So he's 16, and had all his shots pretty reliably for 14 years? The odds that he's got "something terminal that I could have avoided if I had just made time to get his shots" are slim to none. In fact, under similar circumstances I've had vets suggest deliberately stopping the shots (when the cat was in delicate health, so that the shots might cause physical stress). The shots don't just "turn off" after a year; repeat shots are boosters, and after so long, Heckle is probably chock full of antibodies-- for diseases he's highly unlikely to be exposed to now that he's indoors. I hope this turns out to be treatable, but in any case, please leave the guilt behind.... it's not your fault.
For another data point - what she said. I stopped vaccinations for my 19-year-old, with my vet's approval, at about 16. By that time their titers are usually high enough that the vaccination is redundant. Don't beat yourself up about it.
Our vet recommended discontinuing shots for our two 14 year old cats, even though the one year old still gets hers. They are all indoor cats. I hope your cat gets better soon. Prayers and good thoughts on the way.
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