{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch31505\stshfloch31506\stshfhich31506\stshfbi0\deflang1033\deflangfe1033\themelang1033\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f1\fbidi \fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial{\*\falt Arial};}{\f2\fbidi \fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}
{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol{\*\falt Symbol};}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}
{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math{\*\falt Calisto MT};}{\f37\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\f43\fbidi \fswiss\fcharset0\fprq2{\*\panose 00000000000000000000}Tahoma{\*\falt Tahoma};}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Times New Roman};}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f980\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\f981\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f983\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f984\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f985\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\f986\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\f987\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\f988\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f990\fbidi \fswiss\fcharset238\fprq2 Arial CE{\*\falt Arial};}{\f991\fbidi \fswiss\fcharset204\fprq2 Arial Cyr{\*\falt Arial};}
{\f993\fbidi \fswiss\fcharset161\fprq2 Arial Greek{\*\falt Arial};}{\f994\fbidi \fswiss\fcharset162\fprq2 Arial Tur{\*\falt Arial};}{\f995\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew){\*\falt Arial};}
{\f996\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic){\*\falt Arial};}{\f997\fbidi \fswiss\fcharset186\fprq2 Arial Baltic{\*\falt Arial};}{\f998\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese){\*\falt Arial};}
{\f1000\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f1001\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}{\f1003\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f1004\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}
{\f1005\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f1006\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f1007\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f1008\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}
{\f1320\fbidi \froman\fcharset238\fprq2 Cambria Math CE{\*\falt Calisto MT};}{\f1321\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr{\*\falt Calisto MT};}{\f1323\fbidi \froman\fcharset161\fprq2 Cambria Math Greek{\*\falt Calisto MT};}
{\f1324\fbidi \froman\fcharset162\fprq2 Cambria Math Tur{\*\falt Calisto MT};}{\f1327\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic{\*\falt Calisto MT};}{\f1328\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese){\*\falt Calisto MT};}
{\f1350\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}{\f1351\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}{\f1353\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}
{\f1354\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\f1355\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}{\f1356\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}
{\f1357\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}{\f1358\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}{\f1410\fbidi \fswiss\fcharset238\fprq2 Tahoma CE{\*\falt Tahoma};}
{\f1411\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr{\*\falt Tahoma};}{\f1413\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek{\*\falt Tahoma};}{\f1414\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur{\*\falt Tahoma};}
{\f1415\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew){\*\falt Tahoma};}{\f1416\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic){\*\falt Tahoma};}{\f1417\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic{\*\falt Tahoma};}
{\f1418\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese){\*\falt Tahoma};}{\f1419\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai){\*\falt Tahoma};}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}
{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}
{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE{\*\falt Times New Roman};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Times New Roman};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Times New Roman};}
{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Times New Roman};}{\fhiminor\f31573\fbidi \fswiss\fcharset177\fprq2 Calibri (Hebrew){\*\falt Times New Roman};}
{\fhiminor\f31574\fbidi \fswiss\fcharset178\fprq2 Calibri (Arabic){\*\falt Times New Roman};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Times New Roman};}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Times New Roman};}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red0\green0\blue0;
\red0\green0\blue0;\chyperlink\ctint255\cshade255\red0\green0\blue255;\cfollowedhyperlink\ctint255\cshade255\red128\green0\blue128;}{\*\defchp \fs22\loch\af31506\hich\af31506\dbch\af31505 }{\*\defpap \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 }\noqfpromote {\stylesheet{\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext0 \sqformat \spriority0 \styrsid5065749 Normal;}{\s1\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink15 \sqformat \spriority9 \styrsid5065749 heading 1;}{\s2\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink16 \sunhideused \sqformat \spriority9 \styrsid5065749 heading 2;}{\s3\ql \li0\ri0\sl276\slmult1
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext0 \slink17 \sunhideused \sqformat \spriority9 \styrsid12911987 heading 3;}{\s4\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext0 \slink18 \sunhideused \sqformat \spriority9 \styrsid4735493 heading 4;}{\*\cs10 \additive \sunhideused \spriority1 Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f31506\hich\af31506\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext11 \ssemihidden \sunhideused 
Normal Table;}{\*\cs15 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink1 \slocked \spriority9 \styrsid5065749 Heading 1 Char;}{\*\cs16 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 
\b\fs24\loch\f0\hich\af0\dbch\af31501 \sbasedon10 \slink2 \slocked \spriority9 \styrsid5065749 Heading 2 Char;}{\*\cs17 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\fs24\loch\f0\hich\af0\dbch\af31501 
