Wednesday, April 17, 2024

Who Is Eligible For Shingles Vaccine

Is The Shingles Vaccine Safe

Doctor recommends shingles shot for those eligible

As with any vaccine, its possible to have some side effects after receiving it. In clinical studies, the side effects linked to this vaccine usually lasted only 2 to 3 days, and the most common ones were:

  • Pain and redness at the injection site

Most people report at least some arm pain after the injection. Some people reported that their side effects kept them from doing their usual daily activities. For this reason, its a good idea to plan to not do anything right after receiving your injection, just in case.

Severe allergic reaction to this vaccine is very rare. Symptoms of such a reaction include:

Shingrix Use For Immunocompromised Adults

The CDC stated on Feb. 17, 2022: that the Shingrix vaccine is recommended for persons 19 years old and older who have altered immunocompetence. And vaccination of Contacts of Persons with Altered Immunocompetence Household contacts and other close contacts of persons with altered immunocompetence should receive all age- and exposure-appropriate vaccines, except for the smallpox vaccine.

During the U.S. CDC’s Advisory Committee on Immunization Practices meeting on October 20, 2021, Tara Anderson, DVM, MPH, Ph.D., presented: Interpretation of the EtR Regarding Use of RZV in Immunocompromised Adults, Considerations for Use, and Proposed Policy Options. The ACIP’s Recommendation is: Two doses of recombinant zoster vaccine are recommended for adults aged 19 years who are immunodeficient or immunosuppressed due to disease or therapy to prevent herpes zoster and its complications.

Previously, Camille Nelson Kotton, M.D., Chair, ACIP Herpes Zoster Work Group, presented the Introduction Zoster Vaccines Session on September 29, 2021 Ismael R. Ortega-Sanchez, Ph.D. presented ‘Economics of vaccinating immunocompromised 1949-years-old adults against herpes zoster in the USA Tara Anderson, DVM, MPH, Ph.D. presented ‘Preliminary Evidence to Recommendations Framework Regarding Use of Recombinant Zoster Vaccine in Immunocompromised Adults and Next Steps.’

Does The Shingles Vaccine Contain Thimerosal

You may be concerned about additives to the shingles vaccine, like thimerosal.

Thimerosal is a preservative that contains mercury. Its added to some vaccines to prevent bacteria and other germs from growing in them. The shingles vaccine contains thimerosal.

The worry about thimerosal arose when early research linked it to autism. This connection has since been found to be untrue.

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Persons With Chronic Diseases

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.

Whos Most At Risk Of Shingles

Ask your GP about the shingles vaccination

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 .

Also Check: What Helps Relieve Shingles Pain

How Many Shots Does The Shingrix Vaccine Take

You will need to take two doses of the Shingrix vaccine. You should get the second dose between two and six months after the first. If you have a compromised immune system, you should get the second dose between one and two months after the first.

According to studies, the protection from the shingles vaccine lasts for around seven years in most people. However, the CDC does not have a recommendation for getting another round of the vaccination after this period of time has passed, so talk to your doctor if seven years have passed since your last shingles vaccination.

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.

Read Also: How Often Do You Have To Get A Shingles Vaccination

People Who Are Eligible For The Vaccine

From Autumn 2021, your GP will offer you the vaccine if you were aged 70 on 1 September 2021 and were born:

  • between 2 September 1950 and 1 September 1951

You are still eligible for the vaccine during 2021/ 2022 if you haven’t already received the vaccine and:

  • are currently aged between 71 and 79
  • were born between 2 September 1941 and 1 September 1950

If you fall into the group above you need to ask your GP for the vaccine.

Make A Plan To Get 2 Doses

New CDC guidelines for shingles and pneumonia vaccines
  • You can get Shingrix at your doctors office or pharmacy. Talk to your doctor or pharmacist about getting Shingrix.
  • Plan to get your second dose of Shingrix 2 to 6 months after your first dose.

Five years later, I still take prescription medication for pain. My shingles rash quickly developed into open, oozing sores that in only a few days required me to be hospitalized. I could not eat, sleep, or perform even the most minor tasks. It was totally debilitating. The pain still limits my activity levels to this day.

