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
December 29,2024

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A plane with 181 people on board crashed at South Korea's Muan airport after it veered off the runway while landing, with 177 people confirmed dead.

As per Yonhap news agency, the crash was reported in the South Jeolla province when the Jeju Air flight 2216 was returning from Thailand.

Two people - both believed to be flight crew - were rescued by authorities, which continued evacuating passengers from the Boeing 737-800's rear section. Two people are missing. 

Among the 181 on board, 175 were passengers and six were flight crew. Emergency services at the airport began operations around 9 am after the aircraft crashed into a fence after a failed belly landing attempt and erupted in flames. Visuals showed black smoke rising above the crash site.

The crash is believed to have been caused by "contact with birds, resulting in malfunctioning landing gear", coupled with adverse weather conditions. "The plane is almost completely destroyed, and identifying the dead is proving difficult. The process is taking time as we locate and recover the remains," the fire department in Muan said in a statement.

Two minutes before the crash, the pilot issued a Mayday call, Ministry of Land. It added, "It took approximately three minutes from the control tower's mention of a bird strike warning to the aircraft's attempt to land on the runway again."

When asked if the accident happened due to the runway being too short -- video shows the plane coming off the tarmac and hitting a wall -- the official said this was likely not a factor. "The runway is 2,800 meters long, and similar-sized aircraft have been operating on it without issues," they said.

Acting President Choi Sang-mok called for the mobilisation of all resources to save the passengers. "All related agencies must mobilise all available resources to save the personnel," he instructed officials in a statement.

Meanwhile, Jeju Air said it 'sincerely apologises' for the plane crash. "We at Jeju Air will do everything in our power in response to this accident. We sincerely apologise for causing concern," the airline said in a statement posted on its social media channels.

It is the first fatal accident in the history of Jeju Air, one of South Korea's largest low-cost carriers, which was set up in 2005. The aircraft involved in the crash was acquired in 2017 from Europe's low-cost carrier RyanAir.

On August 12, 2007, a Bombardier Q400 operated by Jeju Air carrying 74 passengers came off the runway due to strong winds at the southern Busan-Gimhae airport, resulting in a dozen injuries.

Second Plane Crash In A Week

Sunday's crash comes days after an Azerbaijan Airlines passenger plane crashed on Wednesday in Kazakhstan, claiming 38 lives.

Azerbaijan Airlines' Flight J2-8243 crashed and caught fire near the city of Aktau in Kazakhstan after diverting from southern Russia where Ukrainian drones were reported to be attacking several cities.

Russian President Vladimir Putin apologised to Ilham Aliyev, the president of Azerbaijan, for the "tragic incident". "It was noted in the conversation that the Azerbaijani passenger aircraft, which was travelling according to its schedule, repeatedly tried to land at Grozny airport. At that time, Grozny, Mozdok and Vladikavkaz were being attacked by Ukrainian unmanned aerial vehicles, and Russian air defence systems repelled these attacks," according to a Kremlin statement.

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News Network
December 26,2024

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The UN agency for Palestinian refugees (UNRWA) says the northern part of the Gaza Strip has been going through “the hell of the hell" amid Israel's bombing campaign on civilian facilities and blockade of aid for almost three months.

In an interview with Irish state media RTE on Wednesday, UNRWA Communications Director Juliette Touma said northern Gaza has witnessed “heavy, heavy bombardment," as well as loss of life among civilians and attacks on hospitals and shelters.

She was also asked about the situation in the Kamal Adwan hospital, which is still barely functioning in northern Gaza despite an Israeli order to shut down and evacuate.

Touma said the evacuation orders of medical centers and raids on them "have become commonplace in Gaza" since last October, when Israel unleashed its genocidal war on the Palestinian territory.

“We shouldn’t become numb, though, to the fact that this happens all the time. Because, at the end of the day, this is a violation of international law," she added.

"This is crossing a very thick red line and way too many times the rules of war have been broken in Gaza, and those responsible must be held accountable."

Over the past few months, Israel has used tanks, snipers and quadcopters to attack the Kamal Adwan hospital, where over 400 civilians have sought medical care and shelter.

On Wednesday, Physicians for Human Rights - Israel (PHRI), an Israeli NGO that advocates for medical rights, filed an urgent petition with the regime's top court to end the ongoing attacks on the Kamal Adwan hospital.

The petition calls for the establishment of a humanitarian corridor to deliver medical supplies, fuel, and for the safe evacuation of patients and staff.

“The relentless attacks on Kamal Adwan hospital have caused catastrophic harm to medical infrastructure, claimed the lives of patients and staff, and denied access to essential healthcare services," it said.

"Under international law, Israel is obligated to protect the safety and security of patients, medical personnel, and healthcare facilities—even in times of conflict.”

Israel launched its brutal Gaza onslaught on October 7, 2023, after the Palestinian Hamas resistance group carried out a historic operation against the usurping entity in retaliation for its intensified atrocities against the Palestinian people.

So far, the occupying regime has killed at least 45,361 Palestinians, mostly women and children, and injured 107,803 others, in Gaza. 

Since early October, Israel has intensified its attacks in the northern Gaza Strip, cut the area off from the rest of the territory, and blocked nearly all food aid from entering the region.

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News Network
January 8,2025

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Mangaluru, Jan 8: The serene beaches near Kulai Jetty under the limits of Surathkal police station turned into a scene of tragedy on Wednesday, January 8, as a group of four close friends saw their day of joy morph into heartbreak. 

Three young men lost their lives in the unforgiving waves, while one narrowly escaped death, saved by the heroic efforts of local fishermen.

The victims have been identified as: 

M. S. Manjunath (31), son of Shivlingappa, hailing from Upparigenahalli, Chitradurga district.

Shivakumar (30) from Shivamogga district.

Satyavelu (30) from JP Nagar, Bengaluru.

The sole survivor, Parameshwara (30), from Hangarga, Bidar district, now carries the weight of a harrowing ordeal and the devastating loss of his three closest friends.

These young men, all students of AMC Engineering College in Bengaluru, had embarked on a trip meant to create memories of joy and camaraderie. Driving overnight from Bengaluru, they reached Mangaluru on Wednesday morning. After breakfast at a local eatery, the group decided to visit the picturesque Kulai Jetty, seeking solace and adventure in the sea.

But their joyful outing took a tragic turn. While playing in the water, the four were caught in strong currents. Despite the swift intervention of local fishermen, only Parameshwara could be rescued in time. The lifeless bodies of Manjunath, Shivakumar, and Satyavelu were later found on the right side of the jetty, their dreams and futures cruelly cut short.

The Surathkal police, alerted to the incident, promptly arrived at the scene and began their investigation. The bodies were transported to AJ Hospital for post-mortem examinations, leaving their families and friends to grapple with the enormity of their loss.

A case has been registered at Surathkal Police Station. This incident serves as a stark reminder of the unpredictable and dangerous nature of the sea, urging visitors to prioritize safety above all else.

What was meant to be a day of joy has left a void that can never be filled, as three grieving families now face the unbearable pain of losing their loved ones.

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