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

Dr. Lipman stated that because the crew 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 obtained the AstraZeneca vaccine, largely in younger girls. They switched from heparin to a different blood-thinner and commenced following steerage supplied by docs in Britain who had handled AstraZeneca recipients with the same dysfunction.

Hoping for extra details about the situation and any doable 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 stated the one that answered instructed him that nobody was accessible to assist and that the road needed to be saved open for emergencies.

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

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

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

Dr. Lipman stated 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, stated by electronic 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 offered information in regards to the younger girl in Nevada. After the assembly, Nevada officers issued a press release saying the assembly was the primary time that they had realized of a case of their state — that they had beforehand instructed the general public that no circumstances had been reported — and so they had 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 girl’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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