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Vaccination

Shingles vaccine cut zoster by about half

Langan SM, Smeeth L, Margolis DJ, et al. · PLoS medicine · 2013

Open access · cc by · source: Europe PMC

In older US adults, herpes zoster vaccination showed ~48% effectiveness against incident zoster and ~59–62% against post-herpetic neuralgia.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsVaccinationconcept

    Overall VE ~48% against incident zoster; 62% against PHN at 30 days and 59% at 90 days; uptake was only 3.9% and lower in Black and low-income groups.

    Evidence for the claim as stated.

Study at a glance

Design
Cohort — US Medicare beneficiaries followed for zoster vaccination and incident zoster/PHN
N
N=766330
Population
Eligible older US Medicare beneficiaries
Outcome
Vaccine effectiveness against incident herpes zoster and post-herpetic neuralgia

Structured fields used in claim comparison tables when every cited study has a complete layer.

Inspect source passages

Shingles vaccine cut zoster by about half

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

Overall VE 48% against incident zoster; 62%/59% against PHN.

Overall VE of 48% was demonstrated against incident herpes zoster, 62% against PHN after 30 d and 59% against PHN after 90 d.

29,785 of 766,330 (3.9%) were vaccinated.

Of the 766,330 eligible participants, 29,785 (3.9% of people; 2.1% of person-time) had herpes zoster vaccination during the study period.
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Key findings

Overall VE ~48% against incident zoster; 62% against PHN at 30 days and 59% at 90 days; uptake was only 3.9% and lower in Black and low-income groups.

Methodology

A cohort of 766,330 eligible older Medicare beneficiaries was followed for zoster vaccination and incident herpes zoster/PHN, estimating adjusted vaccine effectiveness.

Limitations

Randomized efficacy in this dataset, or precise VE in highly immunosuppressed subgroups (small numbers).

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