alt Hacker NewsAs someone who got shingles in his 30s, it seems weird that a vaccine requires formal evidence to be beneficial to a younger population. Are there known side-effects that might outweigh the benefits? Shingles sucks at any age, making people wait to get the vaccine just because shingles is more common in the elderly seems odd.
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> As someone who got shingles in his 30s, it seems weird that a vaccine requires formal evidence to be beneficial to a younger population. Are there known side-effects...
We don't know the side effects or the beneficial effects since it hasn't been studied/approved for that (we likely have studied it, but not with enough rigor for FDA approval). It is, in all likelihood, fine, but when it comes to medication, we typically want a study rather than a guess.
It's just the usual FDA conservatism only for interventions (status quo bias).
I also had it in my 30's (and now again in my 40's) so I get it.
But there's a whole "evidence based medicine" thing that many of us usually try to champion, and it turns out the collecting such evidence is something expensive and priority-constrained. Due to lack of suitably targeted studies, there's just not formal evidence that the vaccine will be effective or lasting for us, or on what risks might apply to younger people with more robust immune systems.
There's also just a consideration about rationing the drug itself (it's seen shortages), and so prioritizing availability to more at-risk populations is not totally unreasonable.
All that said, it's not like it's impossible or illegal to get. You just need to find a prescriber who'll sign off for it (they exist), and you might need to pay cash rate for it at the pharmacy.