I remember having a small argument with my mother (an internal medicine doc) a week ago when I signed up for my vaccine appointment. Since Stanford only had me schedule one appointment, my mom thought this meant that I was getting the single-dose Johnson & Johnson vaccine. She told me, “whatever you do, don’t get that one- please try to ask for a different vaccine if possible or back out and sign up for a different appointment later.” I told my mom at the time that this was ridiculous, that beggars can’t be choosers, that who was to say that the second time around I wouldn’t get Johnson & Johnson as well. Her concerns primarily surrounded efficacy at the time.
Ironically, I learned today that the Johnson & Johnson vaccine rollout has been paused due to concerns that the vaccine may be causing a rare blood-clotting disorder. This clotting happened in six recipients of the vaccine, who all developed the clotting within a few weeks of receiving the vaccination. However, something about this number should strike you- out of the seven million people in the US that have received this vaccine so far, only 6 people in total have developed this clotting disorder. The risk of getting a blood clot from birth control pills is so much higher- around 6 women in every 10,000 taking oral birth control pills will develop a blood clot! I find this to be funny because half of the women I know are on oral birth control, including myself, and such a huge alarm is being raised at the prospect of 6 women out of 7 million people getting blood clots from the vaccine. The decision to pause J&J rollout concerns me, given that so many people are already vaccine hesitant and refuse to take the vaccine because of concerns that vaccines cause diseases or uncurable side effects. This blood clotting issue is so rare, and the response to pause the vaccine I fear will only further fuel vaccine hesitancy among people that are already skeptical of vaccines, prompting even fewer Americans to get vaccinated than we are already seeing.
Apparently, the next step is for the FDA and CDC to “jointly examine possible links between the vaccine and the disorder and determine whether the F.D.A. should continue to allow emergency use of the vaccine for all adults or modify the authorization, possibly by limiting the vaccine to certain population groups. An emergency meeting of the C.D.C.’s outside vaccine advisory committee has been scheduled for Wednesday.” A link to the article I read is here: https://www.nytimes.com/2021/04/13/us/politics/johnson-johnson-vaccine-blood-clots-fda-cdc.html
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