Thursday, July 11, 2024

When Should You Start Getting The Shingles Vaccine

Are There Any Restrictions After A Shingles Shot

What You Should Know About Shingles Vaccines | Johns Hopkins Medicine

You should not receive the shingles vaccine if you are pregnant, if you have an active shingles infection, or if you previously had an allergic reaction to any component of the vaccine. If youre eligible for the vaccine and receive the vaccination, there are no restrictions afterward and you can leave the doctors office or pharmacy as soon as the shot is complete.

Talking To Your Healthcare Provider

If you have MS and are thinking of getting the shingles vaccine, here are a few topics to discuss with your healthcare provider or medical team:

  • Let your healthcare provider know if you are currently taking or planning to start taking any immunosuppressive medications or therapies. Medications that suppress your immune system may impact the effectiveness of the shingles vaccine.
  • Ask your healthcare provider about the best vaccine schedule for you. You may need to get your next dose of Shingrix earlier or later than usual, depending on the medications youre taking and your particular symptoms.
  • Tell your healthcare provider about your current and recent MS symptoms. You may want to wait until a relapse subsides before getting vaccinated.

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: What Is Shingles Disease And How Do You Get It

Who’s 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 .

Persons With Chronic Diseases

What You Should Know About the Shingrix Vaccine for Shingles 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.

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Shingles Is A Painful Blistering Rash That Often Develops In A Stripe That Wraps Around One Side Of The Body Or Face Besides The Rash Symptoms Include Fever Headache And Chills But Mainly You Hear About The Rash Because It Hurts

If youre over 50, the shingles vaccine Shingrix can help you avoid this super painful condition. And you might be surprised to learn who should get it:

If you already got the one-dose shingles vaccine , its time to upgrade to the newer model, Shingrix.

If you previously couldnt get the shingles shot because you are immunocompromised, you can and should get the new one, Shingrix.

You should also get the shingles vaccine if youve had shingles.

You should also get the shingles vaccine if you dont remember having chickenpox.

The varicella vaccine for children will prevent shingles later in life. This one is often combined with the measles-mumps-rubella vaccine and given around ages 1 and 5.

Symptoms, treatment, & epidemiology

Early shingles symptoms include tingling, burning, itching, or shooting pain in a localized area. Then after 1-14 days, a blistery rash appears. The blisters will scab over after about a week.

Shingles is treated with antiviral medication and with pain relievers. The antivirals are most effective when theyre started early on, so dont wait for it to get better on its own before seeking help.

1 in 3 adults will get shingles at some point in their lives. Some people are hospitalized with shingles, particularly when it attacks the nerves of the eye, ear, brain, or lungs. 10-15% of people who get shingles have nerve pain for weeks, months, or even longer after a shingles attack. This is called postherpetic neuralgia.

Shingles: deep cover agent

What Else Do You Need To Make Your Decision

Check the facts

  • That’s right. The vaccine greatly lowers your chances of getting shingles.
  • Sorry, that’s wrong. The shingles vaccine greatly lowers your chances of getting shingles.
  • It may help to go back and read “Get the Facts.” The shingles vaccine greatly lowers your chances of getting shingles.
  • You’re right. But even if you do get shingles, your symptoms are likely to be much milder.
  • Sorry, that’s wrong. You could still get shingles, but your chances are a lot lower with the vaccine.
  • It may help to go back and read “Get the Facts.” You could still get shingles, but your chances are a lot lower with the vaccine.
  • You’re right. The CDC recommends two doses of the shingles vaccine.
  • Sorry, that’s wrong. The CDC recommends the shingles vaccine.
  • It may help to go back and read “Get the Facts.” The CDC recommends the shingles vaccine.

1. How sure do you feel right now about your decision?

Also Check: Can You Get Shingles If You Never Had Chicken Pox

Can People Who Got The Shingles Vaccine Be Around Babies

Yes, people who had the shingles vaccine can be around babies. Unlike the previously available Zostavax vaccine, Shingrix does not contain live, weakened virus, so it does not replicate and people do not get a rash. Therefore, there is no chance of transmitting the virus to babies who are susceptible to chickenpox. Watch as Dr. Offit discusses being around babies after receiving a shingles vaccine in this short video, part of the series Talking About Vaccines with Dr. Paul Offit.

