For more information, s. Zoster (Shingles) Vaccine ACIP Recommendations. Preparations The vaccine contains a weakened strain of wild varicella, similar to that of varicella, but with a higher number of attenuated viruses. Indications The zoster vaccine is recommended for adults ? 60 years, irrespective of whether they have had herpes zoster or not. He is not routinely recommended for people aged 50 to 59 years, but can be used in this age group. Contraindications and precautions include the contraindications. A severe allergic reaction (. Eg anaphylaxis) to a vaccine component Known severe primary or acquired immunodeficiency (eg due to leukemia; lymphomas; solid tumors; tumors, the bone marrow or lymphatic system treatment with chemotherapy;; concern; AIDS; severe HIV infection or long-term use of immunosuppressants) pregnancy precautions include Moderate or severe acute illness with or without fever (vaccination, if possible, be postponed until the disease is over) use of specific antiviral medications: d. H. (These drugs, if possible, stopped 24 hours before the vaccination and not resumed for 14 days after vaccination) acyclovir, famciclovir, or valacyclovir dosage and administration The vaccine is as a single dose of 0.65 ml s.c. administered in the deltoid muscle of the upper arm. The zoster vaccine should be given ? 14 days before the start of immunosuppressive treatment; some experts prefer to wait if possible 1 month after zoster vaccination before proceeding with an immunosuppressive treatment. This vaccine should be between -50 ° C (-58 ° F) and -15 ° C (5 ° F) are frozen and must be reconstituted immediately after removal from the freezer. Undesirable effects serious side effects have been reported. Injection site pain may occur.