Zostavax is not recommended for people who have already received a zoster vaccine. Vaccination of a person with Zostavax if they have previously received Shingrix should be assessed on a case-by case basis including: the reason Zostavax is required e.g. medical contraindication to previous dose of Shingrix, and potential benefits and risks consider the person’s age and level of immunocompromise. There is currently no evidence on the use of Zostavax following Shingrix.