When Should You Get Immunised Against Shingles

Should you get the new vaccine for shingles?

Anyone aged 60 years and over who wants to protect themselves against shingles can talk to their doctor about getting immunised.

Shingles immunisation is recommended for:

  • adults aged 60 years and over who have not previously received zoster vaccine
  • adults aged 70 years to 79 years, for free under the National Immunisation Program
  • adults aged 50 or over who live in the same household as someone who has a weakened immune system.

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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.

What Are The Side Effects

Shingrix can make the area where you get the shot swell or feel sore. Other effects include:

  • Many people who get the vaccine have muscle aches, headaches, or feel tired.
  • About 1 in 4 people have a fever or an upset stomach.

Younger people are more likely to have these side effects, and they typically last 2 or 3 days.

Itâs also possible to have an allergic reaction to an ingredient in the vaccine. If you have problems breathing, feel your face or throat swelling, or feel weak or dizzy after the shot, call 911 and get medical help right away.

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How Well Does The Vaccine Work

The vaccine lowers your chances of getting shingles.

If you get the vaccine and still get shingles, you are likely to have much less pain and for a much shorter time.

The Centers for Disease Control and Prevention recommends two doses of the shingles vaccine for adults ages 50 and older and for adults 19 and older who have a weakened immune system.footnote 1

  • Redness, swelling, or soreness at the spot where the needle went in.
  • A high fever or serious allergic reaction .

Getting the vaccine has some risks. For example:

  • You might get shingles anyway. But it probably won’t be as painful or last as long.
  • You may need another vaccine later in life.

You shouldn’t get the vaccine if:

  • You are ill with more than a mild cold or you have had an allergic reaction to the first dose.
  • You have a test that says you have never had chickenpox.
  • You have shingles.
  • You are age 50 or older.
  • You are 19 or older and have a weakened immune system.
  • You have had shingles before.
  • You have a chronic condition, such as chronic kidney failure, diabetes, rheumatoid arthritis, or COPD.
  • You live in a nursing home or other long-term care facility.
  • The vaccine can lower your chances of getting shingles.
  • If you get the vaccine and still get shingles, you are likely to have less pain for a shorter time.

Administering And Storing Shingrix

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  • Adults 50 years and older should receive 2 doses of Shingrix. Give the second dose 2 to 6 months after the first.
  • Administer Shingrix intramuscularly in the deltoid region of the upper arm with a 1- to 1.5-inch needle.
  • Both vials of Shingrix must be refrigerated at a temperature of 36-46° F. Do not use if exposed to temperatures below 36° F.

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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.

Side Effects And Counseling For Reactogenicity

In eight clinical trials of more than 10,000 immunocompetent participants 50 years or older, grade 3 reactions were common after patients received Shingrix. About 1 out of 10 adults who received Shingrix reported grade 3 injection-site symptoms such as pain, redness, and swelling. Also, about 1 out of 10 reported grade 3 systemic reactions such as myalgia, fatigue, headache, shivering, fever, and gastrointestinal illness. Most people who got Shingrix reported at least some pain at the injection site.

Local and systemic grade 3 reactions among immunocompromised adults were evaluated in six studies in five immunocompromised groups. Local grade 3 reactions occurred in 10.7% to 14.2% of RZV recipients, and systemic grade 3 reactions occurred in 9.9% to 22.3% of RZV recipients, compared with 0% to 0.3% and 6.0% to 15.5%, respectively, among placebo recipients. The most commonly reported systemic symptoms were fatigue and myalgia.

Healthcare providers should counsel patients about expected reactogenicity before administering Shingrix.

What to tell patients about the side effects of Shingrix:

Most people have a sore arm after they get Shingrix. Many people have redness and swelling on their arm spanning several inches where they got the shot. Many people also feel tired or have muscle pain, a headache, shivering, fever, stomach pain, or nausea.

Read Also: Do You Get Headaches With Shingles

Who Is A Candidate For The Shingles Vaccine

Adults 50 years and older. Immunocompetent adults 50 years and older should get two doses of Shingrix, 2 to 6 months apart.

Adults 19 years and older with weakened immunity. Immunity could be reduced by diseases like HIV, leukemia, or lymphoma. The immunosuppressive medicines given with organ transplants, and chemotherapy for cancer, also weaken immunity. The vaccine is safe and effective in people with multiple myeloma and other blood cancers, solid organ cancer, people with HIV, and renal transplant recipients.

