Did you receive the Covid Vaccine?
Comments
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Yeah, I got my appointment for the Moderna vaccine coming up but I am still feeling a little leery about whether and howit could interact with Herceptin.
This article was shared earlier in this thread -
https://jhoonline.biomedcentral.com/articles/10.1186/s13045-021-01046-w
If you look at the section for “targeted therapies" it touches on whether or not the monoclonal antibodies that we take would make the vaccine less effective, but not really touching on the opposite scenarios. They're basically saying, since the flu shot works fine with Herceptin, the C19 vax should be fine too. I've only had one flu shot since going on H&P in 2017.
My MO said she has no concerns.
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I have stage V MBC. Diagnosed in 3/2018. Was able to achieve and maintain NED status in my body since then. Taking tukeysa and Anastrozole daily. I had 4 brain lesions in September successfully eliminated by radiation. I take Hylecta (Herceptin) injections every 3 weeks and denosumab every 6 weeks. My health and status are maintaining. However, I am extremely afraid to take the covid vaccine.I am scared it could interfere with my infusions or my hylecta infusions could interfere with the vaccine. Does anyone else feel this way?
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Kitkat,
Do you just “feel” this way or has your mo indicated that the vaccine would not be appropriate for you? If your mo has no issue with you getting it, it doesn’t matter how anyone else feels. Everyone I know who is stage IV has been urged by their mo to get the vaccine, especially those who are immune compromised. Please listen to what your mo says. I am fully vaccinated and I’m stage IV. Please help yourself and your community at large by getting the vaccine if your mo gives you the ok
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yes it is more about the way I feel I am scared I will get sick and die from the side effects of the accination. My oncologist (what does MO mean) said for me to get it. I already missed one chance at the hospital when it was offered to me. I never leave my home except for medical reasons and never without a mask. MY husband and son feel the same. We never go out except for a few groceries, I now get all the groceries I can left on my porch with walmart delivery. My son goes to the store to get what they can't deliver. I have a terrible time every day all day existing with my disease.I wake up in disbelief that I woke up. I don't have any kind of mental support or meds to keep me at least-calm-they are somehow very against those meds and you just can't get a script so I just live in total anxiety all the time.Maybe if I was calmer I could think a little more straight about this vaccine.Right now I still think it got rushed to market, finally drug companies MAKIng MONEy on vaccines, and there is no long term testing.Sorry I bled all over you.I feel hopelessly trapped in this world but I have NO desire to leave it. God bless all you fellow post-ers. Kathy
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I was initially hesitant but Covid put so many restrictions on my family. My oncologist strongly recommended the vaccine. I have had both and it’s quite freeing in terms of how you feel going out for groceries, post office.
I’ll still wear a mask and have sanitizer in my car. I’m not going to eat in a restaurant anytime soon. I’m glad it’s heading towards warmer weather so can see friends and family outside.
I had no reaction to the first shot and just a low grade fever and chills for a couple of hours the next day for the second. Nothing I haven’t experienced while currentlyon chemo. It was the Pfizer vaccine.
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MO - medical oncologist
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Just got message back from breast care nurse, I have to skip the next infusion of Herceptin Perjeta, no explanation given.Glad I asked, I was due on Thursday.
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Thank you! I have a hemotologist/oncologist
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Kitkat, I’m sorry for what you’re experiencing. Do you think you could advocate for yourself more and get some anti-anxiety medicine to help you cope? I had such anxiety 10 years ago during the first year I was diagnosed, worked with my primary doctor to find the right anti-anxiety medicine, and it literally gave me my life back.
You are allowed to be more insistent that you need medicine to help you cope. Please speak up for yourself.
You seem to be doing so well with your treatment for metastatic breast cancer.
Go the extra mile, for yourself, to get help with your anxiety. I can say from experience, no amount of meditation, prayer, exercise or eating right was going to help me with my anxiety. I needed medicine, which I continue to take.
That first year I was diagnosed, I was in such a free fall, emotionally. I realized I had to dig way deep down inside myself to find whatever it was going to take to help me deal with metastatic breast cancer. And I knew if I did not find what I was looking for, I was going to have to create it, develop coping skills. And I did just that, a step at a time.