\sbasedon10 \slink3 \slocked \spriority9 \styrsid12911987 Heading 3 Char;}{\*\cs18 \additive \rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24 \sbasedon10 \slink4 \slocked \spriority9 \styrsid4735493 Heading 4 Char;}{\s19\ql \fi-144\li576\ri0\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin576\itap0\contextualspace \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon0 \snext19 \sqformat \spriority34 \styrsid10753541 List Paragraph;}{\s20\ql \li0\ri0\sl288\slmult1\widctlpar\wrapdefault\facenter\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext20 \styrsid12134065 [Basic Paragraph];}{\s21\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 
\af43\afs16\alang1025 \ltrch\fcs0 \fs16\lang1033\langfe1033\loch\f43\hich\af43\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext21 \slink22 \ssemihidden \sunhideused \styrsid6782370 Balloon Text;}{\*\cs22 \additive \rtlch\fcs1 \af43\afs16 
\ltrch\fcs0 \f43\fs16 \sbasedon10 \slink21 \slocked \ssemihidden \styrsid6782370 Balloon Text Char;}{\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \snext23 \slink24 \sqformat \spriority1 \styrsid5065749 No Spacing;}{\*\cs24 \additive \rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24 
\sbasedon10 \slink23 \slocked \spriority1 \styrsid5065749 No Spacing Char;}{\s25\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\fs16\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon23 \snext25 \slink27 \sqformat \spriority0 \styrsid5065749 VIS language;}{
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 
\sbasedon23 \snext26 \slink28 \sqformat \spriority0 \styrsid5065749 bullet;}{\*\cs27 \additive \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \f0\fs16 \sbasedon24 \slink25 \slocked \spriority0 \styrsid5065749 VIS language Char;}{\*\cs28 \additive \rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24 \sbasedon24 \slink26 \slocked \spriority0 \styrsid5065749 bullet Char;}{\s29\ql \li0\ri90\sb90\sl288\slmult1\nowidctlpar\tx240\tx800\wrapdefault\hyphpar0\facenter\rin90\lin0\itap0 \rtlch\fcs1 \ab\af1\afs28\alang1025 
\ltrch\fcs0 \b\fs28\cf1\up2\lang1033\langfe1033\loch\f1\hich\af1\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 H3;}{\s30\ql \li0\ri0\sa90\sl288\slmult1\nowidctlpar\wrapdefault\hyphpar0\facenter\rin0\lin0\itap0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\cf1\lang1033\langfe1033\loch\f0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext30 \styrsid11677815 P;}{\s31\ql \fi-180\li180\ri0\sa90\sl288\slmult1\nowidctlpar
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;}\listid984773404}{\list\listtemplateid-1180028512\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 
\ltrch\fcs0 \fbias0 \fi-360\li720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-360\li1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-180\li2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-360\li3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-180\li4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-360\li5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-360\li5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 
\fi-180\li6480\lin6480 }{\listname ;}\listid1234658564}{\list\listtemplateid1529237512\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 
\fi-360\li1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\lin2160 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23
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\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1080\lin1080 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0
\levelindent0{\leveltext\leveltemplateid67698715\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li1800\lin1800 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0
{\leveltext\leveltemplateid67698703\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2520\lin2520 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
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\leveltemplateid67698715\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6120\lin6120 }{\listname ;}\listid1469977180}{\list\listtemplateid-505656870\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
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\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 
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\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1080\lin1080 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative
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\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid67698703\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fbias0 \fi-360\li720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
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{\leveltext\leveltemplateid67698703\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
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\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698703\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fbias0 \fi-360\li360\lin360 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid67698713\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1080\lin1080 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative
\levelspace0\levelindent0{\leveltext\leveltemplateid67698715\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li1800\lin1800 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0
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{\leveltext\leveltemplateid67698713\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3240\lin3240 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
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\leveltemplateid67698713\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5400\lin5400 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext
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\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 
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{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23
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\rsid16022665\rsid16083771\rsid16085860\rsid16138984\rsid16273412\rsid16334230\rsid16407892\rsid16409632\rsid16413274\rsid16581951\rsid16597597\rsid16648265\rsid16652244\rsid16711733\rsid16714870\rsid16715045\rsid16719674\rsid16725147}{\mmathPr
