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Who Needs New Shingles Vaccine

Can You Get Shingles After Youve Been Vaccinated

Every American over 50 needs to get a new shingles vaccine

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.

Who Should Get The Shingles Vaccine

The CDC recommends all healthy adults ages 50 years and older get two doses of the shingles vaccine to prevent shingles and problems that can develop after youve had the disease. The two doses should be separated by two to six months. You should get the shingles vaccine even if you:

  • Have had shingles: If youve had shingles in the past, you should get the shingles vaccine to help prevent getting the disease again. You should wait until the shingles rash is gone before getting the vaccine.
  • Arent sure if youve had chickenpox: Studies show more than 99% of Americans ages 40 and older have had chickenpox at some point in their lives. You should get the shingles vaccine whether or not you remember having chickenpox because theyre caused by the same virus.
  • Received the old shingles vaccine : Before November 18, 2020, people were vaccinated with a shingles vaccine called Zostavax. You cant get Zostavax in the United States anymore. If you were vaccinated with Zostavax, you should get vaccinated with the new shingles vaccine, Shingrix.

New Shingles Vaccine Shingrix Much More Effective

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.

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What Is The Brand Name Of The Shingles Vaccine

There are 2 shingles vaccines used in the UK:

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

Most people will have the Zostavax vaccine. The Shingrix vaccine is recommended if Zostavax is not suitable for you, for example if you have a condition that affects your immune system.

You can read more about the shingles vaccines in the patient information leaflets:

Uncommon Rare And Very Rare Adverse Events

shingles

Uncommon adverse events occur in 0.1% to less than 1% of vaccinees. Rare and very rare adverse events occur, respectively, in 0.01% to less than 0.1% and less than 0.01% of vaccinees.

Both HZ vaccines are safe with serious adverse events reported very rarely in immunocompetent individuals.

Recurrence or exacerbation of herpes zoster ophthalmicus following LZV vaccination has been reported very rarely, involving several cases world-wide following LZV immunization. Following a causality assessment of seven cases of HZO which were temporally associated with the administration of LZV, NACI concluded that there was insufficient evidence to recommend for or against the administration of LZV in individuals with a history of HZO. More evidence is required for further assessment of risk related to HZO recurrence in LZV recipients. At this time, there is insufficient evidence to assess the risk related to HZO recurrence following RZV recipients.

See Contraindications and Precautions if considering vaccinating a person with previous HZO.

For more information, refer to Adverse Events Following Immunization in Part 2 and the product monograph in Health Canadas Drug Product Database.

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Obstacles To Getting Vaccinated

Despite the fact that the small, but vocal, group of individuals who oppose vaccinations remains strong, Jain says she hasnt encountered much opposition to getting vaccinated among her patients.

A lot of patients will actually come to me asking how they can get the shingles vaccination, so I actually have experienced the opposite, she said. Theres a very small percentage of patients, Id say under 10 percent, that are very averse to getting vaccinations, though.

Jain said that with these patients, their concerns often center around possible adverse effects from the vaccination, fears that theyll contract shingles by getting the vaccination, or the belief that since theyve never had the illness, they dont need the vaccine.

Another big concern that patients have is cost, Jain told Healthline in March 2018. Zostavax cost $213, and Shingrix costs about $280 out of pocket.

Prices have fluctuated slightly in 2019, with Shingrix at $185 per injection (.

She explained that even insurance or Medicare coverage doesnt solve the problem.

The issue is that Medicare Part B is not covering it, Medicare Part D is covering part of it, and Medicaid may or may not cover it it really depends on the insurer and the insurance plan, she said. So, I think cost is also a big barrier for patients as well.

Are Shingrix And Zostavax The Same

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.

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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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Should I Get A Vaccine

New shingles vaccine – if you’re a boomer, you need to take it

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

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Know The Benefits And The Side Effects

Shingrix is more than 90% effective at preventing shingles and long-term nerve pain. You may experience some short-term side effects because Shingrix causes a strong response in your immune system.

After getting Shingrix:

  • Most people had a sore arm.
  • Many people had redness and swelling where they got the shot .
  • Many felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea.

