Flu shots?

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Voxx66
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Flu shots?

Postby Voxx66 » Thu Sep 12, 2013 3:28 pm

From what I understand, chemo patients are supposed to get them? I must admit I have never liked them but if that is what is recommended then I will do it. Are there any other vaccines I should ask about? I know I have had to get the hepatitis shot when working in food/bev industry. Wonder if that is also a good idea with these liver issues. I'll end up calling my doctor but I like to be forearmed with info first.
DX and resect 10/2012 age 46
Stage IIa CRC
liver mets both lobes 8/2013
CEA 28
FOLFOX + Avastin 8/26/13 3 rounds
Folfox only 3 rds + rd 8
platelets low round 7,9,10 5FU only
1/14 CEA 1.0 y90
5fu
10/14 mets lung and peri
1/15 Folfiri

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mstults
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Re: Flu shots?

Postby mstults » Thu Sep 12, 2013 4:10 pm

My oncologist office gives flu shots.
Male Age 53. Dx CC with numerous liver mets 6/23/12. Colon res 6/24/12. Started folfox 7/24/12. Added avastin 8/27/12. CT 12/27/12 still showing shrink. Took 17 rounds of FOLFOX. Then 5-FU + Avastin. Switched to Irinotecan for 1 yr. CEA rose to >400. Switched to Vectibix 2/18/15. CEA decreasing. Scans show some growth in liver mets. Lung Mets stable to shrinking.

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raym
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Re: Flu shots?

Postby raym » Thu Sep 12, 2013 4:12 pm

Flu shots are recommended. The timing of the shot may be important in case you spike a fever for some reason. You would not want to do it immediately before a chemo session. Check with your chemo nurse or oncologist. For the Hepatitis shot, as far as I know they are one time deals.

For older patients, shingles and pneumonia vaccines are recommended for the general population, but check with your doctor on these. Reminds me, I should checkout the pneumonia shot as my spleen has left the building.
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Cb75
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Re: Flu shots?

Postby Cb75 » Thu Sep 12, 2013 6:04 pm

Mine recommended the flu and pneumonia shot.
39y female Stage IV
diagnosed April 2012
sigmoid resect May 2012
liver resect Aug 2012
Folfox Oct 2012
lungs Sep 2013
R and L laser lung resection Nov 2013/Feb 2014
FOLFIRI and Avastin Apr 2014 ongoing...

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Kathryn in MN
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Re: Flu shots?

Postby Kathryn in MN » Thu Sep 12, 2013 6:24 pm

I've gotten my flu shot at my oncology appointments for the last 4 years. Two of those years I got them the same day I got chemo - no big deal. Last week they said we should wait until my next appointment the end of this month. The shot only gives protection for a limited amount of time, and they want it to make it through the full flu season - so getting your shot around the first week of October is usually the goal, give or take a week or two either way.
CRC AUG09 Age 47
Sig Res T4a N2a Mx, KRAS mut codon13
Mets bones & nodes
FOLFOX, FOLFIRI, Avastin, Radiation
Irinotecan, Zaltrap & STAR RFA
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CRguy
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Re: Flu shots?

Postby CRguy » Thu Sep 12, 2013 6:33 pm

Hey Voxx66

The most salient point of concern, is whether or not YOUR own immune system is capable of even responding to a vaccination ... ?
--->>>>> A question for your own ONC / Hematologist based upon review of your blood work and your status with respect to your chemo cycles.
My Med ONC ( also Board Certified in Hematology / Immunology ) recc'd annual flu vaccines for chemo patients when blood values were normalized.

Certainly Hep, shingles and pneumonia vaccs are all worthy of consideration ... BUTT with respect to the above caveat !

Ask your ONC to assess YOUR risk with respect to any of the other vaccs ????

NOT at risk ...maybe wait until you are "stronger" ????? JMO.

While it may BE possible to vaccinate everyone with everything, it is seldom considered good practice, and certainly IS NOT in a potentially immunocompromised patient ... which we are...ON chemo :shock:

(( FYI : at appropriate times I have had Hep A/B, MANY influenza vaccs of all kinds, rabies vacc (don't ask :mrgreen: ), and all the usual tetanus / diptheria / pertussis vaccines. Actually booked shingles vacc for next week. ))
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
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O Stoma Mia
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Re: Flu shots?

Postby O Stoma Mia » Thu Sep 12, 2013 7:30 pm

CRguy wrote:Hey Voxx66 The most salient point of concern, is whether or not YOUR own immune system is capable of even responding to a vaccination ... ?
-


Hi Voxx66 - The point made by CRguy is a very good one. You need to make sure that your immune system is totally up to snuff. When I was on chemo I went to see the immunology doctor about getting some booster shots to bring my immunizations up-to-date. He advised me against taking any kind of immunization based on live vaccine while on chemo, the reason being that if your immune system is dysfunctional at the time of immunization, the immunization could actually backfire and you could end up getting infected by the live virus in the vaccine (e.g., rabies, tetanus, flu, whatever). So I would strongly recommend that this issue be discussed with your doctor(s). You may have to wait several months after the last chemo before having one of these shots.

Another thing I learned is that not all flu shots are equal. The flu shots given in North America are no use in protecting against the type of flu found in Asia, and vice versa. You may have to take several types of flu shots if you are traveling abroad.

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Voxx66
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Re: Flu shots?

