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Morning Briefing

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Tuesday, Apr 13 2021

Full Issue

CDC And FDA Call For States To 'Pause' J&J Vaccinations

As the Food and Drug Administration investigates very rare reports of blood clots in six people who had the Johnson & Johnson covid-19 vaccine, federal health agencies are recommending that states halt its usage. More than 7 million doses of the vaccine have been administered.

The Food and Drug Administration said Tuesday it is asking states to temporarily halt using Johnson & Johnson鈥檚 Covid-19 vaccine after six people in the U.S. developed a rare blood clotting disorder. The FDA said the recommendation is 鈥渙ut of an abundance of caution.鈥 鈥淩ight now, these adverse events appear to be extremely rare,鈥 the FDA said in a joint statement with the Centers for Disease Control and Prevention. 鈥淐OVID-19 vaccine safety is a top priority for the federal government, and we take all reports of health problems following COVID-19 vaccination very seriously.鈥 (Lovelace Jr., 4/13)

The clotting issue is similar to the one reported after use of AstraZeneca鈥檚 Covid-19 vaccine, which has not been authorized for use in the United States to date. And it is similar to an event that occurred during Johnson & Johnson鈥檚 U.S.-based clinical trial, an event that led to a temporary pause in that trial. The Centers for Disease Control and Prevention and the Food and Drug Administration jointly announced the recommendation, which falls short of an order not to use the vaccine. The statement said a special meeting of CDC鈥檚 Advisory Committee on Immunization Practices will be held Wednesday to review the data around the issue. (Branswell, 4/13)

In a joint statement Tuesday, the Centers for Disease Control and Prevention and the Food and Drug Administration said they were investigating clots in six women that occurred in the days after vaccination. The clots were observed along with reduced platelet counts 鈥 making the usual treatment for blood clots, the blood thinner heparin, potentially 鈥渄angerous.鈥 More than 6.8 million doses of the J&J vaccine have been administered in the U.S., the vast majority with no or mild side effects. (Miller, 4/13)

In other vaccine safety and efficacy news 鈥

U.S. infectious disease official Anthony Fauci said AstraZeneca鈥檚 COVID-19 vaccine had good efficacy, but safety concerns needed to be straightened out and it might not be needed for Americans because of supplies of other shots. 鈥淚 think that the AstraZeneca vaccine from a standpoint of efficacy is a good vaccine, and if the safety issue gets straightened out in the European Union ... the efficacy of that vaccine is really quite good,鈥 he told BBC radio on Tuesday. (4/13)

While vaccines are generally considered safe for pregnant women and new mothers, this group's聽exclusion from COVID-19 vaccine trials has left health care professionals with no clear data to guide聽their patients.聽But a new study released by the American Journal of Obstetrics and Gynecology in late March found that the vaccines based on messenger RNA, or mRNA, conferred聽good protection against the virus to both pregnant and lactating women, and likely their newborns.聽(Fauzia, 4/12)

With new guidance following reports of rare blood clots, the global medical community is considering whether it鈥檚 possible, and safe, to administer two different vaccine candidates to the same person. This week the European Medicines Agency and the U.K.鈥檚 Medicines and Healthcare products Regulatory Agency both determined that there is a possible link between the AstraZeneca-University of Oxford vaccine and very rare cases of unusual blood clots with low blood platelets. (Tatelbaum, 4/9)

Ginger Eatman thought she was safe after getting her second COVID-19 vaccination in February. But she kept wearing her mask, using hand sanitizer and wiping down the carts at the grocery store anyway. A few weeks later, she noticed a scratchy throat. "By Wednesday morning, St. Patrick's Day, I was sick. I had congestion 鈥 a lot of congestion 鈥 and some coughing," says Eatman, 73, of Dallas, Ga. Her doctor thought her symptoms might be allergies. But Eatman started feeling sicker. And then she suddenly lost her sense of smell. She even tried her strong perfume. Nothing. (4/13)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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