Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. pain, redness, or swelling where the shot was given. CDC twenty four seven. Vermeulen JN, Lange JM, Tyring SK, Peters PH, Nunez M, et al. Prices have fluctuated slightly in 2019, with Shingrix at $185 per injection ( two injections required, between two and six months apart) and Zostavax at $296 for the single dose needed. All information these cookies collect is aggregated and therefore anonymous. Pregnant women, some people who have medical conditions or are taking medications that could weaken the immune system (ask your doctor if you have concerns), and people with a history of severe allergic reaction (e.g., anaphylaxis) to any component of the vaccine. Safety and tolerability of zoster vaccine in adults 60 years old. Vaccine recipients should plan to avoid strenuous activities, such as yardwork or swimming, for a few days after vaccination. Centers for Disease Control and Prevention. The risk of shingles increases with age. Tell your provider if you feel dizzy or have vision changes or ringing in the ears. Baxter R, Tran TN, Hansen J, Emery M, Fireman B, et al. So its very important that you get this vaccine. Efficacy of an adjuvanted herpes zoster subunit vaccine in older adults. Some people who have or will have a weakened immune system can get the second dose 1 to 2 months after the first dose. 2021), ProQuad Refrigerated Package Insert (Oct. 2018), Refrigerator-Stable Formulation: chick embryo cell culture, WI-38 human diploid lung fibroblasts, MRC-5 cells, Frozen Formulation Recombinant Human Albumin (RHA): embryo cell culture; WI-38 human diploid lung fibroblasts, MRC-5 cells, Frozen Formulation Human SerumAlbumin (HSA): chick embryo cell culture, WI-38 human diploid lung fibroblasts, MRC-5 cells, Frozen: chick embryo cell culture, WI-38 human diploid lung, MRC-5 cells, Refrigerated: chick embryo cell culture, WI-38 human diploid lung fibroblasts, MRC-5 cells, Refrigerator-Stable Formulation: sucrose, hydrolyzed gelatin, urea, sodium chloride, sorbitol, monosodium L-glutamate, sodium phosphate, recombinant human albumin, sodium bicarbonate, potassium phosphate, potassium chloride, residual components of MRC-5 cells including DNA and protein, neomycin, bovine serum albumin, other buffer and media ingredients, Frozen Formulation Recombinant Human Albumin (RHA): sucrose, hydrolyzed gelatin, sodium chloride, sorbitol, monosodium L-glutamate, sodium phosphate dibasic, recombinant human albumin, sodium bicarbonate, potassium phosphate monobasic, potassium chloride; potassium phosphate dibasic, residual components of MRC-5 cells including DNA and protein, neomycin, bovine calf serum, other buffer and media ingredients, Frozen Formulation Human SerumAlbumin (HSA): sucrose, hydrolyzed gelatin, urea, sodium chloride, sorbitol, monosodium L-glutamate, sodium phosphate, recombinant human albumin, sodium bicarbonate, potassium phosphate, potassium chloride, residual components of MRC-5 cells including DNA and protein, neomycin, bovine serum albumin, other buffer and media ingredients, Frozen: sucrose, hydrolyzed gelatin, sodium chloride, sorbitol, monosodium L-glutamate, sodium phosphate dibasic, recombinant human albumin, sodium bicarbonate, potassium phosphate monobasic, potassium chloride, potassium phosphate dibasic, residual components from the manufacturing process [MRC-5 cells including DNA and protein, neomycin, bovine calf serum, other buffer and media ingredients], Refrigerated: sucrose, sorbitol, hydrolyzed gelatin, urea, sodium chloride, sodium phosphate, monosodium L-glutamate, recombinant human albumin, sodium bicarbonate, potassium phosphate, potassium chloride, residual components from the manufacturing process [MRC-5 cells including DNA and protein, neomycin, bovine calf serum, other buffer and media ingredients], Meningococcal (Groups A, C, Y, and W-135) Oligosaccharide Diphtheria CRM197 Conjugate Vaccine, Manufacturer: GlaxoSmithKline Biologicals SA, Franz Complete medium, formaldehyde, CY medium [yeast extracts, amino acids], Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine, Mueller Hinton agar, Watson Scherp media [casamino acid], modified culture medium [hydrolyzed casein], formaldehyde, ammonium sulfate, sodium phosphate buffered isotonic sodium chloride solution, formaldehyde, Manufacturer: Novartis Vaccines and Diagnostics, Inc, Escherichia coli, deoxycholate, aluminum hydroxide, Neisserial adhesin A (NadA), Neisserial Heparin Binding Antigen (NHBA), factor H binding protein (fHbp), outer membrane vesicles (OMV), aluminum hydroxide, sodium chloride, histidine, sucrose, kanamycin. These cookies may also be used for advertising