How Often Should You Get the Shingles Vaccine After Initial Dose?

Q: How Often Should You Get the Shingles Vaccine After Initial Dose?

Hello： Currently, there is a new shingles vaccine called Shingrix, which has a longer duration of protection. <br>For an introduction to the Shingrix shingles vaccine, you can refer to the Taichung Hospital's medical newsletter at https：//www.google.com.tw/url?sa=t&rct=j&q=&esrc=

How many years later do I need to get the shingles vaccine again?

Hello Doctor, I had shingles in 2010, which was quite severe (large areas on my left chest, left armpit, and left back).
The neuropathic pain has persisted until now.
I received the shingles vaccine once in October 2017.
It has been six years; do I need to get vaccinated again? I was diagnosed with stage 1 lung adenocarcinoma in 2014 and underwent surgery without the need for chemotherapy.
It seems I have not had another episode of shingles in the past 13 years.
I do experience other conditions like dyshidrotic eczema and seasonal respiratory allergies every year, and I am in the early stages of diabetes.
Thank you.

Mr. Chen, 60~69 year old female. Ask Date: 2023/11/01

Dr. Li Yufen reply Dermatology

Hello: Currently, there is a new shingles vaccine called Shingrix, which has a longer duration of protection.
For an introduction to the Shingrix shingles vaccine, you can refer to the Taichung Hospital's medical newsletter at https://www.google.com.tw/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwjxu4Lb1LOCAxWxcfUHHQAyApYQFnoECBMQAQ&url=https%3A%2F%2Fwww.taic.mohw.gov.tw%2Fpublic%2Fhygiene%2F9f7160f23ee23eca1e6d14fb94aa7271.pdf&usg=AOvVaw2kqB3GH3RR6iRWUYGNuSs0&opi=89978449 or the Changhua Christian Hospital's electronic newsletter at https://www.cch.org.tw/edm_3.aspx?Id=481.
Thank you!

Reply Date: 2023/11/01

More Info

The shingles vaccine is an important preventive measure for individuals who have previously experienced shingles, especially considering your history of severe shingles in 2010 and ongoing nerve pain. The Centers for Disease Control and Prevention (CDC) recommends that adults aged 50 and older receive the shingles vaccine, even if they have had shingles before.
There are two vaccines available for shingles: Zostavax, which is a live attenuated vaccine, and Shingrix, which is a recombinant, adjuvanted vaccine. Shingrix is now the preferred vaccine due to its higher efficacy and longer-lasting protection. It is recommended to receive two doses of Shingrix, with the second dose administered 2 to 6 months after the first dose.
Since you received the shingles vaccine in 2017, it is advisable to consider getting the Shingrix vaccine, especially given your history of shingles and the potential for postherpetic neuralgia (PHN), which is the nerve pain that can persist after the shingles rash has healed. Although you have not had a recurrence of shingles in the past 13 years, the risk of developing shingles increases with age and can be influenced by factors such as stress, illness, or a weakened immune system.

Given your medical history, including your lung cancer diagnosis and early-stage diabetes, it is crucial to consult with your healthcare provider before receiving any vaccinations. They can assess your overall health, review your medical history, and determine the best course of action regarding the shingles vaccine.
In summary, if you have not received the Shingrix vaccine, it would be prudent to discuss the possibility of getting vaccinated with your healthcare provider. They will guide you on the appropriate timing and any considerations based on your health status. Vaccination can significantly reduce your risk of developing shingles again and help prevent the associated complications, including chronic nerve pain.
Additionally, maintaining a healthy lifestyle, managing your diabetes, and staying up to date with other vaccinations, such as the flu vaccine, can further support your immune health. Always keep an open line of communication with your healthcare provider regarding any new symptoms or concerns you may have, especially considering your history of cancer and ongoing health issues.

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