How often do you have to have shingles vaccine

You're eligible for the shingles vaccine when you're aged 70 to 79.

When you're eligible, you can have the shingles vaccination at any time of year.

The shingles vaccine is not available on the NHS to anyone aged 80 and over because it seems to be less effective in this age group.

Is there anyone who should not have the shingles vaccination?

There are 2 shingles vaccines available in the UK:

  • Zostavax, a live vaccine given as 1 dose
  • Shingrix, a non-live vaccine given as 2 doses

If Zostavax is not suitable for you, a GP or practice nurse will decide whether to offer you Shingrix instead.

You should not have the shingles vaccine if you've had a serious allergic reaction (including an anaphylactic reaction) in the past to a previous dose of the shingles vaccine, or to any of the ingredients in the vaccine, or to a previous dose of varicella (chickenpox) vaccine.

If you have a weakened immune system a GP or practice nurse will assess which vaccine is suitable for you. Discuss any health concerns with the GP or practice nurse before you have the vaccine.

Zostavax is not suitable for people who have a weakened immune system due to a condition, treatment or medicine.

The shingles vaccine and other vaccines

You can have a shingles vaccine at the same time as most other vaccines. But try to leave 7 days between the shingles vaccine and a coronavirus (COVID-19) vaccine, so that if you have any side effects you'll know which vaccine they were from.

Get answers to shingles vaccine frequently asked questions (FAQs).

Ask the doctors

Q. I've had the Zostavax vaccine to prevent shingles, but now I've heard there is a new vaccine that is supposed to be more effective. Should I get the new vaccine? And can I get it, since I already had the Zostavax shot?

A. You heard correctly. The Centers for Disease Control and Prevention (CDC) now recommends that healthy adults over age 50 get two doses of a new vaccine called Shingrix, which was approved by the FDA in October 2017. Doses are given two to six months apart. Shingrix is said to be more than 90% effective against shingles and postherpetic neuralgia — a painful nerve condition that can arise as a shingles complication.

This new vaccine is much more effective than Zostavax, which had been used in the past. It reduced the risk of shingles by only 51%. Research has also shown that Zostavax loses its ability to prevent shingles after five years. Zostavax is no longer available in the United States.

If you've ever had chickenpox, you are at risk for shingles, which is essentially a re-emergence of the virus that caused your chickenpox. The CDC says you should get vaccinated with Shingrix even if you aren't sure you've had chickenpox and if you've already had shingles. Although it's uncommon, you can get shingles more than once. In addition, you should get the Shingrix vaccine even if you already got the Zostavax vaccine.

While some people can have a very sore arm, fatigue and low-grade fever after the vaccine, most people who get Shingrix experience only mild side effects.

— by Hope Ricciotti, M.D., and Hye-Chun Hur, M.D., M.P.H.
Editors in Chief, Harvard Women's Health Watch

Image: © Highwaystarz-Photography | GettyImages

You get shingles when the virus that may have given you chickenpox when you were young becomes active again. Doctors don’t know why this happens.

When the virus wakes up, it causes itching and tingling feelings in your skin that can last up to 5 days. Then blisters appear on your body or face, often in a strip on one side of your body. You also may have a fever, an upset stomach, headaches, and chills.

The rashes tend to go away within a month, but shingles can lead to long-term nerve damage and pain, especially in people over 50 or are immunocompromised.

About 1 in 3 people in the US will get shingles in their lifetime, or about 1 million people a year. It can happen at any age, but you’re more likely to have it as you get older. That’s why doctors recommend a shingles vaccine for most people over 50.

What vaccines can help prevent shingles?

There is currently one vaccine available in the U.S. to prevent shingles. Shingrix (RZV) was approved in 2017 and it is more than 90% effective in preventing shingles. With Shingrix, you get two shots between 2 and 6 months apart and protection lasts an estimated 4-5 years. Doctors recommend it for healthy people over 50 as well as those 19 years of age and older who are or will be immunodeficient or immunosuppressed due to disease or therapy..

An earlier vaccine called Zostavax was removed from the market in 2020. That vaccine used a weak form of the chickenpox virus to send your body’s immune system into action to fight the disease. Shingrix does not. If you received the Zostavax vaccine, it is recommended that you also receive Shingrix.

Should I get a vaccine?

Doctors say most healthy people over 50 should get Shingrix, as well as anyone 19 or older who are immunocompromised. It’s available at pharmacies as well as doctors’ offices. Most people have been exposed to the chickenpox even if they didn’t actually develop symptoms.

You should get the Shingrix vaccine unless:

  • You are allergic to any part of the vaccine
  • Had a blood test that proves you never had chicken pox (Then you should receive the chicken pox vaccine.)
  • Have shingles now
  • Are breastfeeding or nursing.

What are the side effects?

Shingrix can make the area where you get the shot swell or feel sore. Other effects include:

  • Many people who get the vaccine have muscle aches, headaches, or feel tired.
  • About 1 in 4 people have a fever or an upset stomach.

Younger people are more likely to have these side effects, and they typically last 2 or 3 days.

It’s also possible to have an allergic reaction to an ingredient in the vaccine. If you have problems breathing, feel your face or throat swelling, or feel weak or dizzy after the shot, call 911 and get medical help right away.

Can I get a shingles vaccine if I’m younger than 50?

Yes. While Shingrix is approved generally for people 50 and older, the FDA has also approved its use for those aged 19 years and older who are or will be at increased risk of shingles due to immunodeficiency or immunosuppression caused by known disease or therapy.

Will Medicare or my health insurance pay for a shingles vaccine?

Medicare Part D covers the cost of a shingles vaccine. If you have private health insurance, check your plan. Some insurers will pay for it after age 50 and others at 60.

How many years does a shingles vaccine last?

Protection from shingles vaccine lasts about 5 years. While the vaccine was most effective in people 60 through 69 years old, it also provides some protection for people 70 years old and older.

How often must you get the shingles vaccine?

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.

Do you need to take the shingles shot every year?

In research studies, immune responses have been shown up to 9 years after immunization. There is no current recommendation for booster doses of either shingles vaccine, which is an area of ongoing research.

How often do you need to repeat the shingles vaccine?

Shingrix is recommended to prevent shingles and related complications in immunocompetent adults 50 years and older, and for adults 19 years and older who are or will be immunocompromised. Make every effort to ensure that two doses are administered within the recommended 2–6 month interval.

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