I know you asked about the vaccine. I actually had Covid in January, very sick for 2 weeks. Recovered. Had my first shot of Moderna and soon to get the 2nd shot.
You don’t have to be living in constant anxiety. Please try taking steps to get help for that. It’s your own personal mission you’re on for YOU. You, my dear, are worth it.
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KitKat,
It sounds as if you have a lot of health anxiety. Between cancer and Covid19, that is understandable but, that is no way to live in the long run.
The vaccine did come to market far more quickly than usual but remember that scientists have been working with other a Corona viruses for many years. They did not start from scratch on this one . Most importantly please remember that there have been no documented cases of anyone dying from the vaccine, sadly the same cannot be said for far too many who contracted Covid19.
Please do whatever you need to do to find less fear and more joy. The pandemic will end eventually and you will deal with your bc. I am almost 10 years into my stage IV dx. It’s not always easy but I’m still here! Take care
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kitkat: I am getting my jab the same day as my infusion, April 6. I jumped on the first date that was offered. I am having a tele-appointment with my MO tomorrow. I'll ask him if it is a bad idea. I don 't want to got through the hassle of cancelling the jab and rebooking. I am not an immunologist but I can't see why I shouldn't do both. My last blood work was terrific. I feel like I am "good to go" Covid-2 (SARS) was the platform on which they could built these newer vaccines. As exbrnxgrl says they didn't start from scratch.
Anxiety is my problem too. I have anti-anxiety meds but I don't use them everyday. Get them and use them if you need them. Who is against them? Your family? Take care of yourself first.
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KitKat, I have many of the same fears you have. I am on iv chemo, and many daily medications besides. In the last couple months have been hospitalized three times for an infection and then for blood clots. :-( Getting a Covid vaccine on top of everything else seems... difficult. That being said, actually getting Covid would probably be even more difficult.
It's hard enough to coordinate the vaccine with my chemo and blood counts as it is, and doubly hard for the two-step shots. Besides, how do I know I won't have a massive infection or some other problem when I am due for my second shot? Also, some healthy people I know have seemed to have a harder time with their second Pfizer or Moderna shot, and I already feel like things are hard enough for me. For those reasons (among others) I would prefer the J&J shot, because then whatever happens, I only have to get it once.
Sadly, I cannot even get an appointment for a shot where I live, so it's a moot point right now. Despite my stage IV breast cancer the shot was only available to me since March 15th, when it became available to many other people, and the competition is fierce. Anyway. Best of luck to you, and let us know how it goes if you go through with it.
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Hello Friends,
I do not have mets but want to share this message with you. You can see my info in my sig/tag. What you don't see is that I had a hepatotoxic response to Tamox resulting in acute onset cirrhosis (neat feat for a non-drinker) and now face a live liver transplant. I was obese, had a fatty liver and the balance of reason is idiopathic but it happens to 1.8% of Tamoxifen recipients. Lucky me. I received the Pfizer vaccine and completed the two shots then, 7 weeks out, got Covid anyway. The UK variant. I am sick but not deathly. If 10 was near death I'm a solid 6. Coughing, fever, nausea, unyielding back pain which was actually the first symptom, and complete lethargy. I have also lost my taste and smell. With each shot I appeared to be ramping up the antibodies as I had what they call an active response to the vaccine (mild fever, aches, tired for a day). Today, my liver doc said that my liver, in its impaired state, cannot regulate my immune response, similar to anyone with impaired or weakened immune system. My platelets and WBC are chronically low, similar to those in chemo. I just wanted to share this info in the hope that it helps direct and/or inform another's circumstance. Praying you all stay well, Liz
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LIz: I am so sorry about your liver. I am also sorry about getting covid after the two shots. They say getting it after the shot you'll have less symptoms and keep you out of hospital but you sound pretty sick. Take care.
To the rest: My MO said that getting the shot on the same day as my infusion is not an issue. They only recommend waiting a space of time for people on active chemotherapy or just starting a form of other infusions. That way they can tell if negative side effects are from the vaccine or the infusion. I have been getting infusions for two years now so I am good to go.
kitkat: how are you doing? I used to take my anti-anxiety meds in the morning and in the evening. It helped me through the really rough patches in the early days. Now I have periodic bouts and only take them at that time. There is no shame in taking meds to help you. Anxiety is torture. It torments your brain and that affects your body, your life, your relationships. Don't ask for them - demand them!! Whose life is it, anyway?
