responses, Dr. Hannah Imlay, a University of Utah Health assistant professor of internal medicine in the Division of Infectious Diseases, told reporters during a virtual news conference earlier this week.

So the Centers for Disease Control and Prevention recommends holding off until three months after a COVID-19 infection before getting the new booster shot now targeted at the currently circulating strains of the omicron variant, BA.4 and BA.5, as well as the original virus, Imlay said.

The idea being, youve got a lot of immune priming from your infection. You get a lot of immune priming from your most recent vaccine dose. So wait some time before getting the bivalent booster, she said, using the term that describes the shots new dual targeting.

But there are exceptions.

Timing the booster, now available to anyone 12 and older, is a little bit difficult, Imlay acknowledged.

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Cdc Recommendation For The Shingles Vaccine

The Centers for Disease Control and Prevention recommend Shingrix as the preferred vaccine to prevent shingles and other complications from the disease.

The CDC found that Shingrix was more effective than Zostavax. It recommends that you receive Shingrix, even if youve had Zostavax in the past.

The following information describes dosages that are commonly used or recommended. However, be sure to take the dosage your doctor prescribes for you. Your doctor will determine the best dosage to suit your needs.

How Effective Is The Shingles Vaccine In Preventing Shingles

The shingles vaccine can provide strong protection against shingles and postherpetic neuralgia , the most commonly occurring shingles complication.

The shingles vaccine is 97% effective in preventing shingles in people ages 50 to 69 years old. Its 91% effective in people ages 70 years and older.

In addition, the shingles vaccine is 91% effective in preventing PHN in people ages 50 to 69 years old. Its 89% effective in people ages 70 years and older.

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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.

A Look Back At Varicella

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

Even though chickenpox and shingles are caused by the same virus, the conditions have different vaccines. The chickenpox vaccine made its debut in 1995, but a shingles vaccine didnt hit the market until about a decade later. The first shingles vaccine was Zostavax in 2006. However, this vaccine was taken off the market in 2020, following the release of another vaccine, called Shingrix, in 2017. The Centers for Disease Control and Prevention now recommends that anyone who received Zostavax be revaccinated with Shingrix.

Three groups of people absolutely should not receive the shingles vaccine. These are people who:

  • currently have shingles
  • previously had an allergic reaction to any components of the Shingrix vaccine

If you are pregnant or currently have shingles, its best to wait to get vaccinated until you are no longer pregnant or your shingles case clears up.

It may be difficult to know if you are allergic to any part of the vaccine, so speak with a doctor about any medication allergies you may have or previous reactions you experienced after vaccinations.

Most of the side effects of the shingles vaccine are limited and short-acting. Side effects usually appear in the first few days after your first or second dose of the vaccine and disappear within a few days.

Common side effects include things like:

  • arm soreness or pain where the vaccine was injected
  • swelling or redness at the injection site

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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.

Know Your Shingles Risk

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.

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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.

For The Best Vaccine Experience Go Into It With Doctor

Can Cancer Patients Get The Shingles Vaccine

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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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.

Concerned About Shingles Free Vaccine Available

The shingles vaccine is available to adults age 50 years and older. This vaccine is covered by Ontario Health Insurance Plan only for those aged 65-70 years old. For other age groups, there is a cost which may be covered by your insurance benefit plan.

Shingles or herpes zoster is caused by the virus that causes chickenpox. Once a person has had chickenpox, the virus stays in the nerve cells of the body. The virus may be there for many years and not cause any problems. Sometimes, for unknown reasons, it becomes active again and causes shingles. Shingles causes a painful, blistering skin rash.

Not everyone who has had chickenpox will develop shingles it occurs most frequently in adults over age 50 and in people with a weakened immune system. Zostavax is available from your health care provider or you can book into one of our immunization clinics held twice a month. Only 1 dose is needed for protection.

Note: A newly released zoster vaccine, Shingrix is currently not available at the CK Public Health.

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What Are The Benefits Of The Shingles Vaccine

The shingles vaccines are the best way to protect you from getting shingles. The vaccines have been shown to reduce the risk of getting shingles by 50% for Zostavax® II, and to more than 90% for Shingrix®.

For those who still get shingles after being immunized, the vaccines can reduce pain, including the type of pain that lasts after shingles.

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Whos Most At Risk Of Shingles

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

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 .

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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.

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.

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Dose Route Of Administration And Schedule

Live attenuated zoster vaccine

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 Side Effects Of The Shingles Vaccine

Second Shingles Shot After 6 Months

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 Can I Prevent Getting Shingles

Prevent your children from getting shingles later in life by getting them immunized with the chickenpox vaccine. As an adult the best way to not get shingles is to get the shingles vaccine. The shingles vaccine is safe. It is much safer to get the vaccine than to get the disease. When you get immunized with the shingles vaccine you help protect others from chicken pox.

People with shingles can prevent spreading the virus by covering their rash, not touching or scratching the rash and washing their hands often.

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