Chickenpox Vaccination: Risks and Recommendations for Adults

Q: Chickenpox Vaccination: Risks and Recommendations for Adults

Recommendation： It is advisable to get vaccinated. <br>Most children with chickenpox will recover on their own, but adults tend to experience more severe symptoms, which can include pneumonia and encephalitis. <br>Therefore, it is best to avoid intentional contact with infected i

Varicella vaccination issues

Dear Dr.
Tsai,
Hello! I am currently 30 years old.
My mother mentioned that I have never had chickenpox.
I read reports stating that if one has not had chickenpox, the risk of severe complications increases with age.
I would like to ask you: is it better not to have chickenpox at all? I am considering getting the chickenpox vaccine; if I get vaccinated, will I not get chickenpox? Alternatively, should I expose myself to children with chickenpox to catch it sooner? If I have had chickenpox before (as my mother might be mistaken), would getting the vaccine be harmful? What is the cost of the chickenpox vaccine? How many doses are required? Is there any risk associated with it?
Thank you for taking the time to respond.

ala, 30~39 year old female. Ask Date: 2007/07/29

Dr. Cai Dongqi reply Family Medicine

Recommendation: It is advisable to get vaccinated.
Most children with chickenpox will recover on their own, but adults tend to experience more severe symptoms, which can include pneumonia and encephalitis.
Therefore, it is best to avoid intentional contact with infected individuals.

Reply Date: 2007/07/29

More Info

Dear Reader,
Thank you for your inquiry regarding chickenpox vaccination and the associated risks and recommendations for adults. It’s great that you are taking the initiative to understand more about your health, especially concerning chickenpox, which can have serious implications if contracted later in life.

First, let’s clarify what chickenpox is. Chickenpox, caused by the varicella-zoster virus, is a highly contagious disease characterized by an itchy rash and flu-like symptoms. While it is often mild in children, adults who contract chickenpox can experience more severe symptoms and complications, such as pneumonia, encephalitis, and secondary bacterial infections.

Since you mentioned that you are currently 30 years old and have never had chickenpox, it is indeed advisable to consider vaccination. The varicella vaccine is effective in preventing chickenpox and is recommended for individuals who have never had the disease. If you receive the vaccine, it significantly reduces your risk of contracting chickenpox in the future. The vaccine is about 90% effective at preventing chickenpox and even if you do contract it after vaccination, the symptoms are usually milder.

Regarding your question about intentionally exposing yourself to children with chickenpox to "catch" the disease, this is not recommended. Deliberately exposing yourself to the virus can lead to severe complications, especially in adults. It is much safer to get vaccinated, which provides immunity without the risks associated with the actual disease.

If you have had chickenpox in the past (even if you do not recall it), receiving the vaccine is generally not necessary. However, if there is any uncertainty about your chickenpox history, it is best to consult with your healthcare provider. They may recommend a blood test to check for immunity before proceeding with vaccination.

As for the vaccination schedule, the varicella 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, the vaccine can be given at any time. The cost of the vaccine can vary depending on your location and healthcare provider, but it generally ranges from $150 to $300 per dose. It's advisable to check with your healthcare provider or local health department for specific pricing and availability.

In terms of safety, the varicella vaccine is considered safe for most individuals. Common side effects may include soreness at the injection site, mild fever, or a mild rash. Serious side effects are rare. However, individuals with certain conditions, such as a weakened immune system or those who are pregnant, should consult their healthcare provider before receiving the vaccine.

In summary, if you have never had chickenpox, getting vaccinated is a wise decision to protect yourself from potential complications later in life. Avoiding intentional exposure to the virus is crucial for your health. If you have further questions or concerns, I encourage you to speak with your healthcare provider, who can provide personalized advice based on your medical history.

Thank you for your thoughtful questions, and I hope this information helps you make an informed decision regarding your health.

Best regards.

Similar Q&A

Understanding Chickenpox: Vaccination and Lifelong Immunity Explained

Will everyone get chickenpox? If so, why is there a chickenpox vaccine? Does having it once provide lifelong immunity?

Dr. Zhang Jinglong reply Pediatrics
Hello, Xiaoling: 1. The varicella vaccine is a highly active live attenuated vaccine. For healthy children aged between one and twelve years, a single dose is sufficient. For those over twelve years, two doses are required, spaced 2 to 4 weeks apart. Antibodies against varicella...

Do Adults Need One or Two Doses of Chickenpox Vaccine?

Hello, doctor. I received a private varicella vaccine when I was a child. Recently, during a health check-up at the age of 30, I found out that I no longer have antibodies. When I inquired about varicella vaccine information from the Centers for Disease Control, I discovered that...

Dr. Cai Dongqi reply Family Medicine
Hello, since your antibody report does not provide clear information about your actual condition, it is recommended that you return to the hospital for a check-up with a family medicine physician or a relevant specialist for confirmation.

Where to Find Adult Chickenpox Vaccines in Changhua: Clinics and Hospitals

Hello Doctor: As mentioned above, which department should I consult? Is it covered by insurance or is it out-of-pocket? Thank you for your response!

Dr. Lin Mingxing reply Family Medicine
Generally, hospitals at the regional level and above provide varicella (chickenpox) vaccination. You can schedule an appointment with a family medicine department for the vaccination.

Preventing Chickenpox and Shingles in Uncertain Seniors: A Guide

A 70-year-old elderly person is uncertain whether they have had chickenpox. What are the steps to prevent chickenpox and shingles? 1. First, get a blood test to check for varicella antibodies? 2. If positive, it indicates a past chickenpox infection, so they should receive the sh...

Dr. Liao Zhongxin reply Internal Medicine
Dear readers, I. <Regarding uncertainty about having had chickenpox and steps to prevent chickenpox and shingles> A: If you are unsure whether you have had chickenpox, you can visit a medical facility that offers antibody testing for chickenpox and shingles. Most people ma...