Accepted at 6:01 a.m. Oct, 31, 2023 by Ahmed7
Author: IantheBFG
Co-authors: Ahmed7 , Cameron
Related Note: 1506292221714
Rationale for change

This card is probably outdated and needs to be reviewed/deleted. Added a subnote to extra field in the mean time.

The current shingles vaccine is now 2 doses of recombinant zoster vaccine instead of the old version which was 1 dose of live attenuated zoster vaccine. I haven't seen any uworld questions related to this yet to add more info.

"A live attenuated zoster vaccine was available in the US, but it has been discontinued as of November 2020."
From AMBOSS

https://next.amboss.com/us/article/HR0Kof?utm_source=navbar&utm_medium=anki&utm_campaign=anki&utm_term=zoster%2Bvaccine&guid=qfj8Os%2560%257BKb&aid=c911976e-7577-4000-9e68-d6f38cab1dfe&uid=2M0UTLgba#Z9d558e5f23a42a9502a1541ee1029a29

https://next.amboss.com/us/article/zm0rRg#Za06e8f922fd54b7fc2270cb144c1f5f8

AMBOSS source is https://www.cdc.gov/shingles/vaccination/immunocompromised-adults.html
which I use for the info regarding CD4+ count not mattering for inactivated or recombinant vaccines

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#AK_Step1_v12::#FirstAid::03_Microbiology::05_Virology::06_Herpesviruses::*Varicella-Zoster_Virus #AK_Step2_v12::#UWorld::COMLEX::101264 !AK_UpdateTags::Step1decks::Lolnotacop::Bugs #AK_Step1_v12::#OME::Clinical::Pediatrics::General_Pediatrics::Pediatric_Vaccinations #AK_Step1_v12::#Physeo::06_Micro::05_Viruses::02_Varicella-Zoster_Virus_(VZV) #AK_Step1_v12::#Physeo::^physeo_image_update #AK_Step1_v12::#FirstAid::03_Microbiology::05_Virology::05_DNA_viruses::*Varicella-Zoster_Virus #AK_Original_Decks::Step_1::Lolnotacop::Bugs #AK_Step1_v12::^Other::^HighYield::1-HighYield #AK_Step1_v12::#Physeo::08_Immunology::01_Immunology::19_Vaccinations #AK_Step1_v12::#Bootcamp::Immunology::09_Vaccinations::02_Live_Attenuated_Vaccines #AK_Step2_v12::#UWorld::COMLEX::100666 #AK_Step1_v12::#SketchyMicro::03_Viruses::03_DNA::04_Varicella-Zoster_Virus_(Herpesviridae)