Cerebral venous thrombosis: a retrospective cohort study of 513,284 confirmed COVID-19 cases and a comparison with 489,871 people receiving a COVID-19 mRNA vaccine

Link: https://osf.io/a9jdq/

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Abstract:

Using an electronic health records network we estimated the absolute incidence of cerebral venous thrombosis (