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Can You Get Measles if You’re Vaccinated?

woman with measles rash on back
woman with measles rash on back Adobe Stock

Key Takeaways

  • The two-dose MMR (measles, mumps, and rubella) vaccine is 97 percent effective against measles.

  • The shots are safe, side effects are minor, and for most people, protection lasts a lifetime.

  • People who've only gotten one MMR dose and those vaccinated between 1963 and 1989 may want to get a booster, depending on their history.

As measles infections become the new normal in America, with outbreaks occurring around the United States and cases reported in 47 states and the District of Columbia in 2026, you may be wondering: Can I get measles if I'm vaccinated?

"You can still get measles if vaccinated, but it's very rare," says Walter Orenstein, MD , associate director of the Emory Vaccine Center and professor of medicine, pediatrics, epidemiology, and global health at Emory University in Atlanta.

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Still, some people who are vaccinated may need a booster shot. Here's what to know.

How Effective Is the Measles Vaccine?

The full two-dose MMR vaccine (a combo shot that protects against measles , mumps , and rubella) is 97 percent effectiveat preventing measles, typically for life. A single vaccine dose is about 93 percent effective.

In 2026, 94 percent of reported U.S. measles infections were among people who were unvaccinated or of unknown vaccination status. A person who contracts measles despite being vaccinated usually experiences milder illness and is less contagious.

Dr. Orenstein adds that MMR shots are very safe, and most people experience no side effects. Those who do report minor symptoms, including soreness at the injection site, slight fever, or rash .

What if You're Unsure of Your Vaccination Status?

If you're uncertain whether or not you've received the measles shot and can't find your medical records, check to see if your city or state has a centralized registry of vaccine records.

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If that doesn't yield the information you need, check with your current healthcare provider and possibly prior providers.

If you're uncertain of your status and think you may be in a situation where you are exposed to measles, there's no harm in getting an extra vaccine dose,Orenstein says.

Does Anyone Need a Measles Booster?

For most people who have received two doses of the MMR vaccine, there is no need for a  measles booster shot , says  Deborah Fuller, PhD , a professor of microbiology and a vaccine researcher at the University of Washington School of Medicine in Seattle.

But there are some groups who could benefit. Dr. Fuller says you should talk to your healthcare provider about a booster if:

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  • You've only had one measles shot.A second dose is particularly important for healthcare workers, college students, some people with HIV , and people close to anyone with a compromised immune system. (Immunocompromised people themselves may not be eligible for vaccination.)

  • You were vaccinated between 1968 and 1989."There may be some gap in immunity, as during that time only one dose was recommended," says Catherine Troisi, PhD , a professor of management, policy, and community health and epidemiology at the UTHealth Houston School of Public Health.

  • You were vaccinated between 1963 and 1967.During these years, some vaccines used an inactive virus, which was not as effective as the current vaccine, which is a live, attenuated (weakened) type. Dr. Troisi says that, to be safe, adults in this group should get at least one booster with the current vaccine.

Why Measles Vaccination Matters

Measles is highly contagious. Among the unvaccinated, up to 9 out of 10 will come down with measles if they are exposed to an infected person.

The virus can also linger even after an infected person has left the room, says  Peter Chin-Hong, MD , an infectious disease specialist and professor of medicine at the University of California San Francisco School of Medicine. "It can persist as airborne tiny droplets for two hours in an enclosed space," he says. You can also become infected through direct contact with someone who has measles, and you can spread measles up to four days before symptoms even appear.

Dr. Chin-Hong says measles can lead to some very serious health issues, including pneumonia ( a severe lung infection ) and encephalitis (inflammation of the brain), which can cause disability and long-term complications.

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Even a mild case of measles can lead to lingering damage to the immune system known as  immune amnesia , making a person more vulnerable to other diseases, ranging from flu to tuberculosis .

"It is measles' impact of causing long-lasting immunosuppression that gives me the most pause, and is perhaps the most invisible and not easily captured in metrics," Chin-Hong says. Having a weakened immune system raises the risk of other infections and even death, "months to years after the original measles diagnosis."

During a record outbreak in August of 2026, two people who weren't vaccinated died from measles in Pennsylvania. Three other people have also died from measles since 2025, making this one of the worst outbreaks in the United States in the last 30 years.

Declining Vaccination Is Driving Measles Outbreaks

Measles broke U.S. records in 2026, with a rolling 12-month total of 3,069 confirmed cases nationwide as of mid-August - the highest number in over three decades.

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The situation could improve if more Americans would get the measles vaccine. "When almost everyone gets vaccinated, you can eliminate measles transmission in a country, and that's a big deal," says Adam Ratner, MD , a pediatric infectious disease specialist and a member of the committee on infectious diseases at the American Academy of Pediatrics.

Experts largely attribute the ongoing surge in measles to a steady decline in the number of children getting vaccinated.

The latest data show that kindergarten MMR vaccination coverage fell to about 92.4 percent for the 2025-2026 school year - down from 95.2 percent in 2019-2020.

More than 95 percent coverage is needed to prevent outbreaks,scientists say.

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"We've had confusing messaging from the federal government and changes to the vaccine schedule that are not based on science, and I think that that has confused parents and made people more likely to opt out of vaccination," says Dr. Ratner.

According to research, a significant surge in proposed bills to weaken vaccine requirements or cut access to vaccines has also occurred in recent years. More than 1,150 vaccine-related bills were proposed in state legislatures in 2021, versus fewer than 390 that were introduced in 2019.

EDITORIAL SOURCES

Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy . We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.

Resources

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  1. Measles Cases and Outbreaks. Centers for Disease Control and Prevention . August 21, 2026.

  2. Measles Vaccination. Centers for Disease Control and Prevention . April 29, 2026.

  3. Tips for Locating Old Immunization Records. Immunize.org . August 24, 2026.

  4. About Measles. Centers for Disease Control and Prevention . April 29, 2026.

  5. How Measles Spread. Centers for Disease Control and Prevention . April 29, 2026.

  6. Poet J et al. Pennsylvania Reports First 2 Measles Deaths in the US This Year, Both People Unvaccinated. Ideastream Public Media . August 25, 2026.

  7. Tracking Measles. U.S. Disease Tracker . August 24, 2026.

  8. Vaccination Coverage and Exemptions Among Kindergartners. Centers for Disease Control and Prevention . August 17, 2026.

  9. Motta M et al. Quantifying the Polarization of Vaccine Policymaking Across State Legislatures. American Journal of Public Health . July 16, 2026.

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Jane Yoon Scott, MD

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Jane Yoon Scott, MD, is an infectious disease physician and an assistant professor of medicine at Emory University in Atlanta. Dr. Scott enjoys connecting with her patients, empowe...

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