purposes by these third parties. Shingrix is also recommended for adults 19 years and older who have weakened immune systems because of disease or therapy. Both vials of Shingrix must be refrigerated at a temperature of 36-46 F. Do not use if exposed to temperatures below 36 F. Prepare Shingrix by reconstituting the antigen component with the adjuvant suspension component. For some people, the pain can last for months or even years after the rash goes away. These cookies may also be used for advertising purposes by these third parties. Your health care provider can give you more information. Manufacturer: Emergent BioDefense Operations Lansing LLC, amino acids, vitamins, inorganic salts, sugars, proteins [including the 83kDa protective antigen (PA) protein], aluminum, benzethonium chloride, formaldehyde, glycerin, asparagine, citric acid, potassium phosphate, magnesium sulfate, iron ammonium citrate. You will be subject to the destination website's privacy policy when you follow the link. Rarely, shingles can lead to complications such as pneumonia, hearing problems, blindness, brain inflammation (encephalitis), or death. Common Ingredients: Medical Research Council 5, human diploid cells (cells containing two sets of chromosomes) derived from the normal lung tissues of a 14-week-old male fetus aborted for "psychiatric reasons" in 1966 in the United Kingdom, Eagle's Basal Medium in Earle's balanced salt solution with bovine serum. Antivirals that can treat shingles include: acyclovir valacyclovir famciclovir Additionally, there are many home remedies people can try to help alleviate discomfort. Ask a health care provider when you need your booster shot. Call your doctor at once if you have a high fever. Antigens can be considered the active ingredients in vaccines because they are the parts of the vaccine to which an immune response is generated. Common side effects, such as soreness and redness at the injection site, are usually mild to moderate in intensity and resolve quickly on their own. We take your privacy seriously. 2. yeast protein, amorphous aluminum hydroxyphosphate sulfate, formaldehyde. However, there are no data or theoretical concerns to indicate that Shingrix would be less safe or less effective when given at an interval shorter than 5 years following Zostavax. More information on some controversial products may be found in the glossary on this page. 90.5% in a post hoc efficacy analysis of adult patients with immune-mediated diseases who were not taking immunosuppressive medication. Macmorine, Improved Chemically Defined Basal Medium (CMRL-1969) for Primary Monkey Kidney and Human Diploid Cells, Applied and Environmental Microbiology, aem.asm.org, 1971, International Serum Industry Association, FAQ, serumindustry.org/faq, 2013, Pontifical Academy for Life, Moral Reflections on Vaccines Prepared from Cells Derived from Aborted Human Foetuses, immunize.org/concerns/vaticandocument.htm, June 9, 2005, Rebecca Sheets, History and Characterization of the Vero Cell Line, da.gov, May 12, 2000, Sigma-Aldrich, DMEM, sigmaaldrich.com, 2013. Cabbage moth and fall armyworm cells are used to grow viruses for vaccines. Saccharomyces cerevisiae cells, aluminum hydroxide, listyeast protein. ProCon.org is the institutional or organization author for all ProCon.org pages. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Child and Adult Immunization Schedules Shingrix provides stronger protection against shingles compared to Zostavax. Shingrix can make the area where you get the shot swell or feel sore. Vaccines, like any medicine, can have side effects. Human albumin is a blood plasma protein produced in the liver that, among other functions, transports hormones, fatty acids, and other compounds, and buffers pH. CDC recommends Shingrix as the preferred vaccine, over Zostavax, to prevent shingles and the complications from the disease. The rash consists of blisters that typically scab over in 7 to 10 days and clears up within 2 to 4 weeks. VZV can reactivate many years later, causing shingles. Even if you have side effects from the first dose, it is important to get the second dose to build strong protection against shingles. Alison Weiss, The Genus Bordetella, The Prokaryotes: A Handbook on the Biology of Bacteria, Ed. For more information, see Report an Adverse Event to VAERS. 