Can A Person Who Is Living In The Same Household As Someone Who Is Immunosuppressed Or Pregnant Receive Shingles Vaccine
Yes, shingles vaccine can be given to adults in close contact with babies and children, pregnant women or people with weakened immune systems. There is an extremely small risk of a vaccine-related rash and the low possibility of wildtype varicella-zoster virus transmission. Discuss your concerns with your doctor.
How Do You Prevent Shingles
Vaccination is a safe and effective way to protect against shingles in most people. The shingles vaccine should not be given to people who are immunocompromised.
For more information on shingles immunisation, see Shingles immunisation service.
Shingles is less contagious than chickenpox. The risk of spreading the disease is low if the rash is covered. When the rash has developed crusts, you are no longer infectious.
If you have shingles, you should:
- cover the rash
- wash your hands often to prevent the virus from spreading.
Avoid contact with these people until the rash has developed crusts:
- pregnant women who have never had chickenpox or the chickenpox vaccine
- premature or low birthweight babies
- children who have not had chickenpox or the chickenpox vaccine
- people with weakened immune systems, such as people who:
- have had chemotherapy
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.
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Is It Possible To Get Shingles Twice
Most people who get shingles only experience it one time in their lives. However, it is possible to get shingles more than once . This is known as recurrent shingles. Getting vaccinated can help minimize the chance that this will happen.
These are only a few of the many questions people may have about Shingrix. To learn more about the vaccine and shingles, individuals can consult a medical professional.
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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Who Shouldnt Get The Shingles Vaccine
You shouldnt receive the shingles vaccine if:
- Youve had a previous severe allergic reaction to Shingrix or any of its ingredients.
- Youre pregnant or breastfeeding.
- You have no immunity to chickenpox, which means you should get the chickenpox vaccine instead.
Having a mild illness like a cold isnt a reason to not get your shingles vaccine.
However, if you have a moderate to severe illness or a fever of 101.3 or higher, you should recover before getting your shingles vaccine.
state that the COVID-19 vaccine may be given without regard to the timing of other vaccines.
This means you dont have to wait to receive your COVID-19 and shingles vaccinations.
In fact, you can get your COVID-19 vaccine and shingles vaccine at the same time. If you choose to do this, make sure to receive your injections at two different sites.
Can You Get Shingles After Being Vaccinated
Shingles is a viral infection. It presents with a rash followed by an episode of intense pain in the infected area. This is caused by the virus called varicella zoster. This virus also causes chickenpox. If a child has had chickenpox, the virus may not completely go away, lie dormant in the body and come back years later as shingles. Older individuals and immunocompromised individuals are more likely to develop shingles. The shingles vaccine is generally recommended for those older than 50 years of age and immunocompromised individuals .
The United States Food and Drug Administration has approved two vaccines to effectively prevent shingles: Zostavax and Shingrix. Shingrix provides strong protection against shingles and postherpetic neuralgia . Two doses of Shingrix are more than 90 percent effective at preventing shingles and postherpetic neuralgia. The vaccine is more than 85 percent effective for at least the first four years after vaccination. It is possible to get shingles after being vaccinated since no vaccine is 100 percent effective. However, the vaccine can considerably reduce the risk and intensity of shingles episodes.
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How Long Does Shingles Last
From the time you begin to feel symptoms until the rash has totally disappeared can take three to five weeks.
Vaccine Safety Net Member
Public Health Scotland is a proud member of the Vaccine Safety Net and partners with NHS inform to provide reliable information on vaccine safety.
The Vaccine Safety Net is a global network of websites, evaluated by the World Health Organization, that provides reliable information on vaccine safety.
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Can You Describe The Vaccine How Long Has It Been Around Is There A New Brand On The Market Thats Showing Better Efficacy
One shingles vaccine, Shingrix, is available in the United States. It was licensed by the FDA in 2017. The manufacturer of a previous vaccine, Zostavax, discontinued making this vaccine in 2020.* In clinical trials, Shingrix was 97% effective at preventing shingles in adults ages 50-69 and 91% for adults 70 years and older. Shingrix is not a live vaccine.
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 may 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. About 1 out of 6 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.
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.
The shingles vaccine does not contain thimerosal .
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Administration With Other Vaccines
CDC general recommendations advise that recombinant and adjuvanted vaccines, such as Shingrix, can be administered concomitantly, at different anatomic sites, with other adult vaccines. Concomitant administration of Shingrix with Fluarix Quadrivalent has been studied, and there was no evidence for interference in the immune response to either vaccine or safety concerns. Evaluation of co-administration of Shingrix with 23-valent pneumococcal polysaccharide vaccine and Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine, Adsorbed is ongoing. The safety and efficacy of administration of two adjuvanted vaccines , either concomitantly or at other intervals, have not been evaluated.
Shingrix and pneumococcal vaccine may be administered at the same visit if the person is eligible for both. When both pneumococcal conjugate vaccine PCV13 and PPSV23 are recommended for an adult, PCV13 should always be administered first and may be administered concomitantly with Shingrix.
If Ive Had Chickenpox Once In My Life Can I Get It Again
Its rare to get chickenpox twice in your life. Once youve had chickenpox, youre usually immune to it for the rest of your life. However, its not totally impossible. If you have a severely weakened immune system , you can get chickenpox a second time. If youve had chickenpox, you are more likely to get shingles at some point in your life than a repeat bout of chickenpox.
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Very Common And Common Adverse Events
Very common adverse events occur in 10% or more of vaccinees. Common adverse events occur in 1% to less than 10% of vaccinees.
Injection site reactions are very commonly reported for both LZV and RZV. For LZV recipients the frequency is slightly higher in adults aged < 60 years. For all ages, the majority of these events were rated mild or moderate in intensity and lasted less than 2 days.
