SUB-PROTOCOL AIM A: Platelet count >= 100,000/mm^3 SUB-PROTOCOL AIM A: Hemoglobin >= 9.0 g/dL SUB-PROTOCOL AIM A: Serum cholesterol =< 350 mg/dL SUB-PROTOCOL AIM A: Serum triglyceride =< 300 mg/dL SUB-PROTOCOL AIM A: Serum creatinine =< 1.5 x ULN SUB-PROTOCOL AIM A: Previously treated patients who have failed, unable to tolerate, or refused other available active therapies SUB-PROTOCOL AIM A: Patients with a history of interstitial lung disease and/or pneumonia SUB-PROTOCOL AIM A: Patients with a history of alcoholism, drug addiction or psychotic disorders SUB-PROTOCOL AIM A: Patients who required therapeutic doses of anticoagulants AIM 2: Have an actual or potential diagnosis of thoracic cancer Due to receive at least 6 weeks (for aim 1 and 2) or 12 weeks (for aim 3) of CTX at enrollment PHASE I AIM 1 (STAKEHOLDER INPUT) PHASE I AIM 1: Malignant diagnosis in any cancer type at any stage PHASE I AIM 1: Receiving any type of cancer treatment PHASE I AIM 1: Life expectancy of at least six months PHASE I AIM 1: Current outpatient status PHASE I AIM 1 (STAKEHOLDER INPUT) EXCLUSION PHASE I AIM 1: Prisoners PHASE I AIM 1: Pregnant women PHASE I AIM 3.1 (EVALUATION STUDY) PHASE I AIM 3.1: Malignant diagnosis in any cancer type at any stage PHASE I AIM 3.1: Receiving any type of cancer treatment PHASE I AIM 3.1: Life expectancy of at least six months PHASE I AIM 3.1: Current outpatient status PHASE I AIM 3.1 (EVALUATION STUDY) EXCLUSION PHASE I AIM 3.1: Prisoners PHASE I AIM 3.1: Pregnant women PHASE I AIM 3.2 (PILOT STUDY) PHASE I AIM 3.2: Malignant diagnosis in breast, gynecologic (GYN), genitourinary (GU) cancer at any stage PHASE I AIM 3.2: Receiving surgery and/or chemotherapy treatment PHASE I AIM 3.2: Life expectancy of at least six months PHASE I AIM 3.2: Current outpatient status (participation will be suspended during hospitalization) PHASE I AIM 3.2 (PILOT STUDY) EXCLUSION PHASE I AIM 3.2: Prisoners PHASE I AIM 3.2: Pregnant women PHASE I AIM 3.2: Currently participating in other psychosocial studies PHASE II AIM 2 (RANDOMIZED CONTROLLED TRIAL) PHASE II AIM 2: Malignant diagnosis of breast, lung, or colorectal cancer at any stage PHASE II AIM 2: Receiving any type of cancer treatment PHASE II AIM 2: Life expectancy of at least six months PHASE II AIM 2: Current medical oncology outpatient status (participation will be suspended during hospitalization) PHASE II AIM 2 (RANDOMIZED CONTROLLED TRIAL) EXCLUSION PHASE II AIM 2: Prisoners PHASE II AIM 2: Pregnant women PHASE II AIM 2: Currently participating in other psychosocial studies For Aim 2, all patients must meet the following criteria: For Aim 2 only: individuals who took part in the focus group AIM 1 (SURVEY) AIM 2 (VACCINE EVALUATION) Meets all inclusion criteria outlined in Aim 1 AIM 2 (VACCINE EVALUATION) Aim 5: Organization was contacted to participate in Aim 3 Inclusion criteria for Aim 1: Inclusion criteria for Aim 2: AIM 2: Having a short message service (SMS) capable mobile phone that is not shared with anyone else AIM 2: Text messaging more than once a month AIM 2: Will consider participants from phase 1 of this study ineligible for this phase of the study AIM 2: Will not re-screen participants who were considered ineligible for phase 1 of this study, as determined from study records AIM 1-3 AIM 3 ONLY