
Cancer patients, especially those undergoing treatments like chemotherapy and radiation therapy, have weakened immune systems, making them more susceptible to serious infections. COVID-19 vaccines are recommended for cancer patients to protect them from severe infections. While there are concerns about potential risks, there is no evidence that COVID-19 vaccines cause cancer or increase cancer risk. In fact, the vaccines enhance immunity by teaching the immune system to identify and fight the coronavirus. Close contacts and caregivers of cancer patients should also be vaccinated to lower the risk for the patient.
| Characteristics | Values |
|---|---|
| Risk of non-vaccinated individuals with cancer getting COVID-19 | Cancer patients have a higher risk of developing severe COVID-19 symptoms and complications. |
| Effectiveness of COVID-19 vaccines for cancer patients | Vaccines have lower effectiveness for cancer patients, especially those with blood cancers like lymphoma and leukaemia, and those treated with chemotherapy or radiotherapy. |
| Importance of vaccination for cancer patients | Vaccination can protect cancer patients from breakthrough COVID-19 infections and severe outcomes. It is recommended that cancer patients receive 2-3 doses of a COVID-19 vaccine and boosters. |
| Considerations for cancer patients | Cancer patients should consult their physician about their treatment and risk factors before vaccination. They should continue protective behaviours like physical distancing, hand hygiene, and masking even after vaccination. |
| Recommendations for close contacts | Caregivers and close contacts of cancer patients should also be vaccinated to lower the risk for the patient. |
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What You'll Learn
- Unvaccinated cancer patients with COVID-19 are at a higher risk of poor prognosis
- Vaccines train the body's immune system to recognise and kill cancer cells
- Unvaccinated people are less likely to have chronic and fatal diseases such as cancer
- Vaccinated people in relatively unvaccinated communities are at greater risk
- Cancer patients undergoing immunosuppressive treatments cannot be vaccinated

Unvaccinated cancer patients with COVID-19 are at a higher risk of poor prognosis
Cancer patients undergoing treatments like chemotherapy and radiation therapy often have weakened immune systems, which puts them at an increased risk of contracting infections. The COVID-19 pandemic has further highlighted the importance of vaccinations for these patients.
While there is no evidence that COVID-19 vaccines cause or increase the risk of cancer, unvaccinated cancer patients with COVID-19 are at a higher risk of poor prognosis. Cancer treatments can weaken the body's ability to fight off diseases, and the appropriate vaccinations can help protect cancer patients from severe infections. An expert panel of physicians from the National Comprehensive Cancer Network (NCCN) recommends that adults with cancer receive two to three doses of a COVID-19 vaccine, including an mRNA vaccine, as their primary series. Booster doses with an mRNA vaccine are also suggested to enhance their immune response.
Additionally, it is recommended that caregivers and close contacts of cancer patients be vaccinated against COVID-19 to reduce the risk for the patient. However, people undergoing stem cell transplants or cellular therapy should wait at least three months after completing treatment before getting vaccinated. Similarly, cancer patients undergoing major surgery may need to wait up to two weeks before receiving the vaccine.
It is crucial for cancer patients to consult their physicians about their treatment plans and risk factors before receiving any immunizations. While COVID-19 vaccines may rarely impact the vascular system, the risk of vascular problems is significantly higher when contracting the COVID-19 infection. Thus, the benefits of vaccination outweigh the risks for cancer patients in terms of protection against severe illness and poor outcomes associated with COVID-19.
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Vaccines train the body's immune system to recognise and kill cancer cells
Vaccines are designed to train the body's immune system to recognise and kill foreign invaders, such as bacteria and viruses, that pose a threat. Similarly, therapeutic cancer vaccines train the body's immune system to recognise and kill abnormal cells, including cancer cells. Cancer cells originate from a person's own healthy cells, so they may not appear harmful to the immune system, which may ignore them instead of attacking them.
Therapeutic cancer vaccines expose the immune system to molecules called antigens, which are associated with specific types of cancer. These vaccines enable the immune system to recognise and destroy cancer cells. They can also help prevent tumour growth or stop a tumour from spreading. Additionally, they can destroy cancer cells that remain in the body after treatments like surgery or radiation therapy.
Some cancer vaccines are made from cancer cells, parts of cells, or pure antigens (certain proteins on cancer cells). In some cases, a person's own immune cells are removed and exposed to these substances in a laboratory to create the vaccine. This process is used in the treatment of advanced prostate cancer, where immune cells are combined with a protein from prostate cancer cells and then infused back into the patient. Other cancer vaccines use oncolytic viruses, which can infect and kill cancer cells, to trigger an immune response.
It is important to note that cancer vaccines are not a cure for cancer, but they can help extend survival and improve outcomes for certain cancers. While vaccines can play a crucial role in cancer treatment, they are often used in combination with other therapies. This is because larger or more advanced tumours may be challenging to eliminate with a vaccine alone, and cancer treatments can sometimes weaken the immune system, reducing the effectiveness of vaccines.
In summary, vaccines can train the body's immune system to recognise and kill cancer cells by exposing the immune system to specific cancer antigens and boosting the immune response. However, cancer is a complex disease, and vaccine effectiveness can vary depending on various factors, including the type, stage, and location of the cancer. Therefore, it is essential to consult with healthcare professionals about vaccine recommendations and risk factors before receiving any immunizations.
