Can Shingrix and Pneumovax be given together?

Yes, Shingrix (shingles) and Pneumovax (pneumococcal) vaccines can be given together, and health organizations like the CDC recommend it to improve vaccination rates, despite some initial concerns about slightly higher side effects like fever or lower antibody levels, which don't seem to impact real-world protection. You might experience more temporary side effects, but studies show no loss of effectiveness for either vaccine when administered at the same time.

Can you take Shingrix and Pneumovax 23 together?

Shingrix® can also be given concomitantly with the 23-valent pneumococcal polysaccharide vaccine (PPV23) and pneumococcal conjugate vaccines (PCV).

Can Prevnar and Shingrix be given together?

Shingrix vaccine may be given at the same time as unadjuvanted flu vaccines, the pneumoccal vaccine Pneu-C-20 (Prevnar 20), which has replaced Pneu-P-23, and the combined diphtheria-tetanus-acellular pertussis vaccine, but in the other arm.

Which two vaccines should not be given together?

Note that there are two situations where vaccines cannot be given together: People who have anatomic asplenia (who do not have a spleen) or functional asplenia (whose spleen is not functioning properly) or have HIV should not get the meningococcal vaccine (MCV4) and pneumococcal conjugate vaccine (PCV13) together.

How long should I wait between two vaccines?

Two or more injectable or nasally administered live vaccines not administered on the same day should be separated by at least 4 weeks (Table 3-4), to minimize the potential risk for interference.

Pneumonia & Shingles Vaccine

What is the 3 2 1 rule for vaccines?

Lumps that persist for more than 3 months, are larger than 2 cm in diameter or continue to increase in size 1 month after vaccination (the '3-2-1 rule') should be evaluated by fine needle-aspiration or collection of incisional wedge biopsy samples (Scherk et al., 2013; Hartmann et al., 2015; Jas et al., 2021; Hartmann ...

Can you take Shingrix with other vaccines?

Recombinant and adjuvanted vaccines (like Shingrix) can be administered concomitantly at different anatomic sites with other adult vaccines. This includes COVID-19 vaccines. Coadministration of RZV with adjuvanted influenza vaccine (Fluad) and COVID-19 vaccines is being studied.

What happens if I take a shot while on antibiotics?

Antibiotics and alcohol can cause some of the same side effects. These include stomach upset, dizziness and drowsiness. Mixing antibiotics and alcohol can make these side effects worse. A few antibiotics should not be mixed with any amount of alcohol.

Can you get the pneumonia vaccine while on antibiotics?

Yes, you can generally get a pneumonia vaccine (pneumococcal) while on antibiotics, as antibiotics fight bacteria and vaccines prevent future infections; however, you should wait until you're feeling better from a current illness, especially if you have a fever, to avoid confusing vaccine side effects with your infection, and consult your doctor if you have moderate to severe illness or any concerns. 

Can you get a pneumonia shot and shingles vaccine together?

Yes, the CDC recommends getting the shingles (Shingrix) and pneumococcal vaccines together in the same office visit for eligible adults (50+ for shingles, 65+ or at-risk for pneumonia) because studies show it's safe, effective, and improves vaccination rates, despite early concerns about lower antibody response that proved not to impact real-world protection against disease. You can get them at the same time as other vaccines like the flu shot, administered at different injection sites. 

Can Pneumovax 23 be given with other vaccines?

In adults, you can administer a pneumococcal vaccine (PCV15, PCV20, PCV21, or PPSV23) during the same visit with influenza vaccination or other recommended vaccines. Administer each vaccine with a separate syringe and, if feasible, at a different injection site.

How long between Shingrix and other vaccines?

Other vaccines that protect against the same disease

It provides less protection against shingles than the Shingrix vaccine. You can get the Shingrix vaccine if you had the Zostavax vaccine, but you need to wait at least 1 year.

Can you get Prevnar and Shingrix together?

PREVNAR 13 (Pneumococcal 13-valent Conjugate Vaccine [Diphtheria CRM197 Protein]) coadministered with SHINGRIX; no evidence of interference in the immune response to the antigens contained in SHINGRIX or PREVNAR 13 was demonstrated when the vaccines were administered concomitantly.

How long to wait between Prevnar and Pneumovax?

Vaccine Schedule

If you have never received a pneumococcal vaccine and you are over 18 years of age, we recommend that you receive: Prevnar 13 at your next appointment with your healthcare provider. Pneumovax 23 at least 8 weeks after Prevnar 13.

Can I get a vaccine if I'm taking antibiotics?

Children taking antibiotics can get vaccines

Antibiotics will not affect how your child's body responds to vaccines. Children taking antibiotics for a mild illness should not delay vaccines.

What happens if I take my antibiotic 2 hours early?

It is not recommended to change the timing of antibiotic doses, as they are dosed to maintain an optimal concentration in the body, ensuring their effectiveness against the infection. If you take a dose earlier, the concentration could be too high and become toxic.

Do antibiotics make vaccines less effective?

While vaccines and antibiotics are important medicines, in some cases, one might make the other less effective. That's according to a study in Nature that found babies exposed to antibiotics in the first few weeks of life were less likely to be adequately protected by early-childhood vaccinations than those who hadn't.

Which vaccines cannot be given at the same time?

While most vaccines can be given together safely, some combinations require spacing due to immune interference, notably pneumococcal (PCV/PPSV23) and certain meningococcal vaccines (MenACWY-D with PCV) in high-risk individuals, and some live vaccines (like MMR & Varicella) need at least 28 days apart. Specific travel vaccines, such as oral Cholera and Typhoid (Ty21a), also need an 8-hour gap. 

Can we give Shingrix and flu vaccine together?

Shingrix® can be given at the same time as most other vaccines, including influenza and pneumococcal. However, it is best to have it by itself if possible. This can reduce the reactions experienced from having multiple vaccines.

What happens if vaccines are given too close together?

In contrast, maintaining minimum intervals between vaccine doses is critically important. When doses are given too close together, the body may have insufficient time to mount an immune response, and the vaccine's efficacy cannot be assured.

What is the minimum gap between vaccines?

The minimum interval between vaccines depends on your individual circumstances, the types of vaccines involved, and whether your schedule needs to be accelerated. In general: Inactivated vaccines have no interval restrictions. Live vaccines require either same-day administration or 28-day spacing.

Is it better to space out vaccines?

No, it is not better to space out vaccines; major health organizations strongly recommend sticking to the recommended schedule because spacing leaves children vulnerable to serious diseases, increases doctor visits, and offers no proven benefits, as babies' immune systems handle multiple vaccines safely at once. Sticking to the schedule ensures timely protection when it's most needed and is safer and more efficient, preventing unnecessary stress and potential gaps in immunity.