Postby Voxx66 » Thu Sep 12, 2013 7:49 pm

As of Tuesday's bloodwork my WBC count is still in normal range. A bit lower than two weeks earlier but he said it was looking good. I have no idea how long it will hold up of course. Suppose I should call tomorrow and see what they think. Thanks everyone for the good info and advice.
DX and resect 10/2012 age 46
Stage IIa CRC
liver mets both lobes 8/2013
CEA 28
FOLFOX + Avastin 8/26/13 3 rounds
Folfox only 3 rds + rd 8
platelets low round 7,9,10 5FU only
1/14 CEA 1.0 y90
5fu
10/14 mets lung and peri
1/15 Folfiri

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horizon
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Re: Flu shots?

Postby horizon » Thu Sep 12, 2013 9:38 pm

My oncologist wanted me to get one. He had me wait until the day before an infusion so that my immunity would be at its strongest.
I'm just a dude who still can't believe he had a resection and went through chemo (currently 8 years NED). Is this real life?

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Ashlee H.
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Re: Flu shots?

Postby Ashlee H. » Thu Sep 12, 2013 10:19 pm

My ONC has had me have one for the past four years. However, I can't remember if I was on chemo or not when I got them.
Ray - I too am without my spleen. I remember they give me some shots that I have to repeat every 5 years - but couldn't tell you what they were for.
Also, I got a mild case of Shingles in my mid 30's. As I got older, I saw how bad having Shingles could be - so because I wasn't at the appropriate age at 50 (my insurance wouldn't pay unless I was 65), I paid out of pocket to have the shot. I was told it wouldn't prevent Shingles, but if I did get it, it wouldn't be as severe.
Stage IV w/liver met dx 7-1-09
KRAS Mutant
Member of the HIPECKERS (2011) and OLYMPHIANS (2012)
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Voxx66
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Re: Flu shots?

Postby Voxx66 » Thu Sep 12, 2013 10:29 pm

I never had chicken pox so I think I can't get shingles or is that untrue?
DX and resect 10/2012 age 46
Stage IIa CRC
liver mets both lobes 8/2013
CEA 28
FOLFOX + Avastin 8/26/13 3 rounds
Folfox only 3 rds + rd 8
platelets low round 7,9,10 5FU only
1/14 CEA 1.0 y90
5fu
10/14 mets lung and peri
1/15 Folfiri

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CRguy
Posts: 10179
Joined: Sun Feb 10, 2008 6:00 pm

Re: Flu shots?

Postby CRguy » Fri Sep 13, 2013 12:34 am

Voxx66 wrote:I never had chicken pox so I think I can't get shingles or is that untrue?
Would talk to your doc 'cos Zostavax info says : Anyone 60 years of age or older should get the shingles vaccine, regardless of whether they recall having had chickenpox or not. CDC reference FYI is HERE IF your status is different ...talk to your doc !

Ashlee H. wrote: I was told it wouldn't prevent Shingles, but if I did get it, it wouldn't be as severe.

.....for the 60+ crowd .. yeah yeah .. so MAYBE I Am included in that group !!!! :twisted:
> 60% reduction in chance of getting shingles and
> 60% reduction in severity if you do........

ANYONE had or seen someone with severe shingles ??????
......you would get the vaccine !

JMO, and of course the CDC !!!!!
Cheers all !
Caregiver x 4
Stage IV A rectal cancer/lung met
13 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far

weisssoccermom
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Location: Pacific NW

Re: Flu shots?

Postby weisssoccermom » Fri Sep 13, 2013 12:53 am

My onc's office and now my GP's office is always insistent that I had/have a flu shot....even when I was undergoing treatment. As for the pneumonia shot, I was able to get it way before age 60 (ditto that for the shingles shot as well) because of the big "C" on my forehead. Forget the fact that I wasn't in treatment at the time....once you have cancer, you're always treated a little differently. In this instance, I was glad for that big "C" as my colds always go to my chest and give me real problems. Since I've had the shot - no more issues....something I'm really thankful for. I just got the shingles shot last year....my insurance paid for it in full (very nice as it is pricey)......again recommended because of the big "C".
Dx 6/22/2006 IIA rectal cancer
6 wks rad/Xeloda -finished 9/06
1st attempt transanal excision 11/06
11/17/06 XELOX 1 cycle
5 months Xeloda only Dec '06 - April '07
10+ blood clots, 1 DVT 1/07
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Voxx66
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Facebook Username: Michael Void Ward

Re: Flu shots?

Postby Voxx66 » Fri Sep 13, 2013 2:07 am

Well I am certainly not 60 yet ha so not sure about the shingles deal. I hope to see that age of course. Come to think of it, at this point I just want to see 50 but one step at a time right?
DX and resect 10/2012 age 46
Stage IIa CRC
liver mets both lobes 8/2013
CEA 28
FOLFOX + Avastin 8/26/13 3 rounds
Folfox only 3 rds + rd 8
platelets low round 7,9,10 5FU only
1/14 CEA 1.0 y90
5fu
10/14 mets lung and peri
1/15 Folfiri

jeanette57
Posts: 1004
Joined: Sun Mar 04, 2012 11:40 am

Re: Flu shots?

Postby jeanette57 » Wed Sep 18, 2013 8:26 pm

just came from oncologist and treatment today. he said I had to have the quad flu shot, not the 3 strain (most common) something the 4 strain flu shot. It is a new strain and deadly for chemo for me??. Hum? The walgreens is trying to get them asap. I will have to hunt down this 4 strain shot for 12 people in my family. great budget blower. :o
T3 N0 M0 -1-4-12 to 3-2013- NOW stage 4 terminal
mets Lungs & bone - halo on head (not to many can see unicorn horn)
chemo for life or until I quit


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