What order should you have your winter vaccines in?
Flu, shingles, RSV, pneumonia and Covid vaccines can mean a lot of jabs. Dr Mark Porter explains which he would prioritise and how to spread them out.
Flu, shingles, RSV, pneumonia and Covid vaccines can mean a lot of jabs. Dr Mark Porter explains which he would prioritise and how to spread them out.
My husband and I have just booked our annual flu jab at our new GP practice and have been told we are eligible for some other vaccines too: shingles, pneumonia and RSV.
It seems a lot to us and we were wondering which ones you would prioritise as we are keen to spread them out.
They are all good vaccines that offer useful protection against some nasty conditions, and I would definitely be booking in for the lot if I were in your shoes, but not all at the same time.
The team at your surgery will have their own protocols, but I would start with the flu jab and the first dose of shingles vaccine (Shingrix) as these can now be given at the same appointment, albeit in separate arms. Be warned, while reactions to modern flu jabs tend to be minor, Shingrix can make some people feel unwell for a few days, so don’t book just before heading off on holiday or to a family wedding.
Next I would go for the RSV and pneumococcal (pneumonia) vaccines, which can also be given together, typically at least a week or so after the flu and shingles. And you could be eligible for a Covid booster too, so check when booking in as it can also be given alongside the others, or separately if you prefer.
It's common practice to give the flu jab and Covid booster together but some people have complained that they are more likely to feel rough for a day or two afterwards.
If you do want to have them separately, I would probably have the flu jab first and then the Covid booster a week or so later. But do have both if eligible as that should ensure you are as well protected this winter as you can be.
Finally, don’t forget your second shingles dose, which should be given 6–12 months after your first. The surgery should send you a reminder, but don’t depend on that.
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