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Agree, my MO had no concerns about the timing of my Herceptin vs the vaccine. Just go get it, she said. My appointment is in the middle of the cycle anyway
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One comment about anti-anxiety meds. Since some people abuse or misuse these drugs*, docs can be a bit suspicious if a patient they do not know well requests them. I think telling the doc exactly how you feel and especially how it is impacting our daily life is a good way to approach it. Then let them offer the meds, instead of you outright asking for them. "I feel so anxious" is vague to a doctor, but "I am sleeping only five hours per night, I am having a lot of trouble doing my job so my income is reduced, I know I should get my covid vaccine but I am too anxious to do it" etc. are more concrete statements that give the doc a clearer picture of your need.
Edited to add, I was thinking of schedule IV drugs such as Xanax. But there are other kinds of anti-anxiety meds. See Divine's post below and my reply to it.
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It is okay to say, “I feel so anxious and I think medicine may help. That's why I'm here". We don't have to be passive and wait to be offered a solution. We can advocate for ourselves.
In my opinion, any good doctor would follow up the statement “I feel so anxious" by asking “What kind of symptoms are you having?" starting the conversation about what you are experiencing. Even before seeing the doctor, a nurse always ask preliminary questions regarding current health, marking it in the chart for the doctor to review before the patient exam.
I have even had a receptionist at Express Care who, along with taking my insurance information, asked the reason for my visit to put into the computer, and when I said, “It's upper-respiratory", she said, “No, don't give me a diagnosis, what are your symptoms?", meaning things like stuffy nose, headache, wheezing, ect. That information goes in my chart which the doctor reviews to have an idea what’s going on and can ask additional questions.
I take nonaddicting anti-anxiety medicine called Buspar, generic name buspirone. My pcp and his np worked with me to find the right medicine. It took numerous tries. The doctor didn't want me relying on something addictive.
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Just thought I'd chime in. I saw my pcp last week and she said no to the vaccine for me. I am 79 and have been on herceptin for over 12 years with stage 4. My onc also believes I'm high risk. I've had several side effect issues in the past (and now), so I didn't think I would be allowed anyway. I've also stayed away from flu shots.
For the last year, I've mostly quarantined myself, except for various doctor appointments one to three times a week. I see my doctors while wearing my mask. I even have my scrips delivered when I can. Except for fresh produce and dairy, I seldom go shopping, and Amazon is my friend. I buy books and dry groceries from them.
I visit my family at my daughter's home nearby, where we are seated far apart from each other when I'm there. No hugs or kisses to anyone.
Pretty soon, it will be beach time with no mask; just me, a book, and the ocean!
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That is a good point, Divine. Not all anti-anxiety meds are schedule IV (thinking of Xanax). And I certainly support and recommend advocating for oneself. So much depends on the individual doctor and the doctor-patient relationship.
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Australia has now had its first case of serious blood clots after a 44 year old man received the Astra Zeneca vaccine. These have been reported in the UK and Europe with some deaths, leading to some jurisdictions banning AZ for particular age groups.
I'm now nervous about having had the first jab and don't know if I will have the booster 12 weeks later. I'm particularly nervous because cancer patients have a higher risk of blood clots already. I'm flying to Hobart on Tuesday, 8 days after the jab and even though the flight is less than 2 hours, I am worried about all these things adding up to cause blood clots. I have decided to wear support socks and I know I should drink a lot of water, but have so far resisted removing my mask to eat or drink anything in the confines of the plane in my two recent return trips. This disease and its vaccines are very worrisome!
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Bella - the clot that is forming is a very very rare clot in the sinus cavity, not the "normal" type of clot that would form in the leg. That being said, you should still wear compression socks on the plane
Ive got my AZ booster week of 12 April and right now just waiting to see what the scientists churn out before that in terms of guidance. Some one somewhere is crunching data, probably not worth worrying about it yet.
