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
January 4,2025

Mangaluru: In a shocking case of fraud, six individuals posing as officials from the Enforcement Directorate (ED) swindled a beedi businessman of Rs 25 to 30 lakh in cash and five mobile phones at Kolnad in Bantwal taluk of Dakshina Kannada on Friday night.

The incident came to light after Mohammed Iqbal, 27, lodged a complaint with the police, stating that his father, a beedi trader, was targeted by the imposters.

According to the complaint, the six accused arrived at the businessman’s residence around 8:10 pm in a car with Tamil Nadu registration plates. Claiming to be ED officials, they announced that they had orders to search the house and began confiscating mobile phones from the family members.

The fraudsters reportedly discovered Rs 25 lakh to Rs 30 lakh in cash, which the businessman had kept aside for business purposes. They claimed that keeping such a large amount was illegal and threatened to arrest him unless he complied. By 10:30 pm, the group left the house, instructing the businessman to submit documents at the ED office in Bengaluru to reclaim the money.

Later, upon discussing the incident with his family, Iqbal realized that the individuals were not ED officials but fraudsters who had impersonated authorities to rob them.

A case has been registered at Vittal Police Station under relevant sections of the Indian Penal Code. An investigation is underway, and the police have promised swift action to apprehend the culprits.

Dakshina Kannada Superintendent of Police Yathish N, along with senior officers, visited the crime scene and assured the family that the perpetrators would be brought to justice at the earliest.

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News Network
January 4,2025

shivarajkumar.jpg

Bengaluru, Jan 4: Kannada star Dr Shivarajkumar, son of Kannada film legend Dr Rajkumar, has been discharged from the hospital in Miami, US, following complete recovery from cancer, family sources confirmed on Saturday.

Nivedita, Shivarajkumar’s daughter, has shared a picture showing the actor and family in a relaxed mode. Sources further stated that Shivarajkumar will be in the US for follow-ups and resting for one month and he will be back for the shooting by Feb first or the second week.

Shivarajkumar is expected to begin shooting of the Telugu superstar Ramcharan-starrer pan India movie soon. 

Earlier, Shivarajkumar shared a video from the US on the first day of 2025, detailing his journey of overcoming cancer and assuring fans of his return.

In the video, he conveyed his New Year wishes to everyone and said, “I am hesitant to speak as I might get emotional at this moment. Leaving Karnataka was a very emotional experience for me. Under these circumstances, fear is inevitable, but the support of my fans has significantly reduced it.”

He continued, “The way the doctors took care of me, gave me immense courage. While shooting for the movie ‘45’, I underwent chemotherapy and even filmed the climax fight scene. As the date to leave for the US for treatment approached, I became anxious. However, my wife Geetha and daughter Nivedita stood by me throughout.”

“Dr Manohar, who treated me, cared for me like a child. My urinary bladder has been replaced, but there is no need for anyone to panic. I am doing well and will be back with double the energy. I thank all my fans for their unwavering support,” Shivarajkumar assured.

Geetha Shivarajkumar, his wife, who had appeared in the video alongside him, stated that all the medical reports had come back negative, and it was officially declared that Shivarajkumar is cancer-free. “He recovered because of the blessings of his fans, and I will never forget this,” she said.

The actor underwent surgery at a hospital in Miami, US, where his cancerous bladder was removed. According to the surgeon, Dr Murugesh Manoharan, an artificial bladder was created using Shivarajkumar’s intestine.

In November, Shivarajkumar had spoken publicly about his illness, acknowledging that he was human like everyone else. While he didn’t disclose it was cancer at the time, he said, “At the end of the day, I am a human being. I have a health issue and am currently undergoing treatment for it. I have completed a couple of treatment sessions, and a few more are pending. After that, I will undergo surgery, either in India or the US.”

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News Network
January 6,2025

Bengaluru: An eight-month old baby has been detected with the human metapneumovirus (HMPV) in a Bengaluru hospital on Monday, with reports going viral online. This is likely the first reported case of HMPV in the country after the recent spike in China.

The baby is reportedly undergoing treatment in a private hospital in northern Bengaluru.

The Karnataka state health department has maintained that there is no cause for concern.

"We don't know what strain of virus is spreading in China. Without knowing that, we cannot say that this reported case is concerning. We have been reviewing all influenza-like illnesses (ILIs) from December to check for any strain that is concerning. There is no such concerning spike across the state or country," said a well-placed source in the state health department.

The HMPV is a known virus (first discovered in 2001) that causes respiratory symptoms similar to that of a common cold, largely affecting children below the age of five. It is not a new virus.

Cases have been reported in the past, especially in the winter season, note experts and health department officials, making it not an immediate concern, unless an unusual spike is observed.

In December 2024, 714 suspected cases of HMPV were tested in 16 Virus Research and Diagnostic Laboratories (VRDLs) across the country, of which only nine were confirmed positive.

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