Respiratory Syncytial Virus (RSV) and RSV Vaccine

[ChicagoGranny]

Just curious, what are your plans and experiences?

Here are the CDC recommendations for adults. (There is a separate recommendation for children.)

CDC recommends adults 60 years and older may receive a single dose of RSV vaccine, based on discussions between the patient and health care provider.

RSV vaccine may be given at the same time as other vaccines.

My doctor recommends it. Gramps and I are getting them soon.

[Lucky7]

I reviewed the data, watched both FDA Advisory Comittee meetings, as well as the CDC ACIP meeting.

I've seen older adults gets seriously trashed from RSV. While I obviously don't know your personal situation, if you are above 60 and have any comborbidities
I'd say go for it.

The co-administration thing is a bit more nuanced. The GSK vaccine has an adjuvant in it, so my gestalt is try to get the Pfizer vaccine if you are getting a flu vaccine at the same time. It's the same aduvant that GSK used for Shingrix.

I had my mom get it.

[ChicagoGranny]

Lucky7

Good info. Thanks. Gramps and I decided to get all three vaccines (Fluzone high dose, Pfizer COVID, Pfizer RSV) with a minimum of two weeks between each. We can revisit this issue next fall.

[Lucky7]

You are welcome

I think it's reasonable to space them all out.

Flu+COVID=okay, with no real change in immune response. High quality literature support.
Flu+RSV=probably okay, preliminarly

All 3 at once? Don't think anyone knows. I'm sure they are doing co-administration studies to see. In the absence of data, I myself wouldn't do it. Mostly because I want to know about reduced immunogenicity.

[Okie bipap]

My wife and I got our COVID and flu vaccines at the same time. They recommended that we wait two weeks before getting the RSV vaccination.

[zonker]

good info. will do like okie bipap.

he seems like a smart feller.

[Rubicon]

They recommended that we wait two weeks before getting the RSV vaccination.

Who are "they"?

CDC and IDSA says you can shoot them all at once.

Which I shall be doing shortly.

[lazarus]

A lot of factors can come into play with individual choices on the matter: https://www.cnbc.com/2023/09/15/covid-r ... ether.html

I got the flu and COVID ones together; I ain't old enough yet for an RSV shot, although my doc would use one of my medical conditions as an excuse to order one for me if I wanted her to.

[palerider]

Just curious, what are your plans and experiences?

I got mine yesterday. no 'side effects' as of yet.

[palerider]

You are welcome

I think it's reasonable to space them all out.

Flu+COVID=okay, with no real change in immune response. High quality literature support.
Flu+RSV=probably okay, preliminarly

All 3 at once? Don't think anyone knows. I'm sure they are doing co-administration studies to see. In the absence of data, I myself wouldn't do it. Mostly because I want to know about reduced immunogenicity.

I got all three yesterday, plus TDAP.

[lazarus]

I got the Tdap a few days ago, too.

[ChicagoGranny]

I got mine yesterday. no 'side effects' as of yet.

If I don't get at least a sore arm, I don't feel like I got my money's worth.

[VVV]

I'm keeping each of the three fall vaccines (COVID, flu, RSV) two week apart. I would like to know the side effects, if any, of each. Next year, I might do them all together.

I'm also going to the gym and lifting weights after each vaccine. There's a study, that says more antibodies are built by doing this. I don't have the link, but the study should be easy to find.

[Lucky7]

https://www.cdc.gov/vaccines/vpd/rsv/hc ... other-vaxs

Administration with other vaccines
Coadministration of RSV vaccines with other adult vaccines during the same visit is acceptable. Available data on immunogenicity of coadministration of RSV vaccines and other vaccines are currently limited. Coadministration of RSV and seasonal influenza vaccines met noninferiority criteria for immunogenicity with the exception of the FluA/Darwin H3N2 strain when the GSK RSV vaccine was coadministered with adjuvanted quadrivalent inactivated influenza vaccine. RSV and influenza antibody titers were somewhat lower with coadministration; however, the clinical significance of this is unknown.

Administering RSV vaccine with one or more other vaccines at the same visit might increase local or systemic reactogenicity. Data are only available for coadministration of RSV and influenza vaccines, and evidence is mixed regarding increased reactogenicity. Data are lacking on the safety of coadministration with other vaccines that might be recommended for persons in this age group, such as COVID-19 vaccines; pneumococcal vaccines; adult tetanus, diphtheria, and pertussis vaccines; and the recombinant zoster vaccine (the recombinant zoster vaccine and GSK’s RSV vaccine contains the same adjuvant). When deciding whether to coadminister other vaccines with an RSV vaccine, providers should consider whether the patient is up to date with currently recommended vaccines, the feasibility of the patient returning for additional vaccine doses, risk for acquiring vaccine-preventable disease, vaccine reactogenicity profiles, and patient preferences. Post-licensure efficacy and safety monitoring of coadministered RSV vaccines with other vaccines will further direct guidance.

[palerider]

I got mine yesterday. no 'side effects' as of yet.

If I don't get at least a sore arm, I don't feel like I got my money's worth.

Well, since they were all covered at no cost to me, I'd say I probably my monies worth, maybe even yours