People who have had shingles. Unlike chickenpox, shingles can happen again. The shingles vaccine works well if you’ve had shingles before. You will have stronger immunity against further attacks of shingles.

People who took Zostavax. This shingles vaccine is no longer in use in the US. People who took it should take two doses of RZV.

Do your age or health situation make you eligible for the vaccine? Weighing the benefits and potential dangers will let you make the best decision for yourself.

Why You Shouldn’t Get The Shingles Vaccine

Shingles vaccine: Should I get it?
  • Medical Reviewer: Dany Paul Baby, MD

Medically Reviewed on 5/24/2022

  • Why You Shouldn’t Get the Shingles Vaccine Center
  • Shingles is a disease that usually presents with a painful rash that affects one in three people in their lifetime. It is caused by the same virus that causes chickenpox the herpes virus varicella-zoster. More than 99% of people born before 1980 have had chickenpox and have this virus dormant in the brain or spinal cord.

    Shingles activates when your immunity is low, usually with advancing age. The currently used recombinant zoster vaccine is safe and effective. But not everyone who is a candidate for the shingles vaccine should take it. Like all vaccines, the shingles vaccine has benefits and harms. You should know about both and make an informed decision about taking it.

    Recommended Reading: How To Recover From Shingles Quickly

    Should I Get A Vaccine

    Doctors say most healthy people over 50 should get Shingrix, as well as anyone 19 or older who are immunocompromised. Itâs available at pharmacies as well as doctorsâ offices. Most people have been exposed to the chickenpox even if they didnât actually develop symptoms.

    You should get the Shingrix vaccine unless:

    • You are allergic to any part of the vaccine
    • Had a blood test that proves you never had chicken pox
    • Have shingles now
    • Are breastfeeding or nursing.

    Long Term Side Effects

    In rare cases, the live shingles vaccine, Zostavax, can cause a skin rash or shingles.

    The rash that occurs with shingles can affect any area of the body, but it often appears as a line of blisters that wraps around the torso.

    Within a few days the blisters cluster, and they continue to form for several more days. The blisters can take 2â3 weeks to heal, according to the American Academy of Dermatology.

    Other common symptoms of shingles include:

    two shingles vaccines for adults: the recombinant zoster vaccine and the zoster virus vaccine .

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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.

    Who Should Not Get Shingrix

    Expert panel recommends new shingles vaccine

    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.

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    Rare Side Effects Of The Shingles Vaccine

    In rare cases, a severe allergic reaction called anaphylaxis may occur. This can be a life-threatening emergency and requires immediate medical attention.

    Symptoms of anaphylaxis after receiving the shingles vaccine include:

    Typically, these side effects appear immediately or within a few minutes of vaccination your vaccination provider may be present. If you experience them after leaving the office, call 911.

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    I Got The Shingles Shot And Still Got Shingles How Come

    Reader Question 741 votes

    A

    Its not really surprising that you got shingles after being vaccinated. No vaccine is 100 percent effective and whilechildhood vaccinations get close, the shingles vaccine only cuts the risk of shingles by half for people who receive it at age 60 or older. The Centers for Disease Control and Prevention recommends a single dose for those 60 or older, though the vaccine is approved for use starting at age 50.

    Even though the vaccine is not always effective, it still protects a lot of people, since nearly one in three adults develops shingles during their lifetime. And if you do get shingles, you may have a milder episode because you were vaccinated. A large clinical trial found that the vaccine reduces the risk of having very severe, long-lasting pain, a syndrome called postherpetic neuralgia.

    Its these extreme, prolonged painful episodes that the vaccine works better at preventing, said Dr. Rafael Harpaz, a medical epidemiologist in the division of viral diseases at the C.D.C.What would motivate me to run out and get the vaccine, he said, would be to protect myself from being that rare person who gets 10 years of life-shattering pain.

    The vaccine may be most effective at younger ages. If you get it in your 60s, it reduces cases by nearly two thirds, or 64 percent it reduces risk by 41 percent if you are in your 70s when vaccinated and by 18 percent if you are in your 80s.

    Do you have a health question? Submit your question to Ask Well.

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