How long can a person be vaccinated from shingles?

Dr. Roach: I was 81 years old and was diagnosed with shingles at the end of October 2020. After taking famciclovir, he has healed, but he still has a scaly rash and shooting pain on the right side of his head with shingles. The pain was said to last for over a year. Is this true? The first outbreak was in my scalp, forehead, eyebrows, and eye areas. I met an ophthalmologist and was lucky that my eyelids alone didn’t get shingles in my eyes.

I also met a doctor who was recommended to get a shingles vaccine in February 2021. My ophthalmologist disagreed and said he would wait 6-9 months. What is the recommended period from the onset of shingles to vaccination? How long does the vaccine protect someone? Will I get shingles again after vaccination?

— — LH

Dear LH: Both of your doctors are correct. Your regular doctor who recommended a period of 4 months is correct, but your ophthalmologist who said 6-9 months is also correct. In fact, you can vaccinate at any time after the shingles lesion has healed (scab). It is very unlikely that shingles will recur within a year, so it is okay to wait up to a year after a shingles attack.

It seems that the protection period is long. However, this is still a new vaccine and it is unclear how long the protection will last.

Unfortunately, there is no perfect vaccine. Even our best vaccine. Some people get shingles even after vaccination. Fortunately, this vaccine is even better at preventing persistent pain called postherpetic neuralgia, which is the worst complication of shingles. Studies have shown 89% to 100% protection against this terrible complication. For people in their 80s, it can certainly last up to a year, and sometimes even longer.

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