Did you get Covid 19 vaccination after recent chemo treatment?

Posted by charlotte12 @charlotte12, Nov 1 9:45am

I did not check with my oncology team or my family care physician
if I should get vaccinated for Covid and flu. I got the shots yesterday. The CDC recommends '
the vaccines for my age group, senior, immunocompromised. I' asked the oncology nurse if they agree with my decision. Her answer was:
"The vaccinations are your preference and we encourage you to discuss with your primary care physician. ...."
What do you think about this response? It surprised me.

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Yikes, @charlotte12

I’m sorry you’re left hanging in the breeze to weigh very complex medical information and make potentially important choices on your own. That response would not be helpful for me. While I do my best to keep my primary care provider (PCP) informed about my cancer care by ensuring that they have treatment summaries from my oncology facility’s online portal, and by signing releases so that communication can happen back and forth when needed and possible, I do not expect my PCP to have expertise around specific cancer treatments and ways they might make me vulnerable to the effects of something as widespread in use as a Covid vaccine. I look to my oncology team for information about how my oncology health status may impact other health issues, not just the other way around. Perhaps, if you request and they are willing, your oncologist could consult with your primary before the next round, or vice versa?

It almost seems as if policy and policies around liability may have an impact on what and how your oncology nurse feels comfortable communicating with you about this.

Laws/policies say one thing about vaccines; that they serve the community by reducing spread of an infectious illness and by reducing severity of illness in those infected, in general. What individual practitioners might believe or what information they might have about how specific vaccines might impact individual patients with their unique constellations of medical history, treatments and vulnerability along various dimensions of their health, may or may not conflict with those policies. So much of the research that would need to be done for them to be able to answer you clearly has not likely been done (yet?).

I would appreciate hearing a practitioner (oncology or otherwise) stating that they cannot (yet?) know b/c there isn’t specific research available about the intersection of my specific diagnosis, my overall health and my treatment history because there are not enough people (yet?) who share enough of those same kinds of characteristics to have been studied that way.

If you are in a position to limit your exposure (which depends on you AND all those who enter your orbit and how) to COVID, then opting out of a vaccine or choosing to narrow your vaccine schedule might be an option. If you did opt out or reduce your vaccine coverage, you would then need to find other ways to limit your risk and the potential impact on you of becoming infected. For this kind of information you might find an integrative oncology provider helpful. Mine helps to bridge gaps between my PCP and my oncology team in other areas and has helped me to gauge my personal risk that way.

Wishing you the best with your cancer care and overall health, and doing my best to sort this stuff out too,

Gynosaur

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Yes, you can get both. I got both yesterday, after making sure with the nurse that it was safe:)

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I underwent chemo and radiation and messaged my oncologist about the COVID vaccine. The oncologist replied that I could get the COVID and other vaccines one month after finishing my chemo treatments even if I was undergoing radiation therapy.

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@diaz

I underwent chemo and radiation and messaged my oncologist about the COVID vaccine. The oncologist replied that I could get the COVID and other vaccines one month after finishing my chemo treatments even if I was undergoing radiation therapy.

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Thank you, I feel better now. My chemo ended over a month ago. I made a hasty decision but
luckily it worked out. I need to slow down and think. The site of the vaccination is swollen, the front upper arm red, even on the 4th day painful when touched.
I had gotten all the previous Covid 19 shots
with no side effects. I think all the symptoms come from
the flu shot.

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@cookercooker

Yes, you can get both. I got both yesterday, after making sure with the nurse that it was safe:)

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Thank you for sharing. I was so eager to get vaccinated in order to start with the maintenance therapy that I was
not thinking clearly. I felt rushed.