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{\keywords shingles, zoster, herpes zoster, shingles vaccine, zoster vaccine, recombinant zoster vacine, RZV, shingles vaccination, zoster vaccination, shingles fact sheet, zoster fact sheet, Vaccine Information Statement}
{\operator Bauer, Christine (ob体育/DDID/NCIRD/OD) (CTR)}{\creatim\yr2022\mo2\dy4\hr9\min11}{\revtim\yr2022\mo2\dy4\hr9\min11}{\printim\yr2017\mo7\dy24\hr9\min5}{\version2}{\edmins1}{\nofpages3}{\nofwords899}{\nofchars5126}{\*\company ob体育}{\nofcharsws6013}
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\par 
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\insrsid5396545\charrsid1182894 \hich\af0\dbch\af31501\loch\f0  Vaccine: What You Need to Know
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Many Vaccine Information Statements are available in Spanish and other languages. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang4106\langfe1033\langnp4106\insrsid5396545\charrsid1182894 \hich\af0\dbch\af31505\loch\f0 See }{\field\fldedit{\*\fldinst {\rtlch\fcs1 
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9185895\charrsid1182894 \hich\af0\dbch\af31505\loch\f0 Recombinant zoster (shingles) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11619702\charrsid1182894 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid11619702\charrsid1182894 \hich\af0\dbch\af31505\loch\f0  can prevent }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9185895\charrsid1182894 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid11619702\charrsid1182894 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11619702\charrsid15408475 
\par 
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\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  (also called herpes zoster, or just zoster) is a painful}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8744788 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 skin rash,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8744788 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12347580\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
usually}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  with blisters. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
In addition to the rash, shingles can cause}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  f}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 ever}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 , h}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 eadache}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 , c}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 hills}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 , or u}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 pset stomach}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14437065 
\hich\af0\dbch\af31505\loch\f0 R}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 arely, \hich\af0\dbch\af31505\loch\f0 shingles can lead to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14437065 
\hich\af0\dbch\af31505\loch\f0 complications such as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 pneumonia, hearing problems, blindness, brain inflammation (encephalitis), or death.}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9837538\charrsid15408475 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14437065\charrsid14437065 \hich\af0\dbch\af31505\loch\f0 The risk of shingles increases with age. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
The most common complication of shingles is long-term nerve pain called postherpetic n\hich\af0\dbch\af31505\loch\f0 euralgia (PHN). PHN occurs in the areas where the shingles rash was}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14437065 
\hich\af0\dbch\af31505\loch\f0  and can last}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  for months or years after the rash goes away. The pain from PHN can be severe and debilitating}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid8065835\charrsid15408475 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9185895 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 The risk of PHN increases with age. An older adult with shingles is more likel\hich\af0\dbch\af31505\loch\f0 
y to develop PHN and have longer lasting and more severe pain than a younger person. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5587874 
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1052700 \hich\af0\dbch\af31505\loch\f0 People with weakened immune systems }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid212717 \hich\af0\dbch\af31505\loch\f0 also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1052700 
\hich\af0\dbch\af31505\loch\f0 have}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5601509\charrsid5601509 \hich\af0\dbch\af31505\loch\f0  a higher }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1052700 \hich\af0\dbch\af31505\loch\f0 risk}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5601509\charrsid5601509 \hich\af0\dbch\af31505\loch\f0  of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1052700 \hich\af0\dbch\af31505\loch\f0 getting }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5601509 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid5601509\charrsid5601509 \hich\af0\dbch\af31505\loch\f0  and complications}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5587874 \hich\af0\dbch\af31505\loch\f0  from the disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5601509\charrsid5601509 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7681817 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11342181\charrsid5601509 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Shingles is caused by varicella}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2770157 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 zoster virus, the same virus that causes chickenpox. After you have chickenpox, the virus stays in your body and can cause shingles later in life. Shingles cannot be passed from one person to another, but the virus that caus
\hich\af0\dbch\af31505\loch\f0 es shingles can spread and cause chickenpox in someone who }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4993818 \hich\af0\dbch\af31505\loch\f0 has }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 never had chickenpox or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5601509 \hich\af0\dbch\af31505\loch\f0 has never }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
received chickenpox vaccine.  
