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Should Cancer Patients Get a Flu Shot?

The flu (influenza virus infection) can be a very serious illness. The flu is not the sniffles or an upset stomach that goes away in a couple of days, even though some people believe that. Influenza commonly causes fever, body aches, tiredness, and a cough that can last for weeks. Up to 1 in 5 Americans gets the flu each year, and over 200,000 are put in the hospital because of it. About 36,000 people each year die from the problems caused by the flu.

The flu vaccine is the best way to prevent the flu. Talk to your doctor about whether or not you should get the flu shot.

What about cancer patients getting treatment?

People getting cancer treatment often have weak immune systems. For them, the flu can lead to serious, even life-threatening problems. The flu shot is recommended for most people with cancer.

Many people with cancer worry that the flu shot will make them sick or cause a reaction with other medicines they are taking. Talk to your doctor about this -- he or she knows your situation best and can tell you if you should get the shot and when is the best time to get it. Some people do get symptoms, such as a low grade fever or achy muscles, after a flu shot. These symptoms are caused by the immune system reacting to the flu shot and should go away in a day or so. The flu shot cannot cause the flu.

The Centers for Disease Control and Prevention (CDC) says that people with a high risk of having serious problems if they get the flu should get the flu shot every year before flu season begins. It is best if they get it as soon as it is available, or before December. (Flu season is usually from November to April and peaks in January and February each year.) People who are at high risk for problems if they get the flu includes anyone with a weak immune system due to cancer treatment with x-rays (radiation) or drugs (chemotherapy). Those who are very sick should talk to their cancer doctor about getting a flu shot before they do it.

The CDC also recommends that anyone that lives with or cares for a person at high risk for flu-related problems get the vaccine, too. That means that if you are in cancer treatment, your family members and children at home should get the flu shot.

Remember that if you have an allergy to chicken eggs you should not get the flu shot.

What types of flu vaccines are recommended for people with cancer?

Cancer patients do have to be careful about the type of flu vaccine they get. There are 2 types available:

  • inactivated vaccines are made up of killed virus and are given as actual shots or injections, most often in the arm
  • live vaccines are made up of weakened live virus and are given as a nasal spray

People with cancer and their family members should get the inactivated flu shot, NOT the nasal spray.

How do flu shots work?

Both flu vaccines (the flu shot and the nasal-spray flu vaccine) work in the same way. They cause the body to make antibodies that protect it against influenza virus infection. It takes up to 2 weeks after the shot for the body to do this. This is why you should get the flu shot as soon as you can. That way your body has time to form the protection you need before flu season starts.

Remember, if you have a serious illness like cancer, you should talk to your doctor before getting a flu shot.

Additional resources

More information from your American Cancer Society

We have selected some related information that may also be helpful to you. These materials may be ordered from our toll-free number.

  • After Diagnosis: A Guide for Patients and Families (also available in Spanish)

National organizations and Web sites*

Centers for Disease Control and Prevention (CDC)
Toll-free number: 1-800-232-4636
Web site: www.cdc.gov

*Inclusion on this list does not imply endorsement by the American Cancer Society.

No matter who you are, we can help. Contact us anytime, day or night, for information and support. Call us at 1-800-ACS-2345 (1-800-227-2345) or visit www.cancer.org.

References

Centers for Disease Control and Prevention. Seasonal Flu Vaccine. Available at: www.cdc.gov/flu/about/qa/fluvaccine.htm. Accessed October 14, 2008.

Centers for Disease Control and Prevention. Key Facts about Seasonal Influenza. Available at: www.cdc.gov/flu/keyfacts.htm. Accessed October 15, 2008.

Department of Health and Human Services. Centers for Disease Control and Prevention. Inactivated Influenza Vaccine 2008-09: What You Need to Know. Available at: http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-flu.pdf. Accessed October 14, 2008.

Last Medical Review: 10/17/2008
Last Revised: 10/17/2008

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