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
May 12,2024

Mangaluru, May 12: In a shocking development, a group of pilgrims which had travelled from Mangaluru International Airport to Saudi Arabia earlier this month, to perform Umrah has alleged that 26,432 Saudi Riyals, which were kept in a bag, have been stolen. 

In a complaint submitted to the Bajpe Police, Soukath Banu, wife of Ahmed Iqbal of Ajyad Tours and Travels, said that her husband, Ahmed Iqbal, along with 35 members, planned and scheduled to perform the Umrah and were travelling from Mangaluru International Airport (MIA) via Mumbai to Jeddah. 

Soukath Banu had given Ahmed Iqbal 2,000 Saudi Riyals for performing Umrah and other expenses. The group members were also told to bring Saudi Riyals to meet their expenses.

In her plaint, Soukath stated that the group had left for Jeddah on an IndiGo flight via Mumbai, and their return ticket to India was booked for May 13. 

At the airport, she said that 26,432 Saudi Riyals were collected in total, and they decided to keep them in baggage that had a lock. Accordingly, it was kept in the bag of Mohammad Badruddin Kadambar. The airport staff had even questioned what he had kept in the bag. 

The group reached Jeddah on May 1. To their surprise, Kadambar found that the baggage lock was broken open, the zip was damaged, and cash was stolen upon reaching Jeddah.

DCP (Law and Order) Sidharth Goyal said that following the complaint, one round of CCTV checks was conducted at the MIA along with the CISF personnel. The loading at the MIA was intact.

Further checks have to be carried out at Mumbai and Jeddah Airport as the victim found out that cash was missing only when they got the bag at the final destination, he added.

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News Network
May 19,2024

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A senior UN official says around 800,000 people have been "forced to flee" Rafah in the southern Gaza Strip since the Israeli regime began carrying out ground incursions into the refugee-packed city from various axes.

Philippe Lazzarini, the head of UNRWA, the UN agency for Palestinian refugees, made the remarks in a post on X, former Twitter, on Saturday.

"Nearly half of the population of Rafah or 800,000 people are on the road having been forced to flee since the Israeli forces started the military operation in the area on May 6," he said.

The invasion of the city came amid a genocidal war against Gaza by the regime that has so far claimed the lives of more than 35,300 Palestinians.

Around 1.5 million Palestinians had taken refuge in Rafah prior to the incursions, having fled there from the ravages of the war that began following a retaliatory operation against the occupied territories by Gaza’s resistance groups.

The Gazans, who have now left the city, have fled to "the middle areas and [the southern Gaza city of] Khan Younis, including to destroyed buildings," Lazzarini said.

Al-Mawasi, a 14-square-kilometer town on the coast, as well as the central city of Deir el-Balah, were "crammed" with recently displaced people, he added.

"Every time, they are forced to leave behind the few belongings they have ....Every time, they have to start from scratch, all over again."

The Israeli military has, meanwhile, seized the Rafah crossing in southern Gaza, which borders Egypt and serves as the main point of entry for aid supplies, including fuel, into Palestinian territory.

The move came as part of an all-out siege that the regime has been enforcing against the entire Gaza simultaneously with the war.

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News Network
May 20,2024

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Iran's state media today said that there was "no sign" of life among passengers of the helicopter which was carrying President Ebrahim Raisi, Foreign Minister Hossein Amir-Abdollahian, and other officials.

Here are 10 points on this tragedy

1.    "Upon finding the helicopter, there was no sign of the helicopter passengers being alive as of yet," state TV reported. The incident occurred during President Raisi's return flight to the Iranian city Tabriz after he and Azerbaijani President Ilham Aliyev inaugurated the Qiz Qalasi Dam on their shared border. 

2.    The helicopter, carrying President Raisi, Foreign Minister Hossein Amir-Abdollahian, and other officials, lost contact approximately 30 minutes into the flight. This sparked immediate concerns and a massive search and rescue operation.

3.    Initial reports from Iran's state media described the situation as an "accident." Iran's Deputy President for Executive Affairs Mohsen Mansouri said that two members of the president's entourage had contacted rescue teams, suggesting that the incident might not have been catastrophic. Mansouri added that the Ministry of Communications had managed to narrow down the potential crash site to within a two-kilometre radius.

4.    Iranian state media reported that Deputy Foreign Minister for Economic Diplomacy Mehdi Safari claimed that the Tabriz Friday prayer leader had managed to speak with President Raisi, 63, via phone from the downed helicopter. "Mehdi Safari, who was present in one of the three helicopters carrying President Raisi's entourage, said the Tabriz Friday prayer leader had made a phone call to the president from inside the crashed copter," the report reads. 

5.    Iran's Supreme Leader Ayatollah Ali Khamenei urged calm and assured that there would be no disruption in the country's governance. "We hope that Almighty God will bring our dear president and his companions back in full health into the arms of the nation," he stated in a televised address.

6.    The search effort has been extensive, with more than 60 rescue teams, including army, Revolutionary Guard forces, and police units, scouring the foggy, mountainous terrain. The harsh weather conditions and heavy fog have significantly hampered these efforts. Iran's Red Crescent chief, Pirhossein Koolivand, said the team has detected a "smell of fuel" in one area, which rescue teams are now converging on.

7.    The international community has expressed concern and offered assistance. Neighbouring countries and organisations, including Iraq, Kuwait, Qatar, Saudi Arabia, Syria, Russia, Turkey, and the European Union, have pledged support. The EU has even activated its rapid response mapping service to aid in the search efforts.

8.    Prime Minister Narendra Modi on Sunday expressed his "deep concern" with a post on social media. "Deeply concerned by reports regarding President Raisi's helicopter flight today. We stand in solidarity with the Iranian people in this hour of distress, and pray for well being of the President and his entourage," he said in a post on X.

9.    Iranian Foreign Ministry spokesman Nasser Kanani conveyed gratitude for the international solidarity and offers of help. US President Joe Biden has been briefed on the situation, with a State Department spokesman confirming they are closely monitoring developments.

10.    This incident follows a period of heightened regional tensions, particularly in light of the Gaza conflict and Iran's recent escalations with Israel. President Raisi, who has been in office since 2021, has pledged Iran's steadfast support for Palestine, a stance reiterated during his recent dam inauguration speech.

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