Explained: Covid vaccines in cancer patients

By Dr. Dhaneshwor Naorem
May 25, 2021

The COVID-19 pandemic, continues to impact many people, including cancer patients, their families, and caregivers.Vaccines help a person’s immune system to recognize and protect the body against infections. COVID-19 vaccines have been found to significantly lower the risk of getting infected with COVID-19, lower the risk of having severe disease, being hospitalized, or dying from COVID-19 if one gets infected. 

Here we’ll discuss some frequently asked questions by people with cancer or a history of previous cancer have about the COVID-19 vaccines.

1) Should cancer patients and survivors take the COVID-19 vaccine?

Patients with cancer or a history of cancer should get the COVID -19 vaccine whenever available. Many expert medical groups recommend patients with a recent cancer diagnosis and those on treatment should be given the highest priority. This is because cancer and its treatment can weaken the immune system putting such patients at risk for severe COVID-19 disease. Caregivers and household members of cancer patients should also be immunized whenever possible.

2) Is it safe for cancer patients to receive the COVID-19 vaccine?

At present, there is a lack of data regarding the safety and efficacy of COVID-19 vaccination in cancer patients. Numerous studies have shown that cancer patients are at higher risk for more severe COVID-19 disease and complications. There are no reports of increased risk for side effects of the vaccine in cancer patients. The risks of COVID-19 for cancer patients outweigh the very low risk of vaccination. Because of these, oncology groups including the American Society of Clinical Oncology (ASCO), the American Society of Hematology (ASH), and the American Society for Radiation Oncology have all recommended patients with cancer get vaccinated.

3) Is there any specific approved COVID-19 vaccine for cancer patients?

At this time, no major medical organizations have recommended getting one type of COVID vaccine over another, either for cancer patients or for other people. Health experts believe that getting the vaccine once it becomes available, whichever one it is, is most important, rather than waiting to get a specific vaccine. 

4) What are the side effects of the vaccines?

Common side effects that have been reported after getting the vaccines to include:
• Pain, redness, or swelling at the injection site
• Feeling tired
• Headache
• Fever
• Chills
• Muscle and joint pain
• Nausea

The incidence or the nature of side effects in cancer patients and survivors had been reported to be similar to with the general population. 

Some people (16%) might develop swelling or pain under the vaccinated arm. This is often a normal response by the body’s immune system to the vaccine. A swollen lymph node under the arm might cause concern since this can also be a sign of breast cancer spread.

Oncologists recommend that patients with breast cancer or a history of breast cancer get the vaccine in the arm on the unaffected side.

5) Are there any exceptions for COVID-19 vaccination among cancer patients?

There are few exceptions:

a) Vaccination should be delayed for at least 3 months following bone marrow transplantation and engineered cellular therapy to maximize vaccine efficacy.

b) Vaccination in patients undergoing intensive chemotherapy should be delayed until neutrophil count recovery.

c) Patients undergoing major surgery for cancer should have a gap of few days in-between.

In patients undergoing chemotherapy, the optimum timing for vaccination about the chemotherapy cycle is still unclear. The difference in the efficacy of the COVID-19 vaccine in terms of its immunogenic potential i.e. ability to generate antibodies against coronavirus- SARS-COV-2, when administered along with chemotherapy versus mid-cycle, is still unknown. In absence of robust data, the National Comprehensive Cancer Network (NCCN) for now recommends vaccination when available.

6) Will vaccination affect my cancer-related tests and scans?

Getting a COVID-19 vaccine might result in swollen lymph nodes under the arm in which the injection was given. Swollen lymph nodes might show up on a CT Scan or mammogram is done for breast cancer or other cancers, causing concern and confusion. It is important to communicate with your doctor if you are scheduled to get an imaging test (such as an MRI or CT scan) in the weeks after getting a COVID vaccine. 

7) Do I still need to take precautions if I get the COVID-19 vaccine?

While the vaccine can lower the risk of getting a serious disease from COVID, it doesn’t completely rule out the possibility of getting infected by the virus. It is also not yet clear how well vaccines can prevent the spread of the virus to others. Here it will be appropriate to mention that data tracking the immune response in patients with cancer who have been vaccinated are still evolving. Therefore, even after vaccination, it is advised that everyone continue to follow all COVID-19 prevention protocols.

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News Network
April 25,2024

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Kolkata: Defence Minister Rajnath Singh or Transport Minister Nitin Gadkari could have been the prime minister, said Trinamool Congress supremo and West Bengal chief minister Mamata Banerjee, subtly taking a dig at the Bharatiya Janata Party leaders relegated to the second rung of the organisational echelons.

Banerjee’s nephew and the TMC general secretary Abhishek Banerjee, on the other hand, attempted to stoke trouble within the BJP’s unit in West Bengal, saying that at least 10 more state legislators of the saffron party were keen to join his party and in touch with him.

"You (Rajnath Singh) are surviving at the mercy of Modi (Prime Minister Narendra Modi). You are saluting Modi daily to save your chair. You or Nitin Gadkari could have been the PM (prime minister) today," the TMC supremo said in an election rally at Ausgram in Bolpur Lok Sabha constituency on Wednesday. "There would have been no problem...at least there would have been a gentleman in the chair who knows minimum courtesy," she added.

Banerjee was responding to Singh’s diatribe against herself and the TMC government led by her. The defence minister, who had addressed an election rally in Murshidabad on Sunday, had criticised the TMC government for alleged corruption and anarchy in West Bengal.

Singh had referred to the attacks on the Enforcement Directorate officials on January 5 during a raid at the residence of the TMC leader Sheikh Shahjahan at Sandeshkhali in North 24 Parganas district of the state. It was followed by an agitation by local women protesting against atrocities by Shahjahan and his aides known to be owing allegiance to the TMC.

