Herpes zoster (HZ) occurs most frequently among older adults and immunocompromised persons. The maker of the vaccine offers a vaccine locator on this website. It becomes active when age, some disorder, some medicines, or stress weaken your immunity. Shingles can only develop after youve already had chickenpox. People usually develop the rash later in life. There are two types of vaccines licensed in the United States: The CDC recommends that healthy adults over the age of 50 get two doses of the shingles vaccine called Shingrix. Be careful also if you have had allergic reactions to other vaccines. You have shingles only when the virus already in your nerve cells is activated. An itchy blister-like rash, usually starting on the face, chest or back, follows 1-2 days later. Chickenpox and hand, foot, and mouth disease ( HFMD) are both contagious viral diseases that most commonly affect children. People who have never had chickenpox or the varicella vaccine are susceptible. Zostavax, is a live attenuated vaccine, like the chickenpox vaccine. Harpaz has questioned the conventional wisdom that stress can lead to shingles. We might never know because someone would have to test itand given that a safe, effective chicken-pox vaccine already exists, its unlikely anyone will ever take the risk. U.S. Food and Drug Administration. Shingrix: cost and coverage. A blood test can check immunity to chickenpox. Severe allergic reactions to this vaccine are infrequent. More stories about: Health Care, Research. The shingles rash usually appears in a strip on one side of the torso, although it can also develop on the face, genitals, ears, or other parts of the body. Conversely, the chicken-pox vaccine does seem to offer some protection against later occurrences of shingles. Shingles and herpes are skin conditions that occur due to viruses from the herpesvirus family. Antiviral medications can help shorten the duration and severity of the infection. In the 18th century, a German doctor dubbed chicken pox varicella, a diminutive of his name for smallpox or variola, because chicken pox seemed to be its less severe form. 2023 Dotdash Media, Inc. All rights reserved, Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. They look so different. GlaxoSmithKlines shingles vaccine contains a lone protein isolated from the shell of the varicella zoster virus. Also known as varicella, chickenpox is a virus that often affects children. The two diseases are caused by the same virus but strike different groups of people. When the rash is at its peak, symptoms can range from mild itching to extreme and intense pain. Chicken pox usually strikes small children. But safety in pregnant women has not been proven yet, and so it is not recommended during pregnancy. Dr. Christine Zink, MD, is a board-certified emergency medicine physician with expertise in global medicine. Shingles occurs when the varicella-zoster virus, the same virus that causes chickenpox, re-emerges due to a weakened immune system. The shingles vaccine Zostavax is no longer sold in the U.S. but may be available in other countries. The reactivated virus can also find new human hosts, born after the last outbreak and vulnerable to chicken pox. Kids who got chicken-pox vaccines are less likely to later get shingles than kids who naturally caught chicken pox. They both cause rashes on the body and can be challenging to tell apart. This article will examine the differences between herpes and shingles, including their causes and treatment options. Shingles vs. Scabies: What Are the Differences? When it flares again, it travels along the nerves to the skin or mucous membranes, creating a rash or lesions. It was not until the 20th century that researchers connected the two rashes were in fact caused by the same virus. There's a worry that introducing chickenpox vaccination for all children could increase the risk of chickenpox and shingles in adults. What to Know About Shingles and the Chickenpox Vaccine The chickenpox vaccine is not causing a surge or epidemic of shingles. All rights reserved. See the Immunocompromised Adults section below for additional information about partially-vaccinated immunocompromised adults with no history of chickenpox. Chickenpox and shingles are caused by the same virus, but theyre separate conditions. Only people with previous . Thats true for Zostavax, the older vaccine. If you're ill. Chickenpox is most common in children. Before the rash appears, you might feel itching, tingling, burning, or pain. Shingles, on the other hand, usually affects adults, and its rashes often appear as an angry red stripe across one side of the torso. The vaccine available in the US now is the recombinant zoster vaccine (RZV, brand name Shingrix). Shingles can lead to serious complications. The first sign is often a tingling feeling on the skin, itchiness, or a stabbing pain. Its 97 percent effective at preventing shingles, and immunity is not believed to wane over time. Shingrix