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EU countries pause AstraZeneca, which is being used in SL, as blood clot reports probed

12 Mar 2021

Denmark, Iceland and Norway have suspended the use of the Oxford-AstraZeneca Covid-19 vaccine, that is being administered in Sri Lanka, India and several other countries, while the European Union's medicines regulator investigates whether the shot could be linked to a number of reports of blood clots, CNN reported yesterday. Denmark announced a two-week suspension on Thursday following a number of reports of clotting in the country, including one fatal case. Iceland and Norway followed suit, but did not say how long their suspensions would last. Danish Health Minister Magnus Heunicke made clear the pause was a "precautionary measure," saying it was not possible yet to draw conclusions. "We act early, it needs to be thoroughly investigated," he said in a tweet. "We are in the middle of the largest and most important vaccination rollout in Danish history. And right now we need all the vaccines we can get. Therefore, putting one of the vaccines on pause is not an easy decision. But precisely because we vaccinate so many, we also need to respond with timely care when there is knowledge of possible serious side effects. We need to clarify this before we can continue to use the vaccine from AstraZeneca," Søren Brostrøm, director of the National Board of Health, said. Speaking to CNN Kjartan Njálsson, assistant to the director of health in Iceland, said that although there had been no reports of patients developing blood clots in the country, they were waiting for advice from the European Medicines Agency (EMA). "It's the lack of data right now that concerns us," he added. The EMA said later Thursday that it did not recommend suspending use of the vaccine. The agency said it was aware that Denmark had suspended use but that there was "currently no indication that vaccination has caused these conditions, which are not listed as side effects with this vaccine." "The vaccine's benefits continue to outweigh its risks and the vaccine can continue to be administered while investigation of cases of thromboembolic events is ongoing," the agency added. The EMA also noted that the number of blood clots seen in vaccine recipients was no higher than the rate among people who had not received the shot in Europe. The Norwegian Institute of Public Health issued a statement saying the country had also chosen to "pause" inoculations following report of a death in Denmark as a result of a blood clot. It also noted there had been reported cases of blood clots shortly after receiving Covid-19 vaccinations in Norway but "mainly in the elderly where there is often another underlying disease as well." Spain's Public Health Commission announced Thursday that it was delaying the vaccination of people aged between 55 and 65 years old with the AstraZeneca vaccine until "there is a full review and conclusion of side effects by the European Medicines Agency (EMA)", according to a commission statement issued on Thursday evening. Spanish health minister Carolina Darias called for calm earlier on Thursday. "I would to send a message of calm and caution. In Spain we have not been notified of any case related to blood clots," Darias told local TV station La Sexta. The Public Health Commission includes the country's Ministry of Health and representatives of Spain's 17 regions. Earlier this week, a number of EU nations paused the use of doses that came from a particular batch of AstraZeneca vaccine, after a 49-year-old woman in Austria died of multiple thrombosis on Sunday. The EMA said Wednesday there was "no indication" that vaccination had been behind the cases of clotting or death.

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