Singh questioned how the state government, led by a woman as the chief minister, could allow such atrocities on women to take place. He went on to say that Banerjee had lost all ‘mamata’ (affection and compassion) for people.

Banerjee shared a cordial relationship with Singh since the days when they both were ministers in the central government led by then Prime Minister Atal Bihari Vajpayee. Singh avoided personally criticising Banerjee in the past.

He, however, went ballistic against Banerjee on Sunday, triggering a strong response from the TMC supremo on Wednesday.

"The BJP is trying to get into the game of breaking parties, but they can't win in it. They poached two of our MPs, and we replied by taking two of their MPs, Arjun Singh and Babul Supriyo. Recently, by using ED raids, they inducted Tapas Ray. At least 10 top leaders of the BJP are in the queue to join the TMC," Abhishek said in another election rally in Murshidabad on Wednesday.

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April 22,2024

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Mangaluru: BJP candidate in Dakshina Kannada Capt Brijesh Chowta has received a letter from Prime Minister Narendra Modi wishing him victory in the election.

In the letter, which the BJP shared with the media, the PM has lauded Chowta’s exceptional services in the armed forces as a part of the Gorkha regiment, especially in counter-insurgency operations. Modi also has mentioned about Chowta’s efforts as an organiser of the Mangaluru Lit Fest and his dedication to preserve the cultural heritage of the region.

“I am certain that you will immensely contribute towards the welfare of people and the region of Dakshina Kannada. Through this letter, I would like to tell the people of your constituency that this is not an ordinary election. Families across India, especially the senior members, would remember the difficulties they have gone through in the last five to six decades. In the last 10 years, the quality of life of every section of society has improved, with many of these troubles removed. Yet, a lot more is still to be done and this election will be decisive in our mission to ensure a better life for everyone,” reads the letter. 

“Your exceptional service in the armed forces as a part of the Gorkha regiment, especially in counter-insurgency operations, is commendable. Additionally, your efforts as an organiser of the Mangaluru Lit Fest demonstrate your dedication to preserving the cultural heritage of the region. I am certain that you will immensely contribute towards the welfare of people and the region of Dakshin Kannada”

“With the blessings of the people, I am confident that you will reach the Parliament. Team members like you are a great asset for me. As a team, we will leave no stone unturned for the welfare of the people of your constituency and the country. Through this letter, I would like to tell the people of your constituency that this is not an ordinary election. Families across India, especially the senior members, would remember the difficulties they have gone through in the last 5-6 decades. In the last 10 years, the quality of life of every section of society has improved, with many of these troubles removed. Yet, a lot more is still to be done and this election will be decisive in our mission to ensure a better life for everyone.

“This election is an opportunity to connect our present with a bright future. Every vote that the BJP gets will go towards forming a stable government and impart momentum in our journey to become a developed nation by 2047. The people of India themselves have made up their minds to support this vision and are leading the way in this election. I am aware that the summer heat poses problems to everyone. But this election is extremely important for the future of our nation. I appeal to the voters to cast their votes early in the morning, before the heat sets in.

“It is important that our workers motivate people to go out and vote in large numbers. Focus on winning the booth. Victory in every booth leads to success in the constituency. At the same time, I request workers of our party to take care of their health and that of other people around them. As a candidate of the BJP, I urge you to convey my assurance to each voter that every moment of my time is dedicated to the welfare of my fellow citizens. I send you my wishes for your victory in the election,” stated PM Modi in the letter.

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April 22,2024

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The BJP has opened its account in the ongoing Lok Sabha elections. The party's candidate from Gujarat's Surat constituency, Mukesh Dalal, has won the polls as all his opponents are now out of the fray.

BJP's Mukesh Dalal elected unopposed from the Surat Lok Sabha seat after all other candidates withdrew from the contest, the party's Gujarat unit chief CR Paatil said today. Today was the deadline for withdrawing nominations.

The nominations of the Congress party's Surat candidate and his substitute were rejected by the returning officer over alleged discrepancies in paperwork, a development that the Congress called an attempt at "match-fixing".

"Surat has presented the first lotus to Prime Minister Narendra Modi. I congratulate our candidate for Surat Lok Sabha seat Mukesh Dalal for getting elected unopposed," Mr Paatil posted on the microblogging website X, referring to the BJP's election symbol.

Eight candidates - seven of them independents - and Pyarelal Bharti of the Bahujan Samaj Party (BSP) withdrew their papers.

The nomination papers of the Congress's Surat candidate Nilesh Kumbhani was rejected on Sunday after the district returning officer Saurabh Parghi found discrepancies in the signatures of the proposers.

The nomination form of Suresh Padsala, the Congress's substitute candidate from Surat, was also found invalid.

The returning officer had said the four nomination forms submitted by the two Congress candidates did not appear genuine. The proposers, in their affidavits, had said they had not signed the forms themselves, the returning officer said in the order.

Congress lawyer Babu Mangukiya said the party will approach the high court and the Supreme Court for relief.

Congress leader Jairam Ramesh in a post on X said the Surat developments indicate "democracy is under threat". "Our elections, our democracy, Babasaheb Ambedkar's Constitution - all are under a generational threat. This is the most important election of our lifetime," Mr Ramesh said.

Mr Ramesh alleged the "distress" of micro, small and medium enterprise (MSME) owners and the business community in PM Modi's "Anyay Kaal" and their anger have "spooked the BJP so badly that they are attempting to match-fix the Surat Lok Sabha polls, which they have won consistently since the 1984 Lok Sabha elections."

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