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Peer-Reviewed Publication
Mult Scler2026;13524585261468620.August 13, 2026Journal Article

Effectiveness of the recombinant zoster vaccine in adult patients with multiple sclerosis: A claims-based retrospective cohort study in the United States.

Sheryl A Kluberg1, Sophie E Mayer1, O'Mareen Spence2, Driss Oraichi2, Harry Seifert2, Omar Ali2, Huifeng Yun2, Andrew L Simon3, Jenice S Ko3, Caroline Hugh3, Meg Her3, Kathleen Shattuck3, Aziza Jamal-Allial4, Djeneba Audrey Djibo5, Kimberly Daniels6, Qianli Ma7, Cheryl N McMahill-Walraven8, Rachel P Ogilvie9, Kristin Palmsten10, Mano Selvan7, Najat J Ziyadeh9, Shamik Bhattacharyya11, Alexis Ogdie12, Michael George12
1Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
2GSK, Rockville, MD, USA.
3Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA, USA.
4Carelon Research, Wilmington, DE, USA; Fakeeh Care Group, Jeddah, Saudi Arabia.
5CVS Health, Blue Bell, PA, USA.
6Carelon Research, Wilmington, DE, USA.
7Humana Healthcare Research, Inc., Louisville, KY, USA.
8CVS Health, Blue Bell, PA, USA; Glade Oak, Inc., Royersford, PA, USA.
9Optum, Boston, MA, USA.
10HealthPartners Institute, Bloomington, MN, USA.
11Mass General Brigham, Boston, MA, USA.
12Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA, USA.

Abstract

OBJECTIVES: To assess vaccine effectiveness (VE) of the recombinant zoster vaccine (RZV) in adults with multiple sclerosis (MS). METHODS: This retrospective study included adults aged ⩾18 years with MS insured by Medicare or one of seven United States (US) commercial health insurers from January 2018 to September 2023. Adults receiving two RZV doses ⩾28 days apart were matched with four or less u…

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