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Tuesday, January 18, 2022

‘We Had been Flying Blind’: A Dr.’s Account of a Lady’s J.&J. Vaccine-Associated Blood Clot Case

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Dr. Lipman mentioned that because the crew had studied her blood samples, the items started to fall into place, they usually realized that she appeared to have the identical drawback that they knew had been occurring in Britain and Europe after sufferers obtained the AstraZeneca vaccine, principally in younger girls. They switched from heparin to a different blood-thinner and started following steering offered by docs in Britain who had handled AstraZeneca recipients with an analogous dysfunction.

Hoping for extra details about the situation and any attainable connection to the Johnson & Johnson vaccine, Dr. Lipman known as an emergency quantity on the Meals and Drug Administration. It was a weekend, and he mentioned the one who answered advised him that nobody was out there to assist and that the road needed to be saved open for emergencies.

“I assumed this was an emergency,” Dr. Lipman mentioned. “She hung up on me.”

He known as again, to ask learn how to attain Janssen, which makes the Johnson & Johnson vaccine. That info was not out there, and he mentioned the one who answered had additionally advised him that the F.D.A. couldn’t present recommendation on affected person care.

An F.D.A. spokeswoman, Stephanie Caccomo, mentioned in an e mail, “We’ll look into this additional to make sure physicians calling F.D.A. for help obtain the assistance they’re searching for.”

Dr. Lipman mentioned that the pharmacist at his hospital had submitted a report on-line to the Facilities for Illness Management and Prevention in early April however that the company had not contacted him to ask concerning the case till this week. The company declined to touch upon whether or not it had communicated with Dr. Lipman, a spokeswoman, Kristen Nordlund, mentioned by e mail.

At a gathering on Wednesday of a C.D.C. advisory panel, Johnson & Johnson and Dr. Tom Shimabukuro, a security knowledgeable on the company, each introduced information concerning the younger lady in Nevada. After the assembly, Nevada officers issued an announcement saying the assembly was the primary time that they had discovered of a case of their state — that they had beforehand advised the general public that no circumstances had been reported — they usually have been asking “federal companions” why the state had not been knowledgeable.

On the Nevada hospital, an interventional radiologist handed a tube via blood vessels and on into the younger lady’s mind and used a tool to suction out the blood clots. Extra clots fashioned later, and he carried out the process once more.

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