EMA Adds Warning to J&J Vaccine; Supports Use
A 4/20 European Medicines Agency (EMA) safety review says Johnson & Johnson’s (Janssen) Covid-19 vaccine continues to have a favorable benefit-risk profile but it should carry a warning in its product information about rare and unusual blood clots with low blood platelets. The EMA’s conclusions could be a precursor to a similar CDC review that will occur 4/23, following an FDA and CDC recommended pause (see earlier story).
In reaching its conclusion, EMA noted that the blood clots occurred mostly at “unusual sites such as in veins in the brain (cerebral venous sinus thrombosis, CVST) and the abdomen (splanchnic vein thrombosis) and in arteries, together with low levels of blood platelets and sometimes bleeding. The cases reviewed were very similar to the cases that occurred with the Covid-19 vaccine developed by AstraZeneca.”
Additionally, EMA offered an immune response as one plausible explanation for the combination of blood clots and low blood platelets, which it said is a condition similar to one seen in patients treated with heparin (heparin-induced thrombocytopenia).