Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/24/2025

Absolute Risk Reduction of Shingrix for Preventing Shingles

Efficacy Data from Pivotal Trials

  • The Centers for Disease Control and Prevention recommends Shingrix for adults aged 50 years and older, with a vaccine efficacy of 97.2% across all age groups 50 years and older 1

Durability of Protection

  • Protection with Shingrix remains robust with efficacy maintained above 83.3% for at least 8 years post-vaccination 1, 2
  • At 10 years, efficacy decreases to approximately 73% 1

Comparison to Previous Vaccine

  • The American Academy of Family Physicians notes that Shingrix provides substantially greater absolute benefit than the older Zostavax vaccine, with Zostavax having a vaccine efficacy of only 51.3% in preventing herpes zoster in adults aged 60+ years 1
  • Zostavax efficacy declines dramatically with age: 70% (ages 50-59) down to only 18% (ages 80+) 1, 2
  • By year 10, Zostavax efficacy drops to only 14.1% 2

REFERENCES

2

SHINGRIX Vaccination Schedule for Adults [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025