Do you separate RSV and recombinant zoster vaccines to reduce reactogenicity in an older adult eligible for both at the same visit?

Yes. I never give the zoster vaccine with any other vaccine.

I agree with Dr. @Dr. First Last. Usually, healthy elderly people can probably tolerate both vaccines without problems. But if it is a frail patient, I would definitely separate the zoster vaccine. If the patient develops any symptoms or side effects, then I will know whether it is from the zoster v...