A 63-year-old harpist who was unable to continue playing due to shingles

Also Check: What Does Shingles Look Like On Legs

How Do You Get Immunised Against Shingles

You can only get the shingles vaccine on its own, not as a combination vaccine. It is given as a needle.

Shingles vaccines include:

Note the Zostavax vaccine contains a small amount of the live virus. Some people may not be able to receive a live vaccine for medical reasons, please discuss with your doctor or immunisation provider for further information.

What Vaccines Can Help Prevent Shingles

There is currently one vaccine available in the U.S. to prevent shingles. Shingrix was approved in 2017 and it is more than 90% effective in preventing shingles. With Shingrix, you get two shots between 2 and 6 months apart and protection lasts an estimated 4-5 years. Doctors recommend it for healthy people over 50 as well as those 19 years of age and older who are or will be immunodeficient or immunosuppressed due to disease or therapy..

An earlier vaccine called Zostavax was removed from the market in 2020. That vaccine used a weak form of the chickenpox virus to send your bodyâs immune system into action to fight the disease. Shingrix does not. If you received the Zostavax vaccine, it is recommended that you also receive Shingrix.

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When Should I See A Doctor Because Of The Side Effects I Experience From Shingrix

Shingrix causes a strong response in your immune system, so it may produce short-term side effects. These side effects can be uncomfortable, but they are expected and usually go away on their own in 2 or 3 days. You may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen. Contact your healthcare provider if the symptoms are not improving or if they are getting worse.

In clinical trials, Shingrix was not associated with serious adverse events. In fact, serious side effects from vaccines are extremely rare. For example, for every 1 million doses of a vaccine given, only one or two people might have a severe allergic reaction. Signs of an allergic reaction happen within minutes or hours after vaccination and include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness. If you experience these or any other life-threatening symptoms, see a doctor right away.

What Questions Should I Ask My Healthcare Provider

The Shingles Vaccination Program has begun!

Its normal to have questions before you get a vaccine. Some common questions you may want to discuss with your healthcare provider include:

  • When should I get the shingles vaccine?
  • What side effects should I expect?
  • How does the shingles vaccine work?
  • When should I schedule each dose of the shingles vaccine?
  • How effective is the shingles vaccine?
  • Is there any reason I shouldnt get the shingles vaccine?
  • What could happen if I dont get the shingles vaccine?

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What Are The Possible Side Effects Of Shingles Immunisation

All medicines and vaccines can have side effects. Sometimes they are serious, most of the time theyre not.

For most people, the chance of having a serious side effect from a vaccine is much lower than the chance of serious harm if you caught the disease.

Talk to your doctor about possible side effects of shingles vaccines, or if you have possible side effects that worry you.

Common side effects of shingles vaccines include:

  • pain, redness, swelling or itching where the needle went in

Serious reactions to immunisation are rare. With Zostavax® vaccination, very rarely a generalised chickenpox-like rash may occur around 24 weeks after vaccination. This may be associated with fever and feeling unwell. This rash may be a sign of a serious reaction to the virus in the vaccine. Seek medical attention and inform of recent Zostavax vaccination if you experience this reaction.

The Consumer Medicine Information links in How do you get immunised against shingles? list the side effects of each vaccine.

More Information On Side Effects

Reactions listed under possible side effects or adverse events on vaccine product information sheets may not all be directly linked to the vaccine. See Vaccine side effects and adverse reactions for more information on why this is the case.

If you are concerned about any reactions that occur after vaccination, consult your doctor. In the UK you can report suspected vaccine side effects to the Medicines and Healthcare products Regulatory Agency through the Yellow Card Scheme . See more information on the Yellow Card scheme and monitoring of vaccine safety.

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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.

Shingles And Shingles Immunisation

New Shingles Vaccine

Overview

Shingles is a reactivation of the varicella zoster virus that causes chickenpox. After a person has had chickenpox the virus remains in their body, lying dormant or hidden in part of the nervous system where it is kept in check by the immune system.

Anyone who’s had chickenpox may develop shingles but it is most common in people over the age of 50.

Read more about shingles, including the signs, symptoms, and treatments here.

Prevention

Vaccination can help protect against shingles. A shingles vaccine is routinely offered to everyone aged 70 to 79 years of age. Individuals become eligible on their 70th birthday and remain eligible until their 80th birthday.

Some people under 70 who are at high risk of developing shingles may also be offered the vaccine by their doctor.

