Friday, March 17, 2023

How Often Do You Have To Get The Shingrix Vaccine

What Is The Pneumonia Shot

Everything You Need to Know About Shingrix | CDC experts

The pneumonia shot is a vaccine that keeps you from getting pneumonia. There are two types of vaccines. The pneumococcal conjugate vaccine is primarily for children under age two, though it can be given to older ages, as well. The pneumococcal polysaccharide vaccine is for adults over age 65.

The pneumonia vaccine for older adults is one dose. Unlike the flu vaccine, you donât get it every year.

The vaccine teaches your body to make proteins that will destroy the pneumonia bacteria. These proteins are called antibodies and they will protect you and keep you from getting infected. The pneumonia vaccines donât have live bacteria or viruses in them, so you wonât get pneumonia from the vaccine.

You should have the pneumonia vaccine if you:

  • Are over age 65
  • Have a long-term health problem
  • Protection against 23 strains of pneumonia bacteria

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 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.

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Side Effects Not Requiring Immediate Medical Attention

Some side effects of zoster vaccine, inactivated may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  • pain, redness, and swelling at the injection site
  • general feeling of discomfort or illness
  • itching at the injection site

How Often Should My Children Get Pneumonia Vaccine

Shingles Vaccine How Often Needed

The age of your child plays a big role in determining the frequency of getting pneumonia vaccine. How often should your child have the vaccine at different ages?

Children Younger than 2 Years Old

Your infants will get PCV13 vaccine as a series of four doses. The first dose will be given at 2 months, second at 4 months, third at 6 months, and the last one between 12 months and 15 months. Your children should get the vaccine even if they miss their shots in the beginning.

Children from 2 to 5 Years Old

Children between 24 months and 4 years old with incomplete PCV13 series should get one dose of it. Those who are in the same age group but has some medical conditions should get a couple of doses of PCV13 in case they have not completed the full course of vaccine. This is usually the case for children with medical conditions, such as cerebrospinal fluid leaks, cochlear implants, sickle cell disease, chronic heart or lung disease, and HIV/AIDS. Children who are on medications that weaken the immune system should get a dose under a physicians supervision.

Children from 6 to 8 Years Old

Children between 6 and 8 years old should get a single dose of PCV13, especially if they have certain medical conditions, such as HIV-infection, sickle cell disease, and other conditions leading to compromised immunity. These children should receive PCV13 even if they have received doses of PCV7 or PPSV23 in the past. Talk to your healthcare provider for more details.

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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 .

Who Should Not Get Shingrix

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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Adults 19 Through 64 Years Old

CDC recommends pneumococcal vaccination for adults 19 through 64 years old who have certain chronic medical conditions or other risk factors. The tables below provide detailed information.

For adults with any of the conditions or risk factors listed below:

For those who have not previously received any pneumococcal vaccine, CDC recommends you:

  • Give 1 dose of PCV15 or PCV20.
  • If PCV15 is used, this should be followed by a dose of PPSV23 at least one year later. The minimum interval is 8 weeks and can be considered in adults with an immunocompromising condition, cochlear implant, or cerebrospinal fluid leak.
  • If PCV20 is used, a dose of PPSV23 is NOT indicated.

For those who have only received PPSV23, CDC recommends you:

  • May give 1 dose of PCV15 or PCV20.
  • The PCV15 or PCV20 dose should be administered at least one year after the most recent PPSV23 vaccination.
  • Regardless of if PCV15 or PCV20 is given, an additional dose of PPSV23 is not recommended since they already received it.

For those who have received PCV13 with or without PPSV23, CDC recommends you:

  • Give PPSV23 as previously recommended.* See Pneumococcal Vaccine Timing for Adults for specific guidance. The incremental public health benefits of providing PCV15 or PCV20 to adults who have received PCV13 only or both PCV13 and PPSV23 have not been evaluated.

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Why Is Shingrix Administered In Two Doses

How long should you wait to get the COVID-19 vaccine after getting a pneumonia shot?

Shingrix is typically given in two doses, usually as a shot to the upper arm.

A 2021 study found that adults over 65 were significantly less likely to develop either shingles or PHN after getting two doses of Shingrix than they were after one dose. Two doses of Shingrix also offered better protection against shingles complications to adults over 80 and immunocompromised adults.

Previously, Zostavax was offered to older and immunocompromised adults to prevent shingles, PHN, and other shingles-related health problems. Zostavax is a live vaccine, which means it contains a weakened version of the herpes zoster virus. Shingrix is a recombinant vaccine, meaning that it uses only a small piece of the virus.

In 2017, the Food and Drug Administration approved Shingrix for the prevention of shingles and related complications. Zostavax is no longer available in the U.S. People who have gotten Zostavax in the past should now get Shingrix.

Studies have shown that Zostavaxa one-dose vaccineis generally less effective than two doses of Shingrix in preventing shingles complications among older and immunocompromised adults. Shingrix currently offers the best chance of protection against shingles, PHN, and shingles-related hospitalization.

