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Peer reviewedOpen accessCOVID-19InfluenzaZosterSARS

Immunogenicity and safety of co-administration of a recombinant shingles vaccine with an mRNA COVID-19 or adjuvanted influenza vaccine: a randomised controlled trial

Journal of Infection·

Rosie Harris, Russell Thirard, Claire McBrien, Alexander Middleditch, David Chadwick, John Jackson, Ed Moran, James Perry, Ruth A Payne, Anna L Goodman, Catherine Cosgrove, Patrick Lillie, Stevan Emmett, Adam Finn, Katie Pike, Lucy Culliford, Rajeka Lazarus, Kate Millington, Florentina Penciu, Louise Wright, Vicki Scott, Vera Mae Canada, Emma Andrews, Hannah Brooks, Kurtney Gordon, Joanna Bagshaw, Adele Szekeres, Joanna Morley, Pauline Lambert, Penny Edrich, Corinne Birch, Julie Davidson, Rebecca Trewern, Julie Powell, Sarah Holloway, Hazel Ballentine, Chloe Sun, Daniel Langley, Eben Jones, Jade King, Kirstie Bradburn, Elena Bellavia, Zsolt Friedrich, Francis Mensah, Maisie Borrill, Mandy Williams, Anne Crutchley, Henry Aldwinckle, Joanna Salisbury, Abigail Stirling, Kimberley Newcombe, Lee Bullen, Agnieszka Gamulczak, Dominique Pelia, Kyra Holliday, Matthew Saunders, Wankumbu Chisala, Priya Lata, Maqsood Ali Khan, Sadaf Younis, Sarah Steedon, Anit Alex, Fatima Yaqub, Megan McCullagh, Natasha Bechman, Radhika Gulati, Tim Durant, Chinenye Ekeozor, Sufia Hossein, Nishi Patel, Pamela De Los Santos Dominguez, Lauren Martinez, Emma Wayman, Ben Sayer, Stephanie Zhang, Rebecca Thornhill, Shehnaz Athaide, Thahmena Miah, Cecelia Hultin, Benjamin Gregory, Rebecca Mangion, Emma Eccelston, Gemma Walker, Debbie Smith, Donna Nortonv, Silvia Madrid-Willingham, Yen Wen Phong, Nicholas Easom, Lukuman Gbadamoshi, Philippa Cooper, Clare Ludlam, Zoe Price, Alison Barratt, Isabelle Guiton

DOI
10.1016/j.jinf.2026.106784
PMID
42248304
PMCID
OpenAlex
W7163534422
Study type
Randomised controlled trial
Publisher
Elsevier BV
Article type
journal-article
Integrity
current

Why this research matters now

The documented compatibility indicates potential administrative advantages for coordinating seasonal and shingles immunisations within standard adult care pathways.

01

Structured evidence summary

Research question

This investigation assesses whether administering a recombinant zoster immunisation alongside either an mRNA coronavirus vaccine or an adjuvanted influenza formulation alters immune protection or increases adverse reactions.

Study design

The research utilises a multicentre, masked, randomised controlled non-inferiority phase four trial structure distributed across thirteen clinical locations.

Population and setting

Participants consisted of healthy adults aged fifty years and older recruited from multiple regional sites.

Main findings

Immune markers for all three vaccine types satisfied non-inferiority benchmarks one month after dosing. Reported severe systemic reactions remained infrequent overall, though frequencies showed a modest rise when shots were delivered simultaneously, reaching a maximum of 3.3 percent.

Public-health relevance

The documented compatibility indicates potential administrative advantages for coordinating seasonal and shingles immunisations within standard adult care pathways.

Important limitations

This assessment depends entirely on the provided abstract and bibliographic records, requiring the complete manuscript for rigorous appraisal. The trial also restricted enrollment to healthy older individuals, which may constrain applicability to other demographic groups.

GIDS interpretation

The work aligns with ongoing academic discourse regarding combined vaccination protocols and may appear in database queries targeting adult immunisation efficiency and cross-product compatibility.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 12 auditable classifier relationships to diseases, places, topics, and study design.

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