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

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

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

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

He referred to as again, to ask find out how to attain Janssen, which makes the Johnson & Johnson vaccine. That data was not obtainable, and he mentioned the one who answered had additionally informed 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 in regards to 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 professional on the company, each offered knowledge in regards to the younger lady in Nevada. After the assembly, Nevada officers issued a statement saying the assembly was the primary time that they had discovered of a case of their state — that they had beforehand informed the general public that no circumstances had been reported — and so they have been asking “federal companions” why the state had not been knowledgeable.

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

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