Top of the pageDecision Point
Shingles: Should I Get a Shot to Prevent Shingles?
You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them.
Shingles: Should I Get a Shot to Prevent Shingles?
1Get the | 2Compare | 3Your | 4Your | 5Quiz | 6Your Summary |
Get the facts
Your options
- Get a shingles shot.
- Don't get a shingles shot.
Key points to remember
- Shingles can be very painful, especially for people older than 60, in whom it is more common.
- The Centers for Disease Control and Prevention (CDC) recommends the shingles shot (vaccine) for adults ages 60 and older.
- The shot greatly lowers your chances of getting shingles. If you get shingles anyway, you are less likely to have the long-term pain that can occur after shingles than if you hadn't had the shot.
- You shouldn't get the shot if you are pregnant or have a weak immune system.
- If you've already had shingles, you are not likely to get it again. But some people do.
What is shingles?
Shingles is an infection that occurs when the virus that causes chickenpox starts up again in your body. Anyone who has had chickenpox can get shingles, but it is most common in older adults.
Shingles usually causes a rash that can be very painful. The rash is usually on your back or chest and lasts from 2 to 4 weeks. For some people, the severe pain continues long after the rash clears up.
Shingles can be very hard on older people. The pain can affect their quality of life. For some, the pain lasts for a year or longer.
What are your chances of getting shingles?
Only people who have had chickenpox can get shingles. But most people have had chickenpox, so shingles is fairly common.
Experts say that out of 100 people, about 30 will get shingles sometime in their lives.footnote 1 And the risk is higher for people age 50 and older. Older people are also more likely to have severe pain with shingles.
Most people who get shingles will not get it again. But some people get shingles more than once.
How well does the shot work?
The shot greatly lowers your chances of getting shingles. Research shows that:footnote 2
- The shot can lower your chances of getting shingles by about half.
- If you get the shot and still get shingles, you are likely to have much less pain and for a much shorter time.
- The shot works even better for people ages 60 to 69. In that age group, it lowers the chances of getting shingles by about two-thirds.
- Although the shot doesn't prevent shingles quite as well in people age 70 or older, it does make shingles less severe more than half the time.
The Centers for Disease Control and Prevention (CDC) recommends the shingles shot for adults ages 60 and older. You can ask your doctor or pharmacist about getting the vaccine at age 50 to 59 instead. But insurance may not cover it.
What are the risks and side effects of the shingles shot?
Side effects include:
- Redness, swelling, or soreness at the spot where the needle went in.
- A headache.
- A high fever or serious allergic reaction (but this is rare).
Getting the shot has some risks. For example:
- You might get shingles anyway. But it probably won't be as painful or last as long.
- You may need another shot later in life. Doctors don't know how long the shot lasts.
You shouldn't get the shot if:
- You have a weak immune system.
- You are ill with more than a mild cold. This includes having a fever of 101.3°F (38.5°C) or higher.
- You had a life-threatening reaction to neomycin or you are allergic to gelatin. Neomycin and gelatin are ingredients in the shingles vaccine. Neomycin is an antibiotic that is used in first-aid ointments such as Neosporin, in some eye drops, and in certain underarm deodorants.
- You are pregnant or you might be pregnant.
Some people worry about the preservatives used in some vaccines. The shingles vaccine does not contain any preservatives.
Why might your doctor recommend that you get a shingles shot?
- You are age 60 or older.
- You have had shingles before.
- You have a chronic condition, such as chronic kidney failure, diabetes, rheumatoid arthritis, or COPD.
- You live in a nursing home or other long-term care facility.
- The shot can lower your chances of getting shingles by about half.footnote 2
- If you get the shot and still get shingles, you are likely to have less pain for a shorter time.footnote 2
Compare your options
Compare
What is usually involved? |
| |
|---|---|---|
What are the benefits? |
| |
What are the risks and side effects? |
|
- A needle and syringe will be used to give you the shot, probably in your arm.