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@gynosaur42

Yikes, @charlotte12

I’m sorry you’re left hanging in the breeze to weigh very complex medical information and make potentially important choices on your own. That response would not be helpful for me. While I do my best to keep my primary care provider (PCP) informed about my cancer care by ensuring that they have treatment summaries from my oncology facility’s online portal, and by signing releases so that communication can happen back and forth when needed and possible, I do not expect my PCP to have expertise around specific cancer treatments and ways they might make me vulnerable to the effects of something as widespread in use as a Covid vaccine. I look to my oncology team for information about how my oncology health status may impact other health issues, not just the other way around. Perhaps, if you request and they are willing, your oncologist could consult with your primary before the next round, or vice versa?

It almost seems as if policy and policies around liability may have an impact on what and how your oncology nurse feels comfortable communicating with you about this.

Laws/policies say one thing about vaccines; that they serve the community by reducing spread of an infectious illness and by reducing severity of illness in those infected, in general. What individual practitioners might believe or what information they might have about how specific vaccines might impact individual patients with their unique constellations of medical history, treatments and vulnerability along various dimensions of their health, may or may not conflict with those policies. So much of the research that would need to be done for them to be able to answer you clearly has not likely been done (yet?).

I would appreciate hearing a practitioner (oncology or otherwise) stating that they cannot (yet?) know b/c there isn’t specific research available about the intersection of my specific diagnosis, my overall health and my treatment history because there are not enough people (yet?) who share enough of those same kinds of characteristics to have been studied that way.

If you are in a position to limit your exposure (which depends on you AND all those who enter your orbit and how) to COVID, then opting out of a vaccine or choosing to narrow your vaccine schedule might be an option. If you did opt out or reduce your vaccine coverage, you would then need to find other ways to limit your risk and the potential impact on you of becoming infected. For this kind of information you might find an integrative oncology provider helpful. Mine helps to bridge gaps between my PCP and my oncology team in other areas and has helped me to gauge my personal risk that way.

Wishing you the best with your cancer care and overall health, and doing my best to sort this stuff out too,

Gynosaur

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Thank you for your well composed introspection on this issue of vaccination and how to make best use of my PCP and the oncology team. I did not know about integrative oncologists.
https://www.mayoclinic.org/departments-centers/integrative-oncology/overview/ovc-20542190
I would have liked to be offered an integrative care plan.
Best wishes for your well-being.

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@charlotte12

Thank you for your well composed introspection on this issue of vaccination and how to make best use of my PCP and the oncology team. I did not know about integrative oncologists.
https://www.mayoclinic.org/departments-centers/integrative-oncology/overview/ovc-20542190
I would have liked to be offered an integrative care plan.
Best wishes for your well-being.

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I was not offered one through mayo, where I had my surgery. I needed someone in my home state and got recommendations for several local oncology practices and facilities. Continuing cancer surveillance at Mayo felt safest, so I’ve stuck there (as long as I can get coverage) and of the local folks, this one doesn’t do what Mayo GYN ONC does, but really helps me love my life for now. Wishing you all the best with your care and health…

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Live my life, but the typo had merit.

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That's about what I got from my team.

I decided to get the glue a Covid vaccines between treatments and way. I have not had Covid yet and I haven't had the flu as an adult. It would suck to get either of those and have my schedule knocked off course.

The biggest issue will be in our immune system is able to mount a reaction to the vaccines so that they will be effective

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@charlotte12

Thank you, I feel better now. My chemo ended over a month ago. I made a hasty decision but
luckily it worked out. I need to slow down and think. The site of the vaccination is swollen, the front upper arm red, even on the 4th day painful when touched.
I had gotten all the previous Covid 19 shots
with no side effects. I think all the symptoms come from
the flu shot.

Jump to this post

You might consider checking that the affected arm isn't infected. It could also be that the person who had given you the shot hit a nerve. This is what happened to my husband years ago, and his arm was sore for about a year after the shot. BYW the arm I got the covid shot in (I had the flu shot in the other on the same day), really ached and was tender to the touch two days following the shot. My other arm (which got the flu vaccine) is still very tender to the touch.

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