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Side Effects Requiring Immediate Medical Attention

Along with its needed effects, zoster vaccine, inactivated may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking zoster vaccine, inactivated:

Rare

  • Ankle, knee, or great toe joint pain
  • fever greater than 39 degree Celsius
  • joint stiffness or swelling
  • lower back or side pain
  • swollen, painful, or tender lymph glands in the neck, armpit, or groin

Incidence not known

  • Hives, welts, or itching
  • inability to move the arms and legs
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • redness of the skin
  • sudden numbness and weakness in the arms and legs

When Should I Get The Second Dose

The CDC recommends that adults ages 50 and older get a second dose of Shingrix two to six months after their first dose. If youve waited longer than six months since your first dose of Shingrix, its safe to get a second dose right away. Most people dont need to repeat the first dose.

Some immunocompromised adults may need a second dose within one to two months. If you have a disease or are taking medication that affects your immune system, talk to your healthcare provider about the best timeline for your two doses of the shingles vaccine.

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What Questions Should I Ask My Healthcare Provider

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?

Who’s Most At Risk Of Shingles

How Far Apart Should Shingles Shots Be

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 Side Effects Of Shingrix

The most common side effects include pain and inflammation at the injection site, headache, muscle pain, fatigue, stomach discomfort, fever, and shivering, according to GSK.

Allergic reactions are less common but still possible. Watch for signs of an allergic reaction, such as hives, swelling of the face or throat, trouble breathing, rapid heartbeat, dizziness, and weakness. This is considered an emergency, so call 911.

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.

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Can You Get Shingles After Youve Been Vaccinated

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.

What Else To Know About The Shingles Vaccine

New CDC guidelines for shingles and pneumonia vaccines

Ready to get vaccinated? This is the essential info on how the shots are given, what to expect with side effects, and more.

You need two doses of Shingrix to get full protection from shingles. You should get your second dose 2 to 6 months after the first. Your doctor or pharmacist will inject the vaccine into the muscle of your upper arm, so wear clothes that give easy access to that area.

If it has been more than 6 months since you got your first dose, go ahead and get your second dose. You donât need to start over, Dooling says.

Because Shingrix is so new, experts arenât sure whether youâll eventually need another shot, or a booster, years down the road.

âThe CDC is actively following how protected people remain after the two-dose series,â she says. We know that after 4 years, protection remains above 85%. Only time will tell how durable that protection is.â

You do not have to wait between Shingrix and COVID-19 vaccination. The CDC has determined its safe to get the COVID-19 vaccine at the same time as Shingrex, but recommends they be given in different arms. You should not get eithe vaccine if you have COVID.

Side effects are fairly common. You may have heard that people sometimes have unpleasant side effects soon after they get the shingles vaccine.

âShingrix tends to have has more side effects than some vaccines, like those for the seasonal flu,â says Kistler. The shingles vaccine may cause:

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What Should You Do If You Have Shingles

These simple steps can help you reduce the severity and spread of shingles:

  • Cover the rash at all times
  • Do not touch or scratch the rash
  • Wash hands often to prevent the spread of the virus
  • Before the rash develops crusts, avoid contact with:
  • pregnant women who have never had chickenpox or been vaccinated against it
  • premature or low birth-weight infants
  • people with weakened immune systems including those receiving immunosuppressive medications or undergoing chemotherapy, organ transplant recipients, and people with HIV.

Is There Any Reason I Shouldnt Get It

Only if you have a compromised immune system.

Show Sources

News release, FDA. William Schaffner, MD, president, National Foundation for Infectious Diseases professor, chairman, department of preventive medicine professor of medicine, division of infectious diseases, Vanderbilt University School of Medicine.

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Who Should Get Shingrix

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.

How Effective Is The Pneumonia Vaccine

How Far Apart Shingles Vaccines

According to the Centers for Disease Control and Prevention , there have been studies and clinical trials that show the following:5

  • Getting at least 1 shot of the pneumonia vaccine helps protect at least 8 in 10 babies from serious infection from invasive pneumococcal disease, 3 in 4 adults 65 and older against pneumococcal disease, and 9 in 20 adults 65 and older against pneumococcal pneumonia.
  • Getting 1 shot of pneumonia vaccine helps protect between 6 to 7 in 10 healthy adults against invasive pneumococcal disease.

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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.

How Is Shingles Spread

You do not catch shingles it comes on when theres a reawakening of chickenpox virus thats already in your body. The virus can be reactivated because of a range of issues, including advancing age, medicine, illness or stress.

Anyone who has had chickenpox can get shingles. Its estimated that around 1 in 5 people who have had chickenpox go on to develop shingles.

Read more about the causes of shingles.

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Know Your Risk Of Getting Shingles And Complications

About 1 out of every 3 people in the United States will develop shingles during their lifetime.

If youve had chickenpox, you are at risk for shingles. More than 99% of Americans born before 1980 have had chickenpox, even if they dont remember it.

Your risk of getting shingles and having serious complications increases as you get older.

About 1 in 10 people who get shingles develop nerve pain that lasts for months or years after the rash goes away. This is called postherpetic neuralgia and is the most common complication of shingles.

Shingles may lead to other serious complications involving the eye, including blindness. Very rarely, it can also lead to pneumonia, hearing problems, brain inflammation or death.

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