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I got my second Moderna shot last week. Symptoms were mild like the first shot: sore arm and a little more fatigue than normal for me. I’m on Herceptin every 3 weeks. My MO didn’t suggest any specific scheduling but I had both shots in a week without the infusion.
I had CBC and Comp Metabolic tests a few days after the shot. The report noted hemolysis and suggested retesting. I’m not sure that is related to the vaccine though since I had taken acetaminophen in the morning for pain
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BellaTassie - Hi from Melbourne. I thought I half heard something yesterday morning on Radio National (ABC) re the patient with abdominal clots in Australia, I think it related to him being on a particular type of chemo. Unfortunately I haven’t been able to find the information again and may be I misheard. It worries me too as I am on a drug trial where both the immunotherapy drugs already have a low risk of thrombosis arising from platelet antibodies. However, the way the Feds are running the immunisation program, we will be luck to get through category 1b prior to Christmas (joke)...
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To All: Yesterday, I had my H&P infusion in the morning . At 3:45 p,m, I had my first Pfizer jab. My MO had zero concerns about me doing it the same day. Other than a slightly sore and stiff upper arm today I am fine. I am so happy to get that jab. My MO's comment was that they usually don't recommend vaccines and infusion on the same day so they can isolate the cause of some weird reaction. Since I have been on H&P for awhile, should I have sudden health issues they can pretty much assume it is the vaccine. Something like that. He was casual about it because I have been ticking along quite nicely with good bloodwork.
I wonder why A Z vaccine is affecting largely the under 55 cohorts, usually it is us old farts who have the issues.
amontro: I can understand why there are concerns for you, if you have a history of bad reactions to shots. I would be cautious as well. I will say it again -- congrats on 12 years!!!
Stay safe everyone!!
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Was just finishing my lunch today about 1 when the lovely vaccine nurse from my GP called and asked if I could get to the other office by 2pm as they had an AZ for me. I was going to go for a walk anyway, so I just walked the 20 minutes down there and got the second dose. I don't know if the first guy hit something or what, but I had her do it in my non-dominant arm and it was in and out like butter. Trundled home and so far feel ok - finished work, did some tapestry, made dinner. So glad they could fit me in, as I am very early in my current Ibrance cycle and I was worried that next week would be pushing it.
Of course I checked the news when I got home and NOW they say its not safe for the under 30s. Eh, Im more curious to see what the efficacy is for those with solid tumors - the numbers weren't great for the blood cancer folks.
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I have now had both dozes of the Pfizer vaccine. 2nd shot was on 3/25. Had my quarterly petscan on Monday and it was "clear" as in NED for breast cancer. However, both right and left axillary nodes show hypermetabolic activity that is considered to be a typical reaction of the vaccine. Had a telehealth video call with my Oncologist who said this is common and she agrees it is the vaccine response and not worried. I had dose #1 on my off week of Ibrance and dose #2 on my last week of Ibrance cycle. When I checked with my onc. for the first dose (it was an extra dose so short notice) she told me to just get the vaccine and not worry about the timing. I only had arm soreness with the vaccines (no fever) and perhaps some fatigue but honestly, I just have fatigue - most likely from MBC treatment.
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Ladies, do you take an aspirin a day before and after the vaccine since it helps with blood clots? I read it somewhere but I don't remember where and it may not be legit. I wonder what doctors in other countries suggest.
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No, there is no current guidance about blood clots and the vaccines. Its mostly impacting younger women under the age of 50,and they are very specific types of clots - in the sinus cavity that also simultaneously lower platelet counts. They are still very rare, but the rate at which they are occurring is higher than you would expect to see naturally in that cohort. Pretty much the NHS is saying if you have a headache for more than 4 days to call your doctor.
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april: Yay on your PET. I get mine next Tuesday. Lots of time for me to fret :-)
Blood clots in the sinus cavity? When I hear "blood clot" I think legs, lungs, brain. Sinus cavities would never have occurred to me. The percentage is high enough I would be concerned were I in the age cohort.
Sondra: you do tapestry? Do you weave? Have you gone to the "Calling All Artists" thread. There are some hugely talented ladies out there.
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Had my 2nd dose of Pfizer yesterday and been dealing with a fever all day today even with Tylenol. Hope I feel better tomorrow.
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