More information

You will find more information about shingles vaccination here.

More comprehensive information for health professionals about immunisation and vaccination is available to NHS Wales users on the Public Health Wales Immunisation and Vaccination Intranet site.

More information about vaccines is included in the Public Health England ‘Immunisation Against Infectious Diseases’ policy and guidance handbook which is available at: here.

The Communicable Disease Surveillance Centre produces interactive data dashboards on diseases and infections here.

Immunisation and Vaccines

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How Can I Get The Shingles Vaccine

You can buy the shingles vaccine at most pharmacies and travel clinics. Shingrix® is given as a series of 2 doses, 2 to 6 months apart, and costs about $150/dose. Zostavax® II is given as 1 dose and costs about $200. Some health insurance plans may cover the cost of the vaccine check with your provider.

If you buy the vaccine at a travel clinic, a doctor or nurse on site will be able to immunize you. Most pharmacists in B.C. are also able to immunize.

If you want to be immunized by your doctor, find out if they have a supply of the shingles vaccine.

Shingles Vaccine Coverage Report : England

This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: .

Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned.

This publication is available at https://www.gov.uk/government/publications/herpes-zoster-shingles-immunisation-programme-2021-to-2022-evaluation-reports/shingles-vaccine-coverage-report-adults-eligible-from-april-to-december-2021-and-vaccinated-to-the-end-of-march-2022-england

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People Who Shouldnt Have The Vaccination

There are 2 shingles vaccines available. One contains a weakened version of the live shingles virus.

The live vaccine is the one that is routinely used in the UK but people who have weakened immune systems, for example due to cancer treatment, should not have it. They should have the inactivated shingles vaccine. Your doctor will advise whether this applies to you. Further information is available on the Shingrix vaccine.

If youve had a severe reaction to any of the substances that go into the vaccine, you shouldnt have it. Again, your GP will advise you.

The live shingles vaccine used in the UK contains porcine gelatine. Some people may not want this vaccine but it is the recommended vaccine unless you cannot have it because you have a weakened immune system.

If you have the Zostavax vaccine, you will just need one injection. If you are not eligible for the live vaccine, you will need 2 doses of the Shingrix vaccine 2 months apart to give you the best protection. Once your course is completed, you will not need any more shingles vaccines.

Who Should Get Shingrix

Shingles Vaccination

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.

Also Check: What Does A Shingles Rash Look Like

When Should You Get Immunised Against 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.

Is There Anyone Who Should Not Have The Shingles Vaccination

There are 2 shingles vaccines available in the UK:

  • Zostavax, a live vaccine given as 1 dose
  • Shingrix, a non-live vaccine given as 2 doses

If Zostavax is not suitable for you, a GP or practice nurse will decide whether to offer you Shingrix instead.

You should not have the shingles vaccine if you’ve had a serious allergic reaction in the past to a previous dose of the shingles vaccine, or to any of the ingredients in the vaccine, or to a previous dose of varicella vaccine.

If you have a weakened immune system a GP or practice nurse will assess which vaccine is suitable for you. Discuss any health concerns with the GP or practice nurse before you have the vaccine.

Zostavax is not suitable for people who have a weakened immune system due to a condition, treatment or medicine.

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Does The Vaccine Work

In December 2017 Public Health England published an evaluation of the first three years of the shingles vaccination programme in England . This showed that the shingles vaccine was 62% effective against shingles and 70 to 88% effective against post-herpetic neuralgia in this period. Public Health England estimates that there were 17000 fewer GP consultations for shingles than expected in this 3-year period.

In the early 2000s researchers carried out a very large study of Zostavax, the shingles vaccine used in the UK, involving over 38,000 adults aged 60 or older. The results showed that:

  • In adults aged between 60 and 70, the vaccine reduced the number of cases of shingles by 51.3%
  • In adults aged over 70, the vaccine reduced the number of cases of shingles by 38%
  • The vaccine reduced the incidence of post-herpetic neuralgia by over 66% in all age groups
  • For those who did get shingles, the vaccine reduced the severity of the disease.

Read the abstract of this study , published in 2005 by Oxman et al.

Adults aged 80 or over are not offered the shingles vaccine. This is because the effectiveness of the vaccine declines with age in older age groups.

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