Hi Everybody,
I have been watching this post (and recall one similar to it from last flu season) carefully. The issue of influenza and flu vaccines coupled with cancer and its treatment is very personal to me. My day job is in public health, specifically in influenza. So I work on flu all day everyday. I was a bit reluctant to post here because I work at a large Agency mentioned earlier in this thread, and since I don't use my full name here and this is isn't a traditional form of communication for us was considering just keeping quiet. But I get worried when I see misinformation being spread that could stand in the way of somebody in a high risk group i care about SO MUCH getting a lifesaving vaccine. I understand people have strong feelings about vaccines of any type and may react strongly to me posting my thoughts, but I'm gonna do it anyway. I will share a few resources with you and give you my
individual views on some of the matters raised. If you or your docs have individual questions you can PM me and I can hook you up with people and resources to get them answered.
2) Personal notes: Those with chronic underlying conditions and those taking drugs (like chemo) that supress the immune system are in some of the highest priority groups to recieve vaccine. We lose people every year who are heroically fighting diseases like cancer to flu. I bug my dad about getting his vaccine even more than I did before because how much would it SUCK to do all of this crazy treatment to be taken out by seasonal influenza?? No way is that happening in my family!! Also, if you're going to be hospitalized you will be around sick people who may have the flu, putting you in a position to get it at the worst possible time (when your body is already going through treatment, surgery and fighting other things and your risk of getting life threating flu complications go up). Unfortunately age and immunosupression can make it harder to respond to flu vaccine, so the rest of my family takes care to get vaccinated to create a wall of protection around him. I feel strongly that if there is a complication we can prevent in the midst of all this mess, lets prevent it!
1) Getting the flu from the flu vaccine: You can't get influenza from the inactivated influenza vaccine; it does not contain live virus. However it isn't surprising that many people think you can as this is a commonly held misconception. There are a variety of reasons for this. Chief among them is
sometimes people get side effects for a couple days that mimic the flu -- but trust me, you would much rather have these side effects than the actual flu. We do not lose people from the side effects of the vaccine, but we lose thousdands each year to the flu. Further, when you get the flu vaccine, it may take up to two weeks to get a protective effect from it, meaning you can get the flu during that 2 week time (then people blame this infection on the vaccine in error). Also, people normally get their vaccines when cold season has begun, so they'll get a rhinovirus and think it is from the flu vaccine when it isn't. Kellywin, I'm sorry you felt so crappy those two months you were pregnant!! But the influenza vaccine wouldn't cause two months of illness (the actual virus however hits pregnant women very hard and can sadly lead to death in the mother and/or fetus). Here is a link with information about side effects as well as information about the robust vaccine safety monitoring system CDC uses to ensure that the vaccine is safe:
http://www.cdc.gov/flu/protect/vaccine/general.htm3) Type of vaccine to get: jeanette47 brought up a great point -- what type of flu shot to get??? It is great your onc is following the recs closely enough to even know there is a quadrivalent vaccine available this year -- many providers are not aware of all the options. But the laundry list of options has created confusion and this is very understandable (intramuscular? intradermal? high dose? trivalent? quadrivalent? live attneuated? inactivated? eeek!!!). Only your doctor knows what is the best for you and that's whose opinion matters most, but I was a bit worried to see a doc reccommending only QIV (quadrivalent) when the majority of supply for this year is still TIV (trivalent). The TIV vaccine contains two influenza A strains and one Influenza B, whereas the QIV contains 2 A's and 2 B's. Jeanette47, it may be hard to track down QIV because of limited supply, and if that is the case you may want to circle back with your Onc and see if you shouldn't just get TIV. Next week I'm getting my flu vaccine, and here at work they're giving us TIV so that is what I am going to have. For more information on the types of vaccines available and updates on supply please see:
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http://www.cdc.gov/flu/professionals/vaccination/vaccinesupply.htm-
http://www.cdc.gov/flu/about/qa/vaxsupply.htm-
http://www.cdc.gov/flu/about/qa/preventingflu.htmI hope this information is helpful -- you all have helped me so very much on the information front I thought I'd share what I can.
-Fightmode