I had shingles about 5 or 6 years ago, I was over 50 but just barely. It was a relatively mild case, rash under the skin on one thigh but the pain was pretty bad. By the time I went to the doctor for it, they really couldn't do anything but give me something to manage the pain, which didn't work. I ended up taking large doses of Advil, rubbing over the counter lidocaine on it. I think I was out of work for maybe two full days and couple half days. My doctor said it wouldn't hurt to have the shot but after much research, I decided it might not help either so I haven't had one. Disclaimer, I normally have mild cases of just about anything instead of raging severe issues, unless it's a bug bite or exposure to the sun, those will knock my down for a week or so. I had measles as a child and had two spots, on the leg I got shingles on. My mother, had a horrible case of it, big horrible rash on her upper body, pain that lasted at least 6 months, but she had Lupus so I'm sure that contributed. I don't react well to vaccines so I'm just rolling the dice.