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Data source: VAERS (Vaccine Adverse Event Reporting System)

Data through 2026 · Updated quarterly

Built by TheDataProject.ai · © 2026 VaccineWatch

Important: VAERS accepts reports of adverse events following vaccination. For any given report, there is no certainty that the reported event was caused by the vaccine. Reports may contain information that is incomplete, inaccurate, coincidental, or unverifiable. Most reports to VAERS are voluntary, which means they are subject to biases. This data cannot be used to determine if vaccines cause or contribute to adverse events.

⚠️

Important: VAERS reports alone cannot determine if a vaccine caused an adverse event. Reports may contain incomplete, inaccurate, or unverified information. Correlation does not equal causation.

  1. Home
  2. Vaccine Side Effects
  3. Shingles Vaccine
6 min read
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Shingles Vaccine Side Effects

Shingles vaccines are given to older adults to prevent herpes zoster (shingles). The older Zostavax (live vaccine) has been largely replaced by Shingrix (recombinant). Shingrix is known for causing more noticeable — but generally harmless — side effects.

140,312
Total Reports
397
Deaths Reported
4,720
Hospitalizations
17,582
ER Visits

Most Commonly Reported Side Effects

The following symptoms are most frequently reported after vaccination:

#{i + 1}Herpes zoster
27,583
#{i + 1}Pain
23,581
#{i + 1}Injection site erythema
20,279
#{i + 1}Pyrexia
19,959
#{i + 1}Injection site pain
18,526
#{i + 1}Headache
17,190
#{i + 1}Chills
15,726
#{i + 1}Pain in extremity
15,542
#{i + 1}Rash
14,740
#{i + 1}Injection site swelling
13,886
#{i + 1}Fatigue
13,470
#{i + 1}Erythema
11,376

Zostavax vs Shingrix

  • Zostavax (VARZOS): Live attenuated vaccine, single dose, discontinued in U.S. (2020)
  • Shingrix: Recombinant adjuvanted vaccine, 2 doses, current standard

Shingrix is known for more pronounced side effects than most vaccines — this is partly because it contains a strong adjuvant (AS01B) designed to boost immune response in older adults. The side effects are a sign the immune system is responding.

Expected Side Effects

Very common with Shingrix (expected in most recipients):

  • Pain and swelling at injection site (up to 78% of recipients)
  • Fatigue and muscle pain (up to 45%)
  • Headache (up to 38%)
  • Shivering and fever (up to 27%)
  • GI symptoms (nausea, stomach pain)

These side effects are notably more common than with most vaccines but typically resolve within 2-3 days. The second dose tends to cause more side effects than the first.

Why So Many Reports?

The high VAERS report count for shingles vaccines reflects both the strong reactogenicity of Shingrix and the older age of recipients. Older adults may be more likely to seek medical attention for side effects, and healthcare providers may be more likely to report events in elderly patients.

Shingrix is recommended as two doses for adults 50 and older. See where it fits on the CDC vaccine schedule, review our 2026 vaccine schedule analysis, and explore VAERS patterns in adults 65+.

⚠️ Remember: VAERS reports show correlation, not causation. A report filed after vaccination doesn't mean the vaccine caused the reported event. Always consult your healthcare provider for medical advice.

Explore This Data

Zoster/Shingles Vaccine Detail →
Full VAERS profile
Elderly Analysis →
Vaccination patterns in 65+
Severity Profile Tool →
Compare vaccine outcomes

2026 Safety Monitoring Update

As of mid-2026, the shingles vaccine continues to be monitored through VAERS and complementary surveillance systems including the Vaccine Safety Datalink (VSD) and the Clinical Immunization Safety Assessment (CISA) project. No new safety signals have been identified in recent data that would change the established safety profile of this vaccine.

The HHS administration's announced development of AI-powered VAERS analysis tools may provide additional insights into shingles vaccine adverse event patterns. These tools aim to detect subtle signals that traditional statistical methods might miss, though their implementation timeline and methodology remain under development.

It's worth noting that VAERS reporting for routine vaccines like shingles has remained stable through the post-pandemic period. While COVID-19 vaccine reports surged and then declined, reporting patterns for established childhood and adult vaccines have been remarkably consistent, suggesting that the VAERS system continues to function as designed for ongoing safety surveillance.