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Unvaccinated people are less likely to have chronic and fatal diseases such as cancer
There is no evidence that COVID-19 vaccines can cause or are linked to increased risks of cancer. In fact, the COVID-19 vaccine is recommended for patients with cancer, especially those with weakened immune systems, to protect them from serious infections. However, the effectiveness of the vaccine may be lower in cancer patients, especially those treated with chemotherapy or radiotherapy, and the immune response may wane more quickly. This is why it is recommended that caregivers and close contacts of people with cancer also get vaccinated to help lower the risk for the cancer patient.
While COVID-19 vaccines do not cause cancer, they can, in rare circumstances, impact the vascular system. However, getting infected with COVID-19 puts someone at a much higher risk of vascular problems than getting a COVID-19 vaccine. Additionally, COVID-19 can lead to significant delays in cancer treatment and surveillance. Therefore, the benefits of vaccination are thought to outweigh the theoretical risks for cancer patients.
It is important to note that other vaccines, such as the HPV vaccine, can help prevent certain types of cancer. For example, HPV infections are associated with cervical cancer, and the HPV vaccine can help reduce the risk of infection and subsequent cancer development.
In summary, while there is no evidence that COVID-19 vaccines cause or increase the risk of cancer, they are recommended for cancer patients to protect them from serious infections. Other vaccines, such as the HPV vaccine, can also help prevent certain types of cancer by reducing the risk of infection.
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Vaccinated people in relatively unvaccinated communities are at greater risk
Cancer patients, especially those undergoing treatments like chemotherapy and radiation therapy, have weakened immune systems, which puts them at an increased risk of contracting serious infections like COVID-19. Treatments for cancer can weaken the body's ability to fight off diseases. Hence, it is recommended that cancer patients receive the appropriate vaccinations to protect themselves from such infections.
An expert panel of physicians from the National Comprehensive Cancer Network (NCCN) recommends adults with cancer receive two to three doses of a COVID-19 vaccine, including an mRNA vaccine, as their primary series. Booster doses with an mRNA vaccine are also recommended to build a stronger immune response. It is also suggested that caregivers and close contacts of people with cancer be vaccinated against COVID-19 to help lower the risk for the cancer patient.
However, people in the process of stem cell transplants or cellular therapy should wait at least three months after finishing treatment to get vaccinated. Similarly, cancer patients undergoing major surgery may need to wait up to two weeks before getting vaccinated.
While there is no evidence that COVID-19 vaccines can cause or are linked to increased risks of cancer, there are concerns about the risks unvaccinated individuals pose to those with cancer. In communities with low vaccination rates, vaccinated individuals are at greater risk of contracting COVID-19. This is because a majority of unvaccinated adults believe that the vaccine poses a bigger risk to their health than the virus itself. This vaccine hesitancy is driven by a lack of trust in the vaccine's effectiveness in preventing death, serious illness, hospitalization, or infection.
Additionally, in conflict-affected areas, children are at a higher risk of remaining unvaccinated due to a lack of awareness among caregivers and limited access to health facilities. This puts vaccinated individuals in these communities at greater risk of contracting vaccine-preventable diseases.
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Cancer patients undergoing immunosuppressive treatments cannot be vaccinated
Cancer patients with weakened immune systems are at a higher risk of contracting serious infections. Treatments such as chemotherapy and radiation therapy can suppress the immune system, making patients more vulnerable to infections. Therefore, cancer patients undergoing immunosuppressive treatments should get vaccinated to protect themselves from vaccine-preventable infectious diseases.
However, the timing of vaccinations for these patients is crucial. Live attenuated vaccines are not recommended during immunosuppressive treatment or within 3-6 months of completing chemotherapy or radiotherapy due to the risk of disseminated infection caused by the vaccine virus. The recommended timing of live vaccines in relation to post-steroid and post-immunoablative therapy varies among different countries. For instance, transplant recipients should ideally receive live vaccines at least a month before the onset of immunosuppression.
Cancer patients should consult their physicians about their treatment plans and risk factors before receiving any immunizations. Additionally, caregivers and close contacts of cancer patients should also get vaccinated to lower the risk for the patient. Household vaccination creates a protective "cocoon" around the patient, reducing their exposure to infections.
Furthermore, cancer patients undergoing immunosuppressive treatments may require revaccination for certain diseases. For example, patients undergoing hematopoietic stem cell transplantation may need revaccination for influenza to reduce the risk of flu-related complications.
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Frequently asked questions
Yes, non-vaccinated people put those with cancer at risk as they are more vulnerable to serious infections.
Cancer patients, especially those undergoing treatments like chemotherapy and radiation therapy, have weakened immune systems, which put them at an increased risk for severe COVID-19 symptoms and breakthrough infections.
There is a risk of allergic reaction to the COVID-19 vaccines for cancer patients. However, there is no evidence that COVID-19 vaccines cause cancer or increase the risk of developing cancer.
Cancer patients should get vaccinated and take protective measures such as physical distancing, attentive hand hygiene, and masking. Caregivers and close contacts of cancer patients should also be vaccinated to lower the risk for the patient.











