\par 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6819628\charrsid15408475 
\hich\af0\dbch\af31501\loch\f0 Recombinant s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 hingles }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 vaccine

\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12518645 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid15408475 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Recombinant }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid6110699\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  vaccine provides strong protection against shingles}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid11029422\charrsid15408475 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11029422\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 By preventing shingl\hich\af0\dbch\af31505\loch\f0 es, recombinant }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid6110699\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11029422\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  vaccine also protects against PHN}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7681817 
\hich\af0\dbch\af31505\loch\f0  and other complications}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4789362\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid4789362 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid10836413 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9185895 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860 \hich\af0\dbch\af31505\loch\f0 R}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 ecombinant shingles vaccine }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8197941\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 recommended for}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 \hich\af0\dbch\af31505\loch\f0 :
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413\charrsid7502786 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid10836413 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10836413\charrsid7502786 \hich\af0\dbch\af31505\loch\f0 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9185895\charrsid7502786 \hich\af0\dbch\af31505\loch\f0 dults}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid9185895\charrsid10836413 \hich\af0\dbch\af31505\loch\f0  50}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid9837538\charrsid10836413 \hich\af0\dbch\af31505\loch\f0  years}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid9185895\charrsid10836413 
\hich\af0\dbch\af31505\loch\f0  and older}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid10836413\charrsid7502786 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid7502786 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid10836413\charrsid7502786 \hich\af0\dbch\af31505\loch\f0 A}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\insrsid14250860\charrsid7502786 \hich\af0\dbch\af31505\loch\f0 dults 19 years and older who have }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid10836413\charrsid7502786 \hich\af0\dbch\af31505\loch\f0 a weakened immune system}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid10836413 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2770157 \hich\af0\dbch\af31505\loch\f0 because of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 \hich\af0\dbch\af31505\loch\f0  disease or }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid7087873 \hich\af0\dbch\af31505\loch\f0 treatments}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7502786 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7502786\charrsid7502786 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3822016 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2770157 \hich\af0\dbch\af31505\loch\f0 Shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 
\hich\af0\dbch\af31505\loch\f0  vaccine is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 given as a two-dose series}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 \hich\af0\dbch\af31505\loch\f0 . }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0 For most people, t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 \hich\af0\dbch\af31505\loch\f0 he second dose should be given 2 to 6 months after the first dose. }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0 Some people}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 \hich\af0\dbch\af31505\loch\f0  who }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0 
have}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 \hich\af0\dbch\af31505\loch\f0  or will }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0 have a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0 weakened immune system}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid2311882 \hich\af0\dbch\af31505\loch\f0 can}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0  get }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 \hich\af0\dbch\af31505\loch\f0 
the second dose 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0  to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016\charrsid7681817 \hich\af0\dbch\af31505\loch\f0 2 months af\hich\af0\dbch\af31505\loch\f0 ter the first}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3822016 \hich\af0\dbch\af31505\loch\f0  dose. Ask your health care provider for guidance.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid3822016\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10836413 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid10836413\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9185895 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921 \hich\af0\dbch\af31505\loch\f0 
People who have had shingles in the past and people who have received varicella (chickenpox) vaccine are recommended to get recombinant }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15817065 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid2889894 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \cs45\f31506\fs16\insrsid3028921 \hich\af31506\dbch\af31505\loch\f31506 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 Th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921 \hich\af0\dbch\af31505\loch\f0 e }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  is also recommended for people who have already gotten }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid420860\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 another type of shingles vaccine, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 the live shingles vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid420860\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 There is no live virus in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921 \hich\af0\dbch\af31505\loch\f0 recombinant }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16085860 
\hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921 \hich\af0\dbch\af31505\loch\f0  vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10909512 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3028921\charrsid15408475 
\par }\pard\plain \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Shingles }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11810116\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 vaccine may be given at the same time as other vaccines.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid15408475 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2634737\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 3. Talk with yo\hich\af0\dbch\af31501\loch\f0 ur health care provider

\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2634737\charrsid15408475 
\par \hich\af0\dbch\af31505\loch\f0 Tell your vaccin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4945944 \hich\af0\dbch\af31505\loch\f0 ation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2634737\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
 provider if the person getting the vaccine:
