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Covid-19 Primary Care Resources


Chemotherapy and the Covid vaccine



Guide on vaccinating individuals undergoing chemotherapy

This information is sourced from the Specialist Pharmacy Service (SPS), The Green Book Chapter 14a, and the UK Chemotherapy Board

  • Consider everyone receiving systemic anti-cancer therapy for vaccination in collaboration with secondary care
  • If there is sufficient time between the decision to start treatment and the start date, vaccination should take place during this window when the patient has intact immune function
  • Try to vaccinate when blood counts are recovered if possible
  • Avoid vaccine on same day as chemotherapy is delivered
  • Consider thrombocytopenia (as it’s an IM injection) – prefer platelet count over 20×109/L
  • Neutropenia: delay if patient is unwell until neutrophils >1×109/L and patient is well again
  • Those with chronic neutropenia can be vaccinated as soon as possible
  • Chemotherapy delivered by bladder instillation does not impact the timing of the vaccination

Written by Dr Carrie St John Wright

See also:

DMARDS

Corticosteroids

Immunosuppression