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Countries temporarily stops the rollout of the Johnson and Johnson vaccine

Three countries will temporarily stop the rollout of the Johnson and Johnson (J&J) Covid jab, after reports of rare blood clotting.

United States, South Africa and European Union have paused the usage and administration of the vaccine.
US health authorities paused the use of the one dose jab after cases of extremely rare blood clotting.

Six cases were detected in more than 6.8 million doses of the vaccine, the US Food and Drug Administration (FDA) said.

The FDA said it was recommending the temporary pause “out of an abundance of caution”. It confirmed that one patient died from blood clotting complications, and another is in a critical condition.

All six cases were in women aged between 18 and 48, with symptoms appearing six to 13 days after vaccination.

Following the advice, all federal sites in the US have stopped using the vaccine until further investigations into its safety are completed. State and private contractors are expected to follow suit.

The US has by far the most confirmed cases of Covid-19 – more than 31 million – with more than 562,000 deaths, another world high.

Johnson & Johnson has paused its EU rollout, which started this week.

However deliveries of the vaccine to EU countries started just 24 hours before J&J said it would pause the European rollout.

As it has not been administered in the EU yet, experts there will be looking to the United States to see what their next move is.

It follows similar cases after doses of the AstraZeneca vaccine, which prompted curbs to its use.

In a joint statement, the FDA and the Centres for Disease Control and Prevention (CDC) said they were “reviewing data involving six reported US cases of a rare and severe type of blood clot in individuals after receiving the J&J vaccine”.

It said the clotting was called cerebral venous sinus thrombosis (CVST).

The statement said that this type of blood clot needed a different treatment than usual.

The common treatment – an anticoagulant drug called heparin – “may be dangerous”, it said.

Pending a further review, the FDA and CDC recommended “a pause in the use of this vaccine out of an abundance of caution”.

The joint statement said that “people who have received the Johnson & Johnson vaccine who develop severe headache, abdominal pain, leg pain, or shortness of breath within three weeks after vaccination should contact their health care provider”.

J&J is a US health care company, but the vaccine was developed mainly by its pharmaceutical branch in Belgium, and is also known as Janssen.

Unlike some of the other jabs, it is given as a single shot and can be stored at normal refrigerator temperatures, making it easier to distribute in hotter climates or more remote areas.
It was cleared for use in the US on 27 February, but the Pfizer-BioNTech and Moderna vaccines have been used more widely.
The J&J vaccine has been administered to nearly seven million people in the US, which is around 3 per cent of the total immunisations given so far.
The jab became the preferred vaccine there after studies showed it had a higher protection rate against the South African variant than other jabs.
Since mid-February, nearly 300,000 healthcare workers have received it.

The World Health Organization told Reuters it was monitoring the situation and waiting for reports from the US and European regulators.

The J&J vaccine is yet to be approved in the UK, although 30 million doses are on pre-order.

 

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