Understanding VAERS Data for shingles

When interpreting VAERS data for shingles vaccines, several key principles apply:

  • Reports ≠ Causation: A VAERS report means an event occurred after vaccination. It does not establish that the vaccine caused the event. Many reported symptoms are common health occurrences that would happen regardless of vaccination.
  • No denominator: VAERS does not track the number of doses administered. Without knowing how many people received the vaccine, raw report counts cannot be used to calculate risk rates or compare safety across vaccines.
  • Co-administration: Many vaccines are given at the same visit. When a VAERS report lists multiple vaccines, it's impossible to determine which vaccine (if any) was responsible for the reported adverse event.
  • Reporting variability: Healthcare provider awareness, media attention, and public concern all influence how many reports are filed. Changes in report volume may reflect changes in reporting behavior rather than changes in actual safety.

How to Use This Data Responsibly

VAERS data is most useful as a starting point for conversation with your healthcare provider, not as a basis for medical decisions. If you're concerned about shingles vaccine side effects:

  • Discuss your specific risk factors with your doctor or pharmacist
  • Ask about the relative risks of the disease the vaccine prevents vs. the vaccine itself
  • Consider your age, health status, and any previous vaccine reactions
  • Remember that clinical trials and post-market studies provide much stronger safety evidence than VAERS alone

For the most up-to-date safety information, consult the CDC's vaccine information pages or speak with a qualified healthcare professional.

More Resources

When Do Side Effects Start?
73% occur within 3 days of vaccination
Serious vs Non-Serious Outcomes
The full severity spectrum in VAERS
Report an Adverse Event
How to file a VAERS report
Our Methodology
How we process VAERS data

2026 Safety Monitoring Update

As of mid-2026, the shingles vaccine continues to be monitored through VAERS and complementary surveillance systems including the Vaccine Safety Datalink (VSD) and the Clinical Immunization Safety Assessment (CISA) project. No new safety signals have been identified in recent data that would change the established safety profile of this vaccine.

The HHS administration's announced development of AI-powered VAERS analysis tools may provide additional insights into shingles vaccine adverse event patterns. These tools aim to detect subtle signals that traditional statistical methods might miss, though their implementation timeline and methodology remain under development.

It's worth noting that VAERS reporting for routine vaccines like shingles has remained stable through the post-pandemic period. While COVID-19 vaccine reports surged and then declined, reporting patterns for established childhood and adult vaccines have been remarkably consistent, suggesting that the VAERS system continues to function as designed for ongoing safety surveillance.

Understanding VAERS Data for shingles

When interpreting VAERS data for shingles vaccines, several key principles apply:

  • Reports ≠ Causation: A VAERS report means an event occurred after vaccination. It does not establish that the vaccine caused the event. Many reported symptoms are common health occurrences that would happen regardless of vaccination.
  • No denominator: VAERS does not track the number of doses administered. Without knowing how many people received the vaccine, raw report counts cannot be used to calculate risk rates or compare safety across vaccines.
  • Co-administration: Many vaccines are given at the same visit. When a VAERS report lists multiple vaccines, it's impossible to determine which vaccine (if any) was responsible for the reported adverse event.
  • Reporting variability: Healthcare provider awareness, media attention, and public concern all influence how many reports are filed. Changes in report volume may reflect changes in reporting behavior rather than changes in actual safety.

How to Use This Data Responsibly

VAERS data is most useful as a starting point for conversation with your healthcare provider, not as a basis for medical decisions. If you're concerned about shingles vaccine side effects:

  • Discuss your specific risk factors with your doctor or pharmacist
  • Ask about the relative risks of the disease the vaccine prevents vs. the vaccine itself
  • Consider your age, health status, and any previous vaccine reactions
  • Remember that clinical trials and post-market studies provide much stronger safety evidence than VAERS alone

For the most up-to-date safety information, consult the CDC's vaccine information pages or speak with a qualified healthcare professional.

More Resources

When Do Side Effects Start?
73% occur within 3 days of vaccination
Serious vs Non-Serious Outcomes
The full severity spectrum in VAERS
Report an Adverse Event
How to file a VAERS report
Our Methodology
How we process VAERS data

More Side Effect Guides

All Vaccine Side Effects
Overview across all vaccines
COVID-19 Side Effects
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Full Dashboard
All 104 vaccines compared