Should I get the vaccine if I have shingles?

QUESTIONS:

I had shingles last May 2020, was treated and cured. Now, after 11 months, can I avail the COVID-19 vaccine?

I had shingles after 2 weeks of my first COVID vaccine. When should I take the second shot? Is it safe to take the second one?Mayada

My son is handicapped and got his first shingle shot at the end of January and there is a two to six month wait before he gets the second one, can he get the COVID-19 shots in between the shingles shots?Tom

ANSWERS:

Dr. Mo Kharbat, SSM Health’s Regional VP of Pharmacy Services, said if you have shingles or have recently been diagnosed with shingles, it is still recommended that you get the COVID-19 vaccine.

“We recommend that they get the COVID vaccine when the COVID vaccine is available to them. With this regard to their other health conditions, that could also affect their immune system, still the COVID vaccine is recommended to go ahead with,” said Dr. Kharbat.

If you get your shingles vaccine, and also want to get a COVID-19 vaccine, you should wait 14 days after your shingles vaccine to get the COVID-19 vaccine.

Dr. Matt Anderson, UW Health’s Senior Medical Director of Primary Care, said individuals should wait 14 days after the last dose of the vaccine before getting a shingles shot.

You should also avoid getting another vaccine 14 days before you get your COVID-19 vaccine, for both the first and second dose…..

Source: VACCINE Q&A: Should I get the vaccine if I have shingles? (nbc15.com)

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Treating & Preventing Shingles From A Functional Medicine Perspective

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Is Shingles Contagious?

Most people of a certain age can recall having had a bout of chickenpox as a kid. The illness, which is caused by the varicella-zoster virus, can spread like wildfire through elementary schools and causes an itchy rash and flu-like symptoms.

Most kids who contract chickenpox don’t have serious complications and go on to feel better in a week or two. In fact, in the past, before a vaccine against chickenpox had been developed, so-called chickenpox parties would purposefully put a bunch of well children into close contact with an infected child so that the well children could get the illness and put that milestone of childhood behind them.

However, some kids who contract chickenpox can have more serious illness and may develop lasting scars from the itchy lesions. Today, such parties are no longer recommended. Instead, a safe and effective vaccine is now available beginning at 12 months of age…..

Source: https://health.usnews.com/health-care/patient-advice/articles/is-shingles-contagious

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Living alone with shingles during Covid-19 Pandemic

Coronavirus and a case of shingles left me more alone than any time in my life

New York (CNN)The back pain started a few days after I began working from home.It wasn’t too surprising — I had just returned from a long-planned vacation to South Africa. I’d spent about 20 hours on planes, getting back just under the wire and was set for my solo quarantine in my Brooklyn apartment. But something about it felt weird.Then a rash seemingly appeared out of nowhere. Nothing helped the pain or the rash — not yoga, not ibuprofen, not hydrocortisone cream, not standing while I worked, not lying down.And I was alone……

Source: https://www.cnn.com/2020/04/28/health/coronavirus-diary-living-alone-shingles/index.html

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Is shingles contagious?

Shingles is a painful viral infection that can affect anyone who has had chicken pox. It is not possible to pass on shingles.

However, a person who has never had chicken pox or its vaccine can get the chicken pox virus from someone with shingles, develop chicken pox, then later develop shingles.

Chicken pox is a viral infection that occurs when a person is exposed to the varicella-zoster virus (VZV). This is a type of herpes virus.

A person with the VZV may develop chicken pox. After the symptoms of chicken pox go away, the virus stays latent in the body. Later, it can reactivate as herpes zoster, which is shingles.

For years, the virus can remain inactive. It stays dormant in a dorsal root ganglion of the peripheral nervous system, sensory nerve tissue close to the spinal cord. At some point, the VZV can reactivate and trigger the symptoms of shingles.

Over 99% of people born in the United States before 1980 have had chicken pox. In other words, nearly everyone in that age group has the VZV……….

Source from: https://www.medicalnewstoday.com/articles/312051

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Rising Shingles Cases in Adults Put Unvaccinated Children at Risk

Parents who get shingles can experience debilitating symptoms and pass the chickenpox virus to their children. So why can’t they have the vaccine?

The death of a 30-year-old Texas man made headlines in July when he got infected with the coronavirus after attending a “Covid-19 party.” According to the chief medical officer at Methodist Hospital in San Antonio, the man said he attended a gathering with an infected person to test whether the coronavirus was real and to gain immunity from it.

This isn’t the first time Americans have signed up for intentional virus exposure in the hopes of achieving immunity. Before the chickenpox vaccine became available in 1995, many parents hosted “chickenpox parties” with similar infection and immunity goals for their children….

Source: https://www.nytimes.com/2020/09/03/parenting/chickenpox-shingles-vaccine.html

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Shingles Signs: Prior To the Rash

Chickenpox

The first signs and symptoms of shingles appear one to five days before the breakout. These early warning signs are generally really felt in the area where the rash will certainly create:

Itching
Tingling
Burning
Pain

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Mayo Clinic: Don’t suffer with shingles

Shingles is a viral infection that triggers an agonizing, blistery breakout. It’s triggered by the varicella-zoster infection– the exact same infection that creates chickenpox. After you have actually had chickenpox, the infection exists non-active in nerve cells near your spine as well as brain. Years later, the virus might reactivate as tiles. There’s no remedy for shingles, but an injection can help in reducing your danger of establishing it.

In this Mayo Center Minute, reporter Vivien Williams talks to Mayo Facility Dr. Vandana Bhide concerning shingles.

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Exact Same Herpes Zoster Infection as Initial Infection Triggers Recurrent Tiles

Herpes zoster is the result of reactivation of the varicella zoster infection (VZV) that developed latency in sensory and also free nerve cells throughout key infection. Roofing shingles Avoidance Research study results program that the same infection causes recurring tiles.

The study, a large efficiency test of online attenuated Oka/Merck zoster vaccine (ZVL), enrolled 38,546 immunocompetent participants 60 years or older. They were actively adhered to for a mean of 3.13 years after getting a sugar pill or the injection.

Polymerase chain reaction– verified second episodes of herpes zoster occurred in 2 of 660 patients getting a placebo as well as 1 of 321 patients obtaining ZVL. An added 2 ZVL vaccine recipients experienced a second episode of herpes zoster in the lasting determination substudy. Among those 5 participants, the second episodes happened between 12 as well as 28 months apart. Private investigators thought about 1 of the 5 individuals immunocompromised at the start of his first and also second episodes of herpes zoster.

The detectives used VZV DNA isolated from rash lesions to series the fulllength VZV genomes. The outcomes suggested that the VZV genomes from the very first and also 2nd episodes of herpes zoster in each of the 5 people were triggered by the very same pressure. The authors kept in mind that their outcomes are consistent with those of previous studies, which recommended that the risk of herpes zoster recurrence has been generally better in women patients than in male clients.

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WHAT ARE THE COMPLICATIONS ASSOCIATED WITH SHINGLES?

WHAT ARE THE COMPLICATIONS ASSOCIATED WITH SHINGLES?

Shingles is not typically dangerous to healthy individuals although it can create excellent pain during an attack. Anybody with shingles on the upper fifty percent of their face, regardless of exactly how light, need to look for clinical care. There is some risk that the infection might cause damages to the eye leading to blindness.

Problems are unusual but may include partial facial paralysis (typically short-term), ear damage or encephalitis (inflammation of the mind).

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