Timing of Shingles Vaccination After an Outbreak
You should wait at least 2 months after your shingles outbreak has completely resolved before receiving the shingles vaccine, though some countries recommend waiting up to 1 year. 1, 2
Recommended Waiting Period
The 2-month minimum interval is based on documented evidence showing this is the shortest time between a herpes zoster episode and potential recurrence, allowing complete resolution of the acute phase, symptom abatement, and immune system recovery to optimize vaccine response. 1, 2
Different countries have varying recommendations:
- USA and Germany: Wait until the acute stage has resolved and symptoms have abated (minimum 2 months) 1, 2
- Austria: Wait at least 2 months 1
- Canada, Ireland, and Australia: Wait at least 1 year 1
Why Vaccination After Shingles Matters
Having one shingles episode does not protect you from future recurrences. 2 In fact, without vaccination, your risk of recurrence is substantial:
Which Vaccine to Choose
Shingrix (recombinant zoster vaccine, RZV) is strongly preferred over the older Zostavax (live zoster vaccine, ZVL) due to higher efficacy and stronger immune response. 1, 2 Complete the full 2-dose series of Shingrix for optimal protection, with the second dose given 2-6 months after the first dose. 1, 2
Important Caveats
Do not wait too long after the 2-month minimum period, as this increases your risk of recurrence. 1 The waiting period after a shingles outbreak is different from the interval between vaccine doses—don't confuse these two timeframes. 1
If you are immunocompromised, Zostavax is contraindicated and should never be used. 1, 2 Shingrix can be safely administered to most immunocompromised patients. 2 For those on immunosuppressive therapy, consider deferring vaccination until after holding immunosuppressive medication for an appropriate period before and 4 weeks after vaccination to ensure robust immune response. 1