Essential Guide to Chickenpox Vaccine: What You Need to Know

Varicella vaccine

If I do not have varicella antibodies, what should I pay attention to before getting vaccinated? What symptoms can I expect after the injection? How much does a self-paid dose cost? What are the vaccination hours at the hospital? Could you please help me with these questions? Thank you.

lulu, 20~29 year old female. Ask Date: 2004/10/25

Dr. Lin Huizhen reply Pediatrics

Dear Lulu,
The contraindications for the varicella (chickenpox) vaccine are as follows:
1.
Acute severe illness, such as having a high fever.
2.
History of anaphylactic shock or severe allergic reactions to other vaccines or vaccine components.
3.
Immunocompromised conditions, such as lymphoma or leukemia.
4.
Use of oral corticosteroids for more than two weeks; the medication should be stopped for one month before vaccination.
5.
Recent blood transfusions, plasma, or immunoglobulin treatments; vaccination should be avoided for at least five months after these treatments.
Additionally, blood or immunoglobulin infusions should not be administered within three weeks after vaccination.
6.
Pregnant women should not receive the varicella vaccine.
Women who are not pregnant should avoid conception for one month after vaccination.
7.
Children should not take salicylates (such as aspirin) for at least six weeks after receiving the varicella vaccine.
The side effects of the varicella vaccine are mostly mild discomfort at the injection site, with a small chance of a rash; systemic side effects are very rare.
The cost of the varicella vaccine varies by hospital; our hospital charges NT$1570, currently with a 10% discount, plus a registration fee of NT$50.
For children over three years old, there is an additional out-of-pocket expense of NT$140.
At our pediatric department, you can register for the vaccine during outpatient hours.
However, there is currently a nationwide shortage of the varicella vaccine, so Ms.
Lulu should call the hospital or clinic beforehand to check for availability.
Tainan Hospital wishes you good health and all the best!

Reply Date: 2004/10/25

More Info

When considering the chickenpox vaccine, especially if you do not have antibodies against the varicella-zoster virus (the virus that causes chickenpox), there are several important factors to keep in mind. Here’s a comprehensive guide to help you navigate the vaccination process.

1. Understanding the Chickenpox Vaccine
The chickenpox vaccine is a live attenuated vaccine, meaning it contains a weakened form of the virus. It is highly effective in preventing chickenpox and its associated complications, such as pneumonia and encephalitis. The vaccine is typically recommended for children, but adults who have never had chickenpox or the vaccine should also consider getting vaccinated.

2. Pre-Vaccination Considerations
Before receiving the chickenpox vaccine, you should:
- Consult with Your Healthcare Provider: Discuss your medical history, any allergies (especially to gelatin or neomycin), and any current medications you are taking. This is crucial as certain conditions may affect your eligibility for the vaccine.

- Check for Pregnancy: Women who are pregnant should avoid getting vaccinated, as the vaccine is not recommended during pregnancy.

- Assess Immune Status: If you have a weakened immune system due to conditions like HIV/AIDS, cancer treatments, or long-term steroid use, you should discuss this with your healthcare provider, as it may affect your vaccination plan.

3. Vaccination Process
- Dosage: The chickenpox vaccine is typically administered in two doses. The first dose is given between 12 and 15 months of age, and the second dose is given between 4 and 6 years of age. For adults who have never had chickenpox or the vaccine, two doses are also recommended, spaced at least 28 days apart.

- Cost: The cost of the chickenpox vaccine can vary depending on your location and healthcare provider. In the United States, the price for a single dose can range from $100 to $300, and it may not be covered by all insurance plans. It’s advisable to check with your healthcare provider or insurance company for specific pricing and coverage details.

- Timing: Vaccination can be done at your primary care physician’s office, community health clinics, or pharmacies that offer immunization services. It’s best to call ahead to schedule an appointment and confirm availability.

4. Post-Vaccination Symptoms
After receiving the chickenpox vaccine, it is common to experience some mild side effects, which may include:
- Injection Site Reactions: Pain, redness, or swelling at the injection site.

- Fever: A mild fever may occur in some individuals.

- Rash: A small number of people may develop a mild rash that resembles chickenpox, typically appearing 1 to 3 weeks after vaccination. This rash is usually not serious and resolves on its own.

- Fatigue or Irritability: Some individuals may feel tired or irritable for a short period after vaccination.

5. Monitoring and Follow-Up
It’s important to monitor for any unusual symptoms after vaccination. If you experience severe reactions, such as high fever, difficulty breathing, or a rash that spreads or worsens, seek medical attention immediately.

Conclusion
Getting vaccinated against chickenpox is a proactive step in protecting your health, especially if you lack immunity. By consulting with your healthcare provider, understanding the vaccination process, and being aware of potential side effects, you can make an informed decision about receiving the chickenpox vaccine. Remember to keep your vaccination records updated and inform your healthcare provider of any changes in your health status.

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