About 1 out of 6 people who got Shingrix experienced side effects that prevented them from doing regular activities like yardwork or swimming. Side effects usually go away after 2 to 3 days. Remember that the pain from shingles can last a lifetime, and these side effects should only last a few days.

How Is Shingrix Different From Zostavax

Shingrix is more than 90% effective at preventing shingles and a painful complication called postherpetic neuralgia in all age groups. Zostavax only lowers the odds of getting shingles by 51%, and of PHN by 67%. Its even less effective in people ages 70 and older.

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The Best Reason Why You Should Get The Shingles Vaccine

Top reason to get the shingles vaccine? Its true that shingles is not usually life-threatening, but the shingles rash generally causes a burning pain that can last for weeks or even months.

Shingles is not something that will kill you, but it is extremely painful and debilitating, says internal medicine specialist George Topalsky, MD.Even though the rash lasts for weeks, some pain and discomfort can continue for years.

About one in three people in the United States will get shingles. The virus that causes chicken pox is the same one that develops into shingles, and the virus can lie dormant in your nerve endings for years.

Usually, shingles attacks people older than age 60, but it can happen at any age particularly when your immune system is compromised.

And, you can get shingles even if you never had chicken pox.

Cdc Recommends New Shingles Vaccine To Replace Older One

GSK Shingles Vaccine

Shingrix is recommended over Zostavax, the existing shingles vaccine

Revaccination with Shingrix is recommended for people who have received Zostavax

A new adult vaccine has received a double thumbs-up from the American federal health system.

On the heels of the Food and Drug Administration approval of Shingrix, a new vaccine from GlaxoSmithKline for the prevention of shingles, a federal committee of immunization experts voted Wednesday to recommend Shingrix for all Americans 50 and older.

Shingles, also known as herpes zoster, is a painful, itchy rash that develops on one side of the body and can last for two to four weeks. One in three Americans will develop shingles in their lifetime, with the risk increasing to half of adults over 85, according to the US Centers for Disease Control and Prevention.

The Advisory Committee on Immunization Practices, which advises the CDC on vaccine usage, also recommended that adults who received Zostavax, a shingles vaccine made by Merck, be revaccinated with Shingrix.

Additionally, the committee expressed its preference for Shingrix over Zostavax.

GlaxoSmithKline says Shingrix will be available shortly.

Zostavax was licensed and recommended by the committee in 2006 for people 60 and older, including those who have had an episode of shingles. Until now, it has been the only approved vaccine to protect against the virus.

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Shingles Vaccine And Insurance

Private health insurance plans often cover vaccination costs. Still, a patient might have a charge depending on the specific insurance plan.

Medicaid may or may not cover the vaccine cost.Medicare Part D plans cover the shingles vaccine, but there may be a cost to the patient depending on the plan. Usually, the fees are less than $50 per dose.

Medicare Part B does not cover the shingles vaccine.

Counseling Patients About Shingrix

Know the benefits and side effects of Shingrix so youre prepared to talk with your patients before administering the vaccine.

What to tell patients about Shingrix benefits:

  • You can protect yourself against shingles. Shingles is a very painful disease, and your risk of getting it increases as you age. Also, you are more likely to have severe, long-term pain if you get shingles when you are older. About 1 out of every 3 people in the United States will develop shingles in their lifetime.
  • Shingrix provides strong protection against shingles and long-term pain from the disease. Two doses of Shingrix are more than 90% effective at preventing shingles. So its very important that you get this vaccine.

What to tell patients about Shingrix side effects:

What to tell patients about dose two:

  • You need to come back in 2 to 6 months for your second dose. We can make that appointment now.
  • Even if you have side effects from the first dose, it is important to get the second dose to build strong protection against shingles. Your reaction to each dose may be different just because you have a reaction to the first dose does not mean that you will have a reaction to the second.

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What Are The Possible Side Effects Of Shingrix

Studies show that Shingrix is safe. The vaccine helps your body create a strong defense against shingles. As a result, you are likely to have temporary side effects from getting the shots. The side effects might affect your ability to do normal daily activities for 2 to 3 days.

Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Some people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. Some people who got Shingrix experienced side effects that prevented them from doing regular activities. Symptoms went away on their own in about 2 to 3 days. Side effects were more common in younger people.

You might have a reaction to the first or second dose of Shingrix, or both doses. If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen.

Guillain-Barré syndrome , a serious nervous system disorder, has been reported very rarely after Shingrix. There is also a very small increased risk of GBS after having shingles.

If you experience side effects from Shingrix, you should report them to the Vaccine Adverse Event Reporting System . Your doctor might file this report, or you can do it yourself through the VAERS websiteexternal icon, or by calling 1-800-822-7967.

If you have any questions about side effects from Shingrix, talk with your doctor.

Who Needs The Shingles Vaccine

Recommendations for new Shingles vaccine

Shingles is a painful rash that can last from 3 to 5 weeks. Severe pain can last for months or even years after the rash fades, especially in older people. Getting vaccinated can help you avoid all of these problems.

The Centers for Disease Control and Prevention recommends the shingles vaccine Shingrix for people 50 and older. Shingrix is also approved for people 18 years and older whose immune system is weakened or compromised by a medical condition or immune-suppressing medications .

Shingrix is a highly effective, recombinant vaccine that does not contain the shingles virus. Recombinant means the vaccine contains only part of the virus. With Shingrix, it is a small amount of a shingle virus protein. You receive two injections of Shingrix into your upper arm muscle, spaced 2 to 6 months apart. If the shingles virus in your body ever reactivates, your immune system is primed and easily fights off shingles. Here are the pros and cons of getting shingles vaccine.

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Why Do We Need A Shingles Shot

If youve had chickenpox, youve been infected with the varicella-zoster virus. Thats the same virus that causes shingles.

As you might remember from your childhood, the rash from chickenpox is itchy but usually doesnt hurt. In most cases, chickenpox is a mild illness that doesnt cause long-term problems.

After you got over a case of chickenpox, the virus stays in your body but goes dormant, meaning its not active. However, it can reactivate later in your life. If it does, youll get shingles.

Unlike chickenpox, a shingles rash can be extremely painful. Fever, headache, fatigue, and sensitivity to light are also common shingles symptoms.

There are also potentially serious health consequences of the infection. For example, if you get a shingles rash close to your eye, it can affect your vision and potentially cause blindness.A case of shingles generally lasts between two and six weeks. The pain usually goes away when the rash does, but some people have pain that lingers for months or even years .

Shingles can be treated with antiviral medications such as acyclovir or valacyclovir, which reduce the length of the outbreak. However, anyone who has had shingles will likely tell you to do whatever you can to avoid getting it in the first place. Thats where Shingrix comes in.

Simultaneous Administration With Other Vaccines

RZV and LZV may be administered concomitantly with other live vaccines given by the parenteral, oral, or intranasal routes. For concomitant parenteral injections, different injection sites and separate needles and syringes should be used.

In general, inactivated vaccines including RZV may be administered concomitantly with, or at any time before or after, other inactivated vaccines or live vaccines protecting against a different disease.

LZV may be given at any time before or after live oral or intranasal vaccines. If two live parenteral vaccines are not administered concomitantly, there should be a period of at least 4 weeks before the second live parenteral vaccine is given.

Concomitant administration of pneumococcal 23-valent polysaccharide vaccine and LZV has not resulted in decreased efficacy and so the two vaccines can be given concomitantly.

For more information, refer to Timing of Vaccine Administration in Part 1.

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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.

Why Is Shingrix Recommended For People Ages 50 And Older

FREE Shingles Vaccination do you qualify?

You can get Shingrix at age 50, when your chance of having shingles rises. Studies have shown that its protection remains strong for at least 4 years, but researchers hope it will last much longer because the immune response is stronger.

The CDC recommended that Zostavax stay at 60 and older because they were concerned the immunity would wane, and there would be a number of people who were vaccinated in their 50s who wouldnt be protected in their 70s, says Kenneth Schmader, MD, a professor of medicine and chief in the division of geriatrics at Duke University Medical Center.

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