is highly effective. If you have shingles. Shingles happens when the chickenpox virus, varicella-zoster, reactivates in your body. In children, its usually a mild disease that runs its course in five to 10 days and requires no medical intervention. Generally, within 1 week, the blisters dry out and scabs form and fall off. On Friday, the Food and Drug Administration approved a new vaccine from GlaxoSmithKline to prevent shingles in adults age 50 and older, but not chicken pox. Read on to discover what current research says, the difficulties in developing a cure, and existing treatment options. It is not a live vaccine and should be safe. But why does it also sometimes happen in seemingly healthy people? If the virus becomes reactive again, it leads to shingles. Dr. Christine Zink, MD, is a board-certified emergency medicine with expertise in the wilderness and global medicine. Centers for Disease Control and Prevention: "About Shingles (Herpes Zoster)," Centers for Disease Control and Prevention: "The Pink Book Zoster," "Recombinant Shingles VIS," "Recombinant Zoster (Shingles) Vaccine: What You Need to Know," "Shingles (Herpes Zoster) Clinical Overview," "Shingles (Herpes Zoster) Complications of Shingles," "Shingles (Herpes Zoster) Signs & Symptoms," "Vaccines and Preventable Diseases Shingrix Recommendations.". More from The Atlantic: Death at a Penn State Fraternity, Google X and the Science of Radical Creativity. Adults 19 years and older with weakened immunity. $69.99. Primary infection with varicella-zoster virus causes varicella (chickenpox). Will the Shingrix Shingles Vaccine Shortage End in 2018? Your physician will ask you to wait a few weeks or months. Can You Get the Shingles Vaccine With Rheumatoid Arthritis? (n.d.). GlaxoSmithKline. After a chickenpox infection resolves, the virus lies dormant in the nerve cells of the body. Eczema vs. Shingles: What Are the Differences? Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system, Seborrheic dermatitis affecting the chest: What to know, on the foreskin, shaft, and glans of the penis, who take immunosuppressive medications, such as chemotherapy or medications to treat severe psoriasis and psoriatic, the skin in the oral or genital area of someone with herpes. It seems to work better for older people. It can be painful and last for up to a month. And, shingles vaccination is indicated even if chickenpox infection history is unknown. It may not flare again, although reoccurrences are common. The blisters will then break and result in painful sores, which can take about 7 days or more to heal. If an individual has had chickenpox or the chickenpox vaccine, they may develop shingles later in life. Why shingles flares up at all is still largely a mystery. A person with chickenpox can spread the disease from 1 to 2 days before they get the rash, until all their chickenpox blisters have formed scabs. Absolutely. The Centers for Disease Control and Prevention (CDC) recommends that older and immunocompromised adults get two doses of Shingrix (the recombinant zoster vaccine, or RZV) to prevent shingles and related complications. A CDC panel on Wednesday actually voted to recommend GlaxoSmithKlines new shingles vaccine even for people who had received Mercks old shingles vaccine. Varicella zoster. Read our. Now that vaccines are widely available, this number has dropped to about 350,000 per year. The appearance of each type of rash is different. They should get their first dose at age 12 to 15 months and the second dose between the ages of 4 and 6. Chicken pox usually strikes small children. Chickenpox is a bit of a misnomer. It is best to avoid it altogether by getting the highly effective Shingrix vaccine. Ayoade F, et al. Scientists attribute its stunning effectiveness to a new adjuvant, an additional chemical in the vaccine that primes the immune system for the viral protein. Retail costs. People who have had shingles. For most of our medical history, there was no reason to think chickenpox and shingles were related, because the symptoms looked so different. Global varicella vaccine effectiveness: A meta-analysis. People who previously received the Zostavax vaccine should now consider getting Shingrix. This illness used to be very common, particularly in children. Learn about the most common medications for herpes and when to get tested. There is an existing shingles vaccine, made by Merckbasically a super-large dose of its live chicken-pox vaccinebut it is not recommended for immunocompromised patients. Spreading Knowledge. Shingrix is 97% effective in preventing shingles in people ages 5069 years, and 91% effective in people age 70 and older. Centers for Disease Control and Prevention. Shingles typically only flares up once in a lifetime, while herpes can reoccur often. They have ever had a severe allergic reaction to any component of the vaccine or the first dose of the vaccine. The retail price of this vaccine varies based upon insurance coverage and