Due to the adjuvant in RZV, which induces a high cellular immune response and helps address the natural age-related decline in immunity, RZV is more reactogenic than LZV.
Injection site AEs are very commonly reported by recipients of RZV. Approximately 80% report injection-site pain and approximately 30% report redness at the site of injection.
Systemic adverse events, primarily fatigue and myalgia are common in LZV recipients and very common in RZV recipients . For RZV, they include headache .
Local and systemic reactions that were severe enough to interfere with normal activities have been more frequently reported following the receipt of RZV than LZV. However, these reactions have been temporary . Patient education on the short-term reactogenicity of the RZV is recommended prior to vaccine administration to promote adherence to the second dose.
Why Doesnt Having Chickenpox Earlier In Life Provide Immunity Against Having Shingles Later
After having chickenpox, your body does not rid your system of the virus. Instead, the virus stays in a portion of the spinal nerve root called the dorsal root ganglion. In most people, the virus simply stays there quietly and doesnt cause problems. Scientists arent always sure why the virus gets active again, but they know stress can be a cause.
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The information provided is for informational purposes only, and is not meant to replace your pharmacists or doctors medical advice or information from your plan about preferred pharmacies or doctors.
You may search by ZIP code. You may also narrow your search by Provider Type. Any information you provide is used solely to help you find a pharmacist or doctor. It will not be disclosed to third parties. Please note: This list is pulled from a publicly available nationwide database of pharmacies and doctors who have indicated their specialty. While it is updated regularly, this list may not have the latest provider information and results shown may not reflect all of the adult vaccine providers in your area. GSK has compiled the list of pharmacists and doctors who have been provided information about SHINGRIX by GSK in this directory.
If you represent a medical practice or pharmacy and would like to update the information displayed on this map, please visit the NPI Registry.
What Are The Symptoms Of Shingles
The most common symptoms include pain and a tingling or burning sensation. In most patients a rash develops within 24 to 48 hours of the onset of pain. The rash can then turn to blisters that may leak fluid before crusting over.
The most common areas for the rash to develop are the scalp, neck, shoulders and chest wall. The shingles rash typically does not cross the midline of the body. While the majority of patients develop a rash, there are some patients who experience the pain and burning sensation but no rash develops.
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Side Effects Of Shingles Vaccine
The most common shingles shot side effects include pain and soreness at the injection site. Some people also notice a bit of redness, swelling or itching at the site of the shot. Other side effects of the shingles vaccine may include fatigue, muscle pain, headache, shivering, fever, stomach pain, or nausea. According to the CDC, side effects are more common in younger people than older people.
Most people can resume their regular activities immediately after vaccination. However, about 1 out of 6 people develop flu-like symptoms that last anywhere from 1 to 3 days.
Side effects can occur after the first, second, or both doses of Shingrix vaccine. If possible, it is a good idea to schedule vaccination the day before some downtime, so you can rest if you develop side effects.
If you develop flu-like symptoms after shingles vaccination, you can take ibuprofen or acetaminophen to control your fever and improve comfort. Those who develop flu-like symptoms after their first dose of vaccine may want to pre-medicate with ibuprofen or acetaminophen an hour or so before their second dose. Your healthcare provider can answer your questions about shingles vaccine side effects and pre-medication for vaccination.
Serious side effects are rare, but not impossible, after shingles vaccination. If you develop hives, swelling of the face or throat, difficulty breathing, a rapid heartbeat, or sudden dizziness or weakness, and seek medical care immediately.
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How Long Shingles Lasts And How Serious It Can Be
The rash usually appears a few days after the initial pain and tingling, and lasts for about a week. The older you are, the more likely you are to have long-lasting pain. Sometimes shingles develops in the eye and may also affect the eyelid.
This can cause severe pain and lead to decreased vision or even permanent blindness in that eye. Most people recover fully, but for some, the pain goes on for several months or even years this is called post-herpetic neuralgia .
This is a particularly unpleasant condition with severe burning, throbbing or stabbing nerve pain. The vaccine reduces the risk of getting shingles and PHN. Even if you still get shingles, the symptoms may be much reduced.
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Who Is At Risk For Shingles
Anyone who had chickenpox can develop shingles. As you age, the antibodies you developed to the chickenpox virus begin to fade. By the time you reach your 60s, you have few antibodies left to protect you. Any major health event can then lead to a reactivation of the virus.
Shingles is most likely to develop in someone whose immune system is compromised. This includes those suffering from such conditions as COPD, asthma, inflammatory bowel disease, kidney disease, rheumatoid arthritis, or another chronic condition. Medication that suppresses the immune system, such as radiation, chemotherapy or steroids, also puts individuals at increased risk. For some, age itself is the greatest risk factor. After the age of 50, the lifetime risk of developing shingles is 30 percent.
Shingles should be treated like any active viral infection. If you are experiencing active symptoms, its especially important to stay away from those with weakened immune systems and those who have never had chickenpox.
Herpes Zoster Vaccine: Canadian Immunization Guide
For health professionals
Last complete revision:
July 2018 This chapter was revised to reflect NACI’s Updated Recommendations on the Use of Herpes Zoster Vaccines. Most sections were revised to include information and practice recommendations for the new recombinant zoster vaccine which is now available in Canada. Changes include:
- Recommendations for use in different populations.
- Contraindications and precautions.
- Administration of the HZ vaccines: Table 1 was added to summarize key information.
- Considerations on the efficacy, effectiveness and immunogenicity of HZ vaccines: Table 2 was added to summarize key information.
- Vaccine safety and adverse events.
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