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589\charrsid15408475 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Has had an }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid8848589\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 allergic reaction after a previous dose of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid6819628\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 recombinant }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 shingles }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8848589\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8848589\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 , or has any }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1139093\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 severe, life-threatening allergies }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid15408475 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid9185895 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Is }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 currently experiencing an e\hich\af0\dbch\af31505\loch\f0 pisode of shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9837538 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2311882\charrsid15408475 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard \ltrpar
\s26\ql \fi-432\li432\ri0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid2311882 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid2311882\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Is }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid2311882\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 pregnant 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12518645 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5396545\charrsid15408475 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
In some cases, your health care provider may decide to postpone }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11810116\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268093\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 vaccination }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860 \hich\af0\dbch\af31505\loch\f0 until}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1268093\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  a future visit.
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9440166\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 People with minor illnesses, such as a cold, may be vaccinated. People who are moderately or severely ill should usually wait until they recover before getting 
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9837538\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 recombinant shingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15630319\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9440166\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 vaccine.
\par 
\par \hich\af0\dbch\af31505\loch\f0 Your health care provider can give you more information.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9440166\charrsid15408475 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518645\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 4. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 
\hich\af0\dbch\af31501\loch\f0 Risk\hich\af0\dbch\af31501\loch\f0 s of a vaccine reaction
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \loch\af0\dbch\af31505\hich\f0 \'95\tab}}\pard\plain \ltrpar
\s26\ql \fi-432\li432\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls8\adjustright\rin0\lin432\itap0\pararsid1070981 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 A sore arm with mild or moderate pain is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8065835\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 very }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 common after recombinant shingles vaccine. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8065835\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 R}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 edness and swelling }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8065835\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 can also happen }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 at the site of the injection.
\par {\listtext\pard\plain\ltrpar \s26 \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \loch\af0\dbch\af31505\hich\f0 \'95\tab}\hich\af0\dbch\af31505\loch\f0 Tiredness, muscle pain, headache, shivering, }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid424727\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 f}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 ever, stomach pain, and n\hich\af0\dbch\af31505\loch\f0 ausea }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid12402374 \hich\af0\dbch\af31505\loch\f0 are common }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8065835\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 after }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
recombinant shingles vaccine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8065835\charrsid15408475 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 
\par }\pard \ltrpar\s26\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14299054 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13195332 
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13195332 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12402374 \hich\af0\dbch\af31505\loch\f0 These }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 side effects }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12402374 \hich\af0\dbch\af31505\loch\f0 may}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid12402374 \hich\af0\dbch\af31505\loch\f0 temporarily }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 prevent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10836413 \hich\af0\dbch\af31505\loch\f0 
 a vaccinated person }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 from doing regular activities. Symptoms usually }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13261571 \hich\af0\dbch\af31505\loch\f0 go }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 away on their own}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9264209\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  in 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid8065835\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9264209\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 3 days}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 
\hich\af0\dbch\af31505\loch\f0 . You should still get the second dose of recombinant }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16085860 \hich\af0\dbch\af31505\loch\f0 sh\hich\af0\dbch\af31505\loch\f0 ingles}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0  vaccine even if you had one of these reactions after the first dose.  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11143824\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid80272 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7667953 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7502786 \hich\af0\dbch\af31505\loch\f0 \hich\f0 Guillain-Barr\'e9\loch\f0  syndrome (GBS)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4147085 \hich\af0\dbch\af31505\loch\f0 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4147085\charrsid4147085 \hich\af0\dbch\af31505\loch\f0 a serious nervous system disorder}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4147085 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7502786 \hich\af0\dbch\af31505\loch\f0  ha}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4147085 \hich\af0\dbch\af31505\loch\f0 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7502786 \hich\af0\dbch\af31505\loch\f0  been reported }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4147085 \hich\af0\dbch\af31505\loch\f0 very rarely }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7502786 \hich\af0\dbch\af31505\loch\f0 after recombinant zoster vaccine.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid7667953\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid80272 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7667953\charrsid15408475 
\par }\pard \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 
People sometimes faint after medical procedures, including vaccination. Tell your provider if you feel dizzy or have vision changes or ringing in the ears.