location. When Chickenpox strikes small children, it manifests as red bumps on the body. A GlaxoSmithKline spokesperson confirmed the company has no plans to test its vaccine for chicken pox. Later in life, the virus can reactivate and cause shingles. A severe allergic reaction is considered an absolute contraindication you should never have further doses. Tingling may occur before herpes zoster blisters appear, usually on the side of the body. Chickenpox (Varicella)There are two vaccine options: Shingles (Herpes Zoster)The Centers for Disease Control and Prevention (CDC) recommends that healthy adults 50 years and older get the shingles vaccine. Why shingles flares up at all is still largely a mystery. Herpes simplex develops following infection with one of two types of HSV. Also, if you've already had shingles,. 2005-2023 Healthline Media a Red Ventures Company. Chickenpox (also called varicella) is a highly contagious viral infection. 1. One study showed that the risk occurred during 42 days of follow-up after vaccination. The two diseases may arise from the same virus, but they afflict different populations and that is key: The immune systems of the elderly susceptible to shingles are different from the immune systems of children susceptible to chicken pox. Shingrix is a two-shot vaccine series. Zostavax is 19 times stronger than the chickenpox vaccine. Read our terms of use for more info. Shingles is a painful rash that usually appears on one side of a person's body. Type 1 typically causes a rash on the face or an outbreak of sores in the mouth, while type 2 typically causes a genital or rectal rash outbreak. All rights reserved. The varicella-zoster virus is found worldwide and can be spread through sneezing or coughing. While chickenpox during childhood is unpleasant, the vast . Approximately 38 per 100,000 children vaccinated against chickenpox developed shingles per year, compared with 170 per 100,000 unvaccinated children, researchers found. This shingles vaccine is no longer in use in the US. GlaxoSmithKlines shingles vaccine contains a lone protein isolated from the shell of the varicella zoster virus. This is the highest, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The most troublesome complication of shingles, postherpetic neuralgia (PHN), almost never happens under 40. Shingles appears when the chickenpox virus in your body activates. Contributors control their own work and posted freely to our site. An electron micrograph of the varicella zoster virus, which causes both chicken pox and shingles. Shingles is a painful rash caused by a reactivation of the varicella-zoster virus (the same virus that causes chickenpox). Both conditions are commonly found in the United States, and both can have similar-appearing rashes. After a chickenpox infection, the virus stays in your nervous system. You should know about both and make an informed decision about taking it. Woodham creates project to dissect discredited theories suggesting that vaccines cause autism. He and his colleagues wrote up a paper titled, Psychological Stress as a Trigger for Herpes Zoster: Might the Conventional Wisdom Be Wrong? Like most articles with questions in their titles, it doesnt provide a definitive answer. Shingles is a painful rash caused by the varicella-zoster virus, the same virus that causes chickenpox. Shingles most commonly develop in adults over the age of 60 who had chickenpox before the age of 1. The shingles vaccine (Shingrix) is recommended for adults who have had chickenpox. It's given as a shot in two doses, two to six months apart. Older people with shingles are more likely to get PHN. After a person recovers from chickenpox, the virus stays dormant (inactive) in the body. USC experts look at how we got here and why this was inevitable. People initially have pain or a burning sensation on the skin without a rash, and then painful blisters develop. The fever, chills, body aches and rashes that arise are just part of. Do your age or health situation make you eligible for the vaccine? It usually manifests as an itchy rash that covers the entire body. 1 Some people with rheumatoid arthritis (RA) may worry that vaccines like Shingrix will make their symptoms worse. With both vaccines it's quite common to get redness and discomfort at the vaccination site, headaches and fatigue, but these side effects should not last more than a few days. This new vaccine is much more effective than Zostavax, which had been used in the past. Taking the vaccine protects you against PHN and other complications of shingles as well. Can diet help improve depression symptoms? Shingrix may be administered to an immunocompromised person who has had chickenpox or shingles or has previously been vaccinated with varicella vaccine or zoster vaccine live. The weakened varicella zoster virus strain in vaccines also lurks dormant in neurons, but it does not reawaken so easily. The virus can remain in your nervous system indefinitely without causing symptoms, but in about 1 in 5 people, the virus becomes reactivated in the form of shingles. Shingles Facts and Statistics: What You Need to Know. The survey found that among more than 6 million children, over a 12-year period, shingles rates were 78% lower among children who'd received one dose of the chickenpox vaccine. The virus, it turns out, never quite leaves the human body. Two vaccines are now available for prevention of Shingles in people who have had Chickenpox or who have been immunized against Chickenpox as children or adults: Zostavax is given as a single dose to individuals 60 and older, and has been in use since 2006. