Evidence map›Paper›PMID 34958894›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2022

COVID-19 vaccination and breakthrough infections in patients with cancer.

A L Schmidt, C Labaki, C-Y Hsu, Z Bakouny, N Balanchivadze, S A Berg, S Blau, A Daher, T El Zarif, C R Friese and 22 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
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  7. Impact of COVID-19 vaccination on cancer patients: safety, efficacy, and long-term effects.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
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  13. Oral antivirals for COVID-19 among patients with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 2 countries.

A L SchmidtDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA.
C LabakiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA.
C-Y HsuDepartment of Biostatistics, Vanderbilt University, Nashville, USA.
Z BakounyDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA.
N BalanchivadzeHematology and Oncology Fellowship Program, Henry Ford Cancer Institute, Detroit, USA.
S A BergDepartment of Internal Medicine and Cancer Biology, Division of Hematology and Oncology, Cardinal Bernardin Cancer Centre, Loyola University Chicago, Maywood, USA.
S BlauDivision of Oncology, Northwest Medical Specialties, Tacoma, USA; Division of Hematology, University of Washington, Seattle, USA.
A DaherHartford HealthCare Medical Group, Hartford, USA.
T El ZarifDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA.
C R FrieseUniversity of Michigan School of Nursing, School of Public Health, and Rogel Cancer Centre, Ann Arbor, USA.
E A GriffithsLeukemia Section, Roswell Park Comprehensive Cancer Centre, Buffalo, USA.
J E HawleyHerbert Irving Comprehensive Cancer Centre, Columbia University Irving Medical Centre, New York, USA; University of Washington/Fred Hutchinson Cancer Research Center, Seattle, USA.
B Hayes-LattinDivision of Hematology and Medical Oncology, Knight Cancer Institute, Oregon Health and Science University, Portland, USA.
V KariveduDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University Wexner Medical Centre, Columbus, USA.
T LatifDivision of Hematology/Medical Oncology, Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, USA.
B H MavromatisDepartment of Cancer, Oncology, Hematology, UPMC Western Maryland, Cumberland, USA.
R R McKayDepartment of Medicine, Division of Hematology/Oncology, University of California San Diego, San Diego, USA.
G NagarajDivision of Medical Oncology & Hematology, Department of Medicine, Loma Linda University Cancer Centre, Loma Linda, USA.
R H NguyenDepartment of Medicine, Division of Hematology and Oncology, University of Illinois at Chicago, Chicago, USA.
O A PanagiotouDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, USA.
A J PortugueseDivision of Hematology, University of Washington, Seattle, USA.
M PucDepartment of Surgery, Section of Thoracic Surgery, Virtua Health, Marlton, USA.
M Santos DutraSegal Cancer Centre of the Jewish General Hospital, Montréal, Canada.
B A SchroederVirginia Mason Cancer Institute, Seattle, USA.
A ThakkarDivision of Oncology, Montefiore Medical Centre, Bronx, USA.
E M Wulff-BurchfieldDepartment of Medicine, Divisions of Medical Oncology and Palliative Medicine, The University of Kansas Health System, Westwood, USA.
S MishraVanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, USA.
D FarmakiotisDepartment of Medicine, Division of Infectious Diseases, The Warren Alpert Medical School of Brown University, Providence, USA.
Yu ShyrDepartment of Biostatistics, Vanderbilt University, Nashville, USA; Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, USA.
J L WarnerVanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, USA; Department of Medicine, Division of Hematology/Oncology, Vanderbilt University, Nashville, USA; Department of Biomedical Informatics, Vanderbilt University, Nashville, USA. Electronic address: Jeremy.Warner@vumc.org.
T K ChoueiriDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, USA. Electronic address: Toni_Choueiri@dfci.harvard.edu.
COVID-19 and Cancer Consortium
Dana-Farber Cancer Institute · USBrown University · USSeattle University · USVanderbilt University · USVanderbilt University Medical Center · USVirtua Health · USColumbia University Irving Medical Center · USHartford Hospital · USHenry Ford Hospital · USJewish General Hospital · CALoma Linda University · USLoyola University Chicago · USMontefiore Medical Center · USOregon Health & Science University · USRoswell Park Comprehensive Cancer Center · USThe Ohio State University Wexner Medical Center · USUniversity of California, San Diego · USUniversity of Cincinnati Medical Center · USUniversity of Illinois Chicago · USUniversity of Kansas · US

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI A. Heather Eliassen · 1985 to 2026
$330.6M
XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Interdisciplinary Research Training Center in Cancer Care DeliveryT32CA236621 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lauren P Wallner · 2020 to 2026
$2.8M
Network Analysis for a Data-Driven Approach to Cancer CareU01CA231840 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARNER, JEREMY LYLE · 2018 to 2020
$1.2M
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR001873NCI NIH HHS P30 CA006516NCI NIH HHS P30 CA023100NCI NIH HHS P30 CA046592NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA101942NCI NIH HHS T32 CA236621NCI NIH HHS U01 CA231840
6 · The paper itself

Abstract

backgroundVaccination is an important preventive health measure to protect against symptomatic and severe COVID-19. Impaired immunity secondary to an underlying malignancy or recent receipt of antineoplastic systemic therapies can result in less robust antibody titers following vaccination and possible risk of breakthrough infection. As clinical trials evaluating COVID-19 vaccines largely excluded patients with a history of cancer and those on active immunosuppression (including chemotherapy), limited evidence is available to inform the clinical efficacy of COVID-19 vaccination across the spectrum of patients with cancer. PATIENTS AND

methodsWe describe the clinical features of patients with cancer who developed symptomatic COVID-19 following vaccination and compare weighted outcomes with those of contemporary unvaccinated patients, after adjustment for confounders, using data from the multi-institutional COVID-19 and Cancer Consortium (CCC19).

resultsPatients with cancer who develop COVID-19 following vaccination have substantial comorbidities and can present with severe and even lethal infection. Patients harboring hematologic malignancies are over-represented among vaccinated patients with cancer who develop symptomatic COVID-19.

conclusionsVaccination against COVID-19 remains an essential strategy in protecting vulnerable populations, including patients with cancer. Patients with cancer who develop breakthrough infection despite full vaccination, however, remain at risk of severe outcomes. A multilayered public health mitigation approach that includes vaccination of close contacts, boosters, social distancing, and mask-wearing should be continued for the foreseeable future.

Indexed as

COVID-19NeoplasmsCOVID-19 VaccinesHumansSARS-CoV-2VaccinationCOVID-19 VaccinescancerCOVID-19neoplasmSARS-CoV-2vaccination

Identifiers

PMID34958894
PMCPMC8704021
OpenAlexW4200112797

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.