\par 
\par \hich\af0\dbch\af31505\loch\f0 As with any medicine, there is a very remote chance of a vaccine causing a severe allergic reaction\hich\af0\dbch\af31505\loch\f0 , other serious injury, or death.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid15408475 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 5. What if there is a serious problem?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid15408475 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 
An allergic reaction could occur after the vaccinated person leaves the clinic. If you see signs of a severe allergic reaction (hives, swelling of the face and throat, difficulty br\hich\af0\dbch\af31505\loch\f0 
eathing, a fast heartbeat, dizziness, or weakness), call }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 9-1-1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 
 and get the person to the nearest hospital.
\par 
\par \hich\af0\dbch\af31505\loch\f0 For other signs that concern you, call your health care provider.
\par 
\par \hich\af0\dbch\af31505\loch\f0 Adverse reactions should be reported to the Vaccine Adverse Event Reporting System (VAERS). Your health care provider will usually file this report, or you can do it yourself. Visit the VAERS website at }
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0  HYPERLINK "http://www.vaers.hhs.gov" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14250860\charrsid7423667 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b4c00000068007400740070003a002f002f007700770077002e00760061006500720073002e006800680073002e0067006f0076002f000000795881f43b1d7f48af2c825dc485276300000000a5ab00030000000000ce
000000001a1f2b73004a8f0000a000613b00000d00cea3200024000000720000000002a30000010000906b00007b0000000000650f00006f00060f52000000003a00f500}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs36\b\ul\cf19\insrsid14250860\charrsid7423667 
\hich\af0\dbch\af31505\loch\f0 www.vaers.hhs.gov}}}\sectd \ltrsect\linex0\sectlinegrid299\sectdefaultcl\sectrsid15554520\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0  or call }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 1-800-822-7967}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14250860\charrsid7423667 
\hich\af0\dbch\af31505\loch\f0 VAERS is only for reporting reactions, and VAERS staff }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14250860 \hich\af0\dbch\af31505\loch\f0 members }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14250860\charrsid7423667 
\hich\af0\dbch\af31505\loch\f0 do not give medical advice.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11231083\charrsid15408475 
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31501\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6498312\charrsid15408475 \hich\af0\dbch\af31501\loch\f0 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid15408475 
\hich\af0\dbch\af31501\loch\f0 . How can I learn more?
\par }\pard\plain \ltrpar\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182894 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\loch\af0\hich\af0\dbch\af31505\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11231083\charrsid15408475 
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 Ask your health care provider. 
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Contact the Centers for Dis\hich\af0\dbch\af31505\loch\f0 ease Control and Prevention (ob体育):
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14250860\charrsid7423667 \hich\af0\dbch\af31505\loch\f0 ) or
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9185895\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Recombinant Zoster }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5396545\charrsid15408475 \hich\af0\dbch\af31505\loch\f0 Vaccine 
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