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. During the first outbreak, a person will develop flu-like symptoms, including: Symptoms are typically less severe in recurrent flares. But in those who develop chickenpox as teens or adults, theres a risk of complications, including pneumonia, skin infections and brain swelling. The shingles vaccine works well if you've had shingles before. You should still get vaccinated because studies show that nearly all adults 40 years and older have had chickenpox whether they remember having it or not. Getting vaccinated is the most effective way to prevent both before they develop. Its a real paradigm shift because there are no vaccines that perform so extraordinarily well for people in their 70s and their 80s, says Rafael Harpaz, an infectious-disease specialist at the Centers for Disease Control and Prevention. The most commonly prescribed antiviral medications are: Medications for shingles are most effective if a person takes them within 3 days of the rash appearing. Additionally, over 99% of people in the United States born before 1980 have had chickenpox and are at risk of developing shingles. Discuss the vaccine with your healthcare provider to see if it is right for you. But not everyone who is a candidate for the shingles vaccine should take it. The RZV provides effective protection against shingles and its complications. Shingles vaccination. In 1999, oversaw some of the Keck Schools most significant growth. Does Medicare Cover the Shingles Vaccine? Shingles, or herpes zoster, occurs when the dormant chickenpox virus is reactivated in nerve tissues. People who took Zostavax. Medicaid may or may not cover the vaccine cost. The World Health Organization (WHO) notes that oral herpes is typically asymptomatic, so a person may not experience symptoms. The pain of shingles can last long after the blisters disappear. The AAD states that a weakened immune system and a persons age increase the risk of developing shingles. Shingles sometimes appear in just one area and are often painful. It also works. Unlike chickenpox, shingles is most common in people over the age of 60. Google X and the Science of Radical Creativity. Last medically reviewed on June 10, 2021. Recent data from the Centers for Disease Control and Prevention found that over 15% of norovirus tests are coming back positive. The immunosuppressive medicines given with organ transplants, and chemotherapy for cancer, also weaken immunity. Medicare Part D plans cover the shingles vaccine, but there may be a cost to the patient depending on the plan. Marin M, et al. Part of HuffPost Wellness. It takes from 10 to 21 days after exposure to chickenpox or shingles for someone to develop chickenpox. Other serious complications are blindness, pneumonia, hearing loss, hepatitis, and encephalitis (brain inflammation). Conversely, the Zostavax, the traditional chickenpox vaccine, offers protection against shingles by only 51 percent, and the risk of PHN by 67 percent, according to the CDC. People should receive their second shot two to six months after their first shot. If you have a moderate or severe illness, with or without fever, you should postpone getting the vaccine. You will have stronger immunity against further attacks of shingles. How contagious are chickenpox vs. shingles? Like chickenpox, shingles usually isnt life-threatening, but it can cause complications, including neurological problems, skin infections and eye infections that lead to vision loss. Shingrix is said to be more than 90% effective against shingles and postherpetic neuralgia a painful nerve condition that can arise as a shingles complication. Shingles, on the other hand, usually affects adults. Shingles is a reactivation of the VZV, the same virus that causes chickenpox. In females, it can be painful or difficult to urinate during an outbreak. It shows your level of chickenpox immunity. When it springs into action again as a painful skin rash, thats shingles. Someone with an infectious shingles rash can spread chickenpox if the other person has never had chickenpox. The hospital staff found that he carried both viruses and treated him successfully. If you had a severe allergic reaction after the first dose of RZV, you shouldn't have the second dose. Should you get a chickenpox vaccine if you never had the disease as a child? Kids who got chicken-pox vaccines are less likely to later get shingles than kids who naturally caught chicken pox. She utilizes 15 years of clinical experience in her medical writing. Chickenpox (Varicella)Chickenpox is very contagious. This characteristic shape led ancient Greeks to call it herpes zoster, or roughly creeping belt., It was not until the the invention of powerful microscopes in the 20th century that the two became linked. However, chickenpox immunity testing is not required before receiving the shingles vaccine. 