- Your chances of getting shingles will be much lower.
- Even if you get shingles, it's likely to be much less painful and not last as long.
- The shot might make your arm red and sore where the needle went in.
- You might get shingles anyway.
- You may need another shot later in life. Doctors don't yet know how long the shingles shot lasts.
- You might have a serious reaction to the shot, but this is rare.
- You do nothing and accept the fact that your risk of getting shingles is higher.
- You avoid the possible side effects of the vaccine.
- You have a higher chance of getting shingles, which can be very painful and last a long time.
Personal stories about considering a shingles shot
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
I talked to my doctor about the shingles shot and I think I'm going to get it. My wife had shingles 2 years ago, and she was really in a lot of pain. If I can avoid that by getting a shot, it will really be worth it to me.
Abel, 65
I'm not going to get a shot, at least not right now. I don't like to take medicines of any kind if I don't have to. And my doctor said the shot isn't a guarantee. I could get shingles anyway.
Hattie, 60
What matters most to you?
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to get a shingles shot
Reasons not to get a shot
I want to lower my chances of getting shingles.
I would rather take my chances without getting a shot.
I'm afraid of the pain that shingles can cause.
I'm not afraid of shingles pain.
Getting a shot doesn't bother me.
I don't like getting shots.
My other important reasons:
My other important reasons:
Where are you leaning now?
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
Getting a shingles shot
NOT getting the shot
What else do you need to make your decision?
Check the facts
Decide what's next
Certainty
1. How sure do you feel right now about your decision?
Your Summary
Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
Your decision
Next steps
Which way you're leaning
How sure you are
Your comments
Your knowledge of the facts
Key concepts that you understood
Key concepts that may need review
Getting ready to act
Patient choices
Credits and References
| Author | Healthwise Staff |
|---|---|
| Primary Medical Reviewer | E. Gregory Thompson, MD - Internal Medicine |
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
| Specialist Medical Reviewer | Martin J. Gabica, MD - Family Medicine |
Shingles: Should I Get a Shot to Prevent Shingles?
- Get the facts
- Compare your options
- What matters most to you?
- Where are you leaning now?
- What else do you need to make your decision?
1. Get the Facts
Your options
- Get a shingles shot.
- Don't get a shingles shot.
Key points to remember
- Shingles can be very painful, especially for people older than 60, in whom it is more common.
- The Centers for Disease Control and Prevention (CDC) recommends the shingles shot (vaccine) for adults ages 60 and older.
- The shot greatly lowers your chances of getting shingles. If you get shingles anyway, you are less likely to have the long-term pain that can occur after shingles than if you hadn't had the shot.
- You shouldn't get the shot if you are pregnant or have a weak immune system.
- If you've already had shingles, you are not likely to get it again. But some people do.
What is shingles?
Shingles is an infection that occurs when the virus that causes chickenpox starts up again in your body. Anyone who has had chickenpox can get shingles, but it is most common in older adults.
Shingles usually causes a rash that can be very painful. The rash is usually on your back or chest and lasts from 2 to 4 weeks. For some people, the severe pain continues long after the rash clears up.
Shingles can be very hard on older people. The pain can affect their quality of life. For some, the pain lasts for a year or longer.
What are your chances of getting shingles?
Only people who have had chickenpox can get shingles. But most people have had chickenpox, so shingles is fairly common.
Experts say that out of 100 people, about 30 will get shingles sometime in their lives.1 And the risk is higher for people age 50 and older. Older people are also more likely to have severe pain with shingles.
Most people who get shingles will not get it again. But some people get shingles more than once.
How well does the shot work?
The shot greatly lowers your chances of getting shingles. Research shows that:2
- The shot can lower your chances of getting shingles by about half.
- If you get the shot and still get shingles, you are likely to have much less pain and for a much shorter time.
- The shot works even better for people ages 60 to 69. In that age group, it lowers the chances of getting shingles by about two-thirds.