2-Phenoxyethanol is a glycol ether used as a preservative in vaccines. Shingrix is the preferred vaccine to prevent shingles. MRC-5 cells [DNA, protein], sodium phosphate monobasic, EDTA, neomycin, fetal bovine serum, Refrigerator: sucrose, phosphate, glutamate, processed gelatin, urea, sucrose, hydrolyzed gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, MRC-5 cells [DNA, protein], neomycin, bovine calf serum, living avian leukosis virus-free (ALV-free) chicken embryos, sorbitol, gelatin, sterile diluent [sodium chloride injection], Zostavax Frozen Package Insert (Jan. 2019), Zostavax Refrigerator Stable Package Insert (Aug. 2018), Frozen: sucrose, hydrolyzed porcine gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, MRC-5 cells [DNA, protein], neomycin, bovine calf serumsucrose, hydrolyzed porcine gelatin, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, MRC-5 cells [DNA, protein], neomycin, bovine calf serum, Refrigerator Stable: sucrose, hydrolyzed porcine gelatin, urea, sodium chloride, monosodium L-glutamate, sodium phosphate dibasic, potassium phosphate monobasic, potassium chloride, MRC-5 cells [DNA, protein], neomycin, bovine calf serum, genetically engineered Chinese hamster ovary cells, growth media [amino acids], AS01B [3-O-desacyl-4-monophosphoryl lipid A (MPL) from Salmonella minnesota, QS-21 (saponin purified from plant extract Quillaja saponaria Molina), liposomal formulation (dioleoyl phosphatidylcholine (DOPC), cholesterol, phosphate-buffered saline solution (disodium phosphate anhydrous, potassium dihydrogen phosphate, sodium chloride, water for injection))], sucrose, sodium chloride, DOPC, potassium dihydrogen phosphate, cholesterol, sodium dihydrogen phosphate dihydrate, disodium phosphate anhydrous, dipotassium phosphate, polysorbate 80, host cell proteins, host cell DNA, Acumedia Manufacturers, Mueller Hinton Agar (7101), neogen.com, June 2011, Atlanta Biologicals, Earles Balanced Salt Solution (EBSS), atlantabio.com, 2010, CDC, Basics and Common Questions: Ingredients of Vaccines Fact Sheet, cdc.gov, Feb. 22, 2011, FDA, Vaccines Licensed for Immunization and Distribution in the US with Supporting Documents, fda.gov, Aug. 29, 2016, Health Protection Agency, General Cell Collection: MDCK, hpacultures.org.uk, 2011, G.M. Proper citation depends on your preferred or required style manual. CDC twenty four seven. Manufacturer: Emergent Travel Health, Inc. Vaxchora Frozen Package Insert (June 2016)Vachora Package Insert (Dec. 2020), frozen: casamino acids, yeast extract, mineral salts, anti-foaming agent, ascorbic acid, Hy-Case SF, sodium chloride, sucrose, dried lactose, other: casamino acids, yeast extract, mineral salts, anti-foaming agent, ascorbic acid, Hy-Case SF, sucrose, anhydrous lactose, frozen: sodium bicarbonate, sodium carbonate, ascorbic acid, dried lactose, sucrose, sodium chloride, Hy-Case SF, other: sodium bicarbonate, sodium carbonate, ascorbic acid, anhydrous lactose, sucrose, Hy-Case SF, anhydrous lactose, Manufacturer: BioNTech Manufacturing GmbH, [Editors Note: This vaccine is commonly known as the Pfizer coronavirus vaccine. Manufacturer: Wyeth Pharmaceuticals, Inc. E. coli, fermentation growth media, polysorbate 80 (PS80), polysorbate 80, Al+ as AlPO4, histidine buffered saline, Meningococcal Polysaccharide Vaccine, Groups A, C, Y and W-135 Combined, Menomune-A/C/Y/W-135 Package Insert (Mar. J Infect Dis. aluminum hydroxide, sodium chloride, phosphate buffers [disodium phosphate dihydrate, sodium dihydrogen phosphate dihydrate], Hepatitis B Vaccine (Recombinant), Adjuvanted, Manufacturer: Dynavax Technologies Corporation, Hansenula polymorpha yeast, fermentation media [vitamins, mineral salts], CpG 1018 adjuvant [22-mer phosphorothioate linked oligodeoxynucleotide, phosphate buffered saline (sodium chloride, sodium phosphate, dibasic dodecahydrate, monobasic dihydrate, polysorbate 80)], yeast protein, yeast DNA, deoxycholate, CpG 1018, Human Papillomavirus Quadrivalent (Types 6, 11, 16, 18) Vaccine, Recombinant, Saccharomyces cerevisiae, fermentation media [vitamins, amino acids, mineral salts, carbohydrates], amorphous aluminum hydroxyphosphate sulfate, amorphous aluminum hydroxyphosphate sulfate adjuvant, sodium chloride, L-histidine, polysorbate 80, sodium borate, yeast protein, water, Human Papillomavirus 9-valent Vaccine, Recombinant, amorphous aluminum hydroxyphosphate sulfate, sodium chloride, L-histidine, polysorbate 80, sodium borate, yeast protein, water, Human Papillomavirus Bivalent (Types 16, 18) Vaccine, Recombinant, serum-free culture media [lipids, vitamins, amino acids, mineral salts], hydroxide salt, AS04 [3-O-desacyl-4-monophosphoryl lipid A (MPL), hydroxide salt, sodium chloride, sodium dihydrogen phosphate dihydrate, water, 3-O-desacyl-4-monophosphoryl lipid A (MPL), aluminum hydroxide, sodium chloride, sodium dihydrogen phosphate dihydrate, insect cell and viral protein, bacterial cell protein, 19. 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