2. Chickenpox is usually a milder illness that affects children. Sources By Vincent Iannelli, MD The most common side effects of a shingles vaccine are redness, pain, tenderness, swelling and itching at the injection site, and headaches. The two diseases may arise from the same virus, but they afflict different populations and that is key. Once a person contracts HSV, it remains in the body for life. (Arvin has consulted for both GlaxoSmithKline and Merck, which makes the chicken-pox vaccine.) For most healthy people, if youre between 30 and 50 years old, theres no need for either vaccine, Orrange said. Although shingles and herpes share many traits, they are two different conditions. The blisters will crack open and crust over, and the rash will then clear within 24 weeks. Although both cause a rash, a shingles rash usually develops on one side of the body. The new shingles vaccine does appear more likely to cause pain during injection and at the site of injection for up to three days afterward, morethan Zostavax does, said the CDC. Texas Private Schools Are Anti-Vaxx Hot Spots. Thats why the federal Advisory Committee on Immunization Practices considers people born before 1980 immune to the varicella virus. After a chickenpox infection, the virus remains dormant in your body. There are several causes and risk factors for shingles and herpes. Shingrix is given to individuals 50 and older, as 2 doses separated by 2-6 months. Varicella vaccine, either Varivax or combination MMRV may be administered simultaneously with other vaccines recommended for children 12-15 months and children 4-6 years If varicella vaccine is not administered on the same day as MMR or live attenuated influenza vaccine, the vaccines should be separated by at least 4 weeks This time, the pain will likely come before the rash; some people only experience the pain without any visible symptoms. After an individual has chickenpox, the virus goes dormant in dorsal root nerve cells. According to DermNet, initial herpes outbreaks can last between 2 and 3 weeks. A few years ago, he got access to a large insurance data set, in which he could identify people whose spouses had became catastrophically ill or died unexpectedly. Anybody who had chickenpox when they were younger can potentially develop shingles. It is usually a mild disease that doesn't last long in children. How. It is caused by the same virus as chickenpox, the varicella-zoster virus. Will Boulder Students Be Prepared For an Epidemic? But a shingles rash usually appears as a cluster of blisters on one side of your body rather than showing up all over. Shingrix is approved and recommended for people age 50 and older, including those who've previously received another shingles vaccine . The "pox" ending refers to its blistering rash. This will happen 12 days before the rash appears. It is always on one side of the body. But if youre 50 or older, you can and should get the new shingles vaccine, Shingrix, whether or not you remember getting chickenpox in childhood. It is caused by the same virus that causes chickenpox the herpes virus varicella-zoster. Once a person develops chickenpox after contracting the varicella-zoster virus, the virus never leaves the body. Live viral vaccines tend to work better in children, says Ann Arvin, an infectious-disease specialist at Stanford University. Shingles activates when your immunity is low, usually with advancing age. They become fluid-filled blisters before eventually scabbing over and falling off. Centers for Disease Control and Prevention (CDC), cdc.gov/chickenpox/vaccine-infographic.html, cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html, cdc.gov/vaccines/vpd/varicella/public/index.html, Understanding What Causes Shingles to Activate, CDC Says Flu Shot Was Effective for Many Adults and Most Kids: What to Know, COVID-19 Pandemic: A 3-Year Retrospective on Masks, Vaccines, and Immunity, Norovirus: Why Cases are on The Rise and How to Avoid It, an itchy rash typically on one side of your body, can be used for children over 12 months and adults, can be given to children for their first two doses, protects from chickenpox, measles, mumps, and rubella, approved for children ages 12 months to 12 years. Zostavax II contains a weakened form of the virus while Shingrix contains only a part of the virus. Scientists could finally see that the diseases were in fact caused by the same virus, the now awkwardly