- Although the shot doesn't prevent shingles quite as well in people age 70 or older, it does make shingles less severe more than half the time.
The Centers for Disease Control and Prevention (CDC) recommends the shingles shot for adults ages 60 and older. You can ask your doctor or pharmacist about getting the vaccine at age 50 to 59 instead. But insurance may not cover it.
What are the risks and side effects of the shingles shot?
Side effects include:
- Redness, swelling, or soreness at the spot where the needle went in.
- A headache.
- A high fever or serious allergic reaction (but this is rare).
Getting the shot has some risks. For example:
- You might get shingles anyway. But it probably won't be as painful or last as long.
- You may need another shot later in life. Doctors don't know how long the shot lasts.
You shouldn't get the shot if:
- You have a weak immune system.
- You are ill with more than a mild cold. This includes having a fever of 101.3 F (38.5 C) or higher.
- You had a life-threatening reaction to neomycin or you are allergic to gelatin. Neomycin and gelatin are ingredients in the shingles vaccine. Neomycin is an antibiotic that is used in first-aid ointments such as Neosporin, in some eye drops, and in certain underarm deodorants.
- You are pregnant or you might be pregnant.
Some people worry about the preservatives used in some vaccines. The shingles vaccine does not contain any preservatives.
Why might your doctor recommend that you get a shingles shot?
- You are age 60 or older.
- You have had shingles before.
- You have a chronic condition, such as chronic kidney failure, diabetes, rheumatoid arthritis, or COPD.
- You live in a nursing home or other long-term care facility.
- The shot can lower your chances of getting shingles by about half.2
- If you get the shot and still get shingles, you are likely to have less pain for a shorter time.2
2. Compare your options
| Get a shingles shot | Don't get a shingles shot | |
|---|---|---|
| What is usually involved? |
|
|
| What are the benefits? |
|
|
| What are the risks and side effects? |
|
|
Personal stories
Personal stories about considering a shingles shot
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
"I talked to my doctor about the shingles shot and I think I'm going to get it. My wife had shingles 2 years ago, and she was really in a lot of pain. If I can avoid that by getting a shot, it will really be worth it to me."
— Abel, 65
"I'm not going to get a shot, at least not right now. I don't like to take medicines of any kind if I don't have to. And my doctor said the shot isn't a guarantee. I could get shingles anyway."
— Hattie, 60
"I'm definitely getting a shot, even though I've already had shingles. I know it's rare to get shingles a second time, but I do not want to go through that again."
— Romana, 69
3. What matters most to you?
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to get a shingles shot
Reasons not to get a shot
I want to lower my chances of getting shingles.
I would rather take my chances without getting a shot.
I'm afraid of the pain that shingles can cause.
I'm not afraid of shingles pain.
Getting a shot doesn't bother me.
I don't like getting shots.
My other important reasons:
My other important reasons:
4. Where are you leaning now?
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now.
Getting a shingles shot
NOT getting the shot
5. What else do you need to make your decision?
Check the facts
1. The shingles shot works well to prevent shingles.
- Yes
- No
- I'm not sure
2. If I get a shot, I could still get shingles.
- Yes
- No
- I'm not sure
3. Experts recommend the shingles shot.
- Yes
- No
- I'm not sure
Decide what's next
1. Do you understand the options available to you?
2. Are you clear about which benefits and side effects matter most to you?
3. Do you have enough support and advice from others to make a choice?
Certainty
1. How sure do you feel right now about your decision?
2. Check what you need to do before you make this decision.
- I'm ready to take action.
- I want to discuss the options with others.
- I want to learn more about my options.
| By | Healthwise Staff |
|---|---|
| Primary Medical Reviewer | E. Gregory Thompson, MD - Internal Medicine |
| Primary Medical Reviewer | Adam Husney, MD - Family Medicine |
| Specialist Medical Reviewer | Martin J. Gabica, MD - Family Medicine |
Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version.
Current as of: November 18, 2017