named varicella zoster virus.. Here are the retail costs (the cost without insurance) for several in-demand vaccines at CVS Pharmacy: In-demand vaccines. See additional information. Sore throat. It is a two-shot series offered in healthcare offices and pharmacies. Also called herpes zoster, shingles is a reactivation of the virus that causes chickenpox. True, it often happens when a patients immune system is weak, like if they are older or have taken immune-suppressing drugs. Therefore, the Centers for Disease Control and Prevention (CDC) recommends that all adults age 50 and over receive two doses of Shingrix to prevent shingles. People whove never had chickenpox cant develop shingles. But if you're 50 or older, you can and should get the new shingles vaccine, Shingrix, whether or not you remember getting chickenpox in childhood. But could GlaxoSmithKlines shingles vaccine work to prevent chicken pox as well? Keep reading as we take a deeper look at the differences between chickenpox and shingles. A person has a small risk of developing shingles if vaccinated. GlaxoSmithKline. Though a virus causes shingles, you can't get shingles from another person. Shingles, also called herpes zoster, is a disease that triggers a painful skin rash. According to the CDC, approximately 1 out of 3 people in the United States will develop shingles. It also works less well than GlaxoSmithKlines new vaccine, which is more than 90 percent effective. "You cannot get shingles if you have not been infected by the chickenpox virus," says Dr. Oliveros. Harpaz is still on the case. Recently, the Food and Drug Administration approved Shingrix, a new shingles vaccine that contains a lone protein isolated from the shell of the varicella zoster virus. If you had the chickenpox as a child, the virus that causes it remains in your body, asleep, and it can wake up later when your immune system is compromised. Some components might be the same. Adults 50 years and older. But why does it also sometimes happen in seemingly healthy people? This vaccine is not available in the US since November 2020. The illness starts with some tingling, itching, or pain, usually on the trunk. However, these reoccurrences heal within 710 days. Pain, redness, or swelling at the injection site. Shingrix is a highly effective vaccine that can reduce a person's risk of developing shingles and painful complications. However, someone with shingles will not cause another person to develop shingles. If you need to flag this entry as abusive, Science Photo Library / Heather Davis / Getty, To Make Vaccines Anywhere, Just Add Water, As the Number of Unvaccinated Americans Grows, Measles and Whooping Cough Make a Comeback. Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy. Verywell Health's content is for informational and educational purposes only. Psychological Stress as a Trigger for Herpes Zoster: Might the Conventional Wisdom Be Wrong. The shingles virus is not spread through coughing or sneezing, but by inhaling virus particles from the rash. However, other safety studies have not been conducted to reaffirm this information. Avoid direct contact with a person infected with chickenpox or shingles. These people, presumably, would be under a lot of psychological stress. If you have shingles, you can spread the varicella virus to people who have never had chickenpox or never received the chickenpox vaccine. These lesions present in two to four successive crops. Shingles occur when the virus becomes reactivated. And Shingrix appeared to retain similarly high effectiveness throughout a four-year study period. There are two types: type 1 HSV, which primarily appears as a rash on the face or mouth, and type 2 HSV, which mainly appears as a genital or rectal rash. Shingles is a condition related to chickenpox. MS: Can the Mediterranean diet help preserve cognitive health? Please not reproduce this content in part or in whole without permission. There is no benefit to letting your kids get chickenpox over the vaccination, Orrange said. Shingles is also called herpes zoster. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, American Academy of Dermatology Association (AAD), Centers for Disease Control and Prevention (CDC), https://www.cdc.gov/shingles/about/index.html, https://journals.lww.com/infectdis/Citation/2022/09000/Herpes_Simplex_Virus_Type_1_and_Varicella_Zoster.2.aspx, https://www.cdc.gov/std/herpes/stdfact-herpes.htm, https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus, https://dermnetnz.org/topics/herpes-simplex, https://www.aad.org/public/diseases/a-z/shingles-treatment, https://www.aad.org/public/diseases/a-z/shingles-symptoms, https://www.aad.org/public/diseases/a-z/shingles-causes, https://www.cdc.gov/shingles/about/symptoms.html, https://www.cdc.gov/shingles/about/treatment.html. Outbreak, a person infected with chickenpox or the varicella zoster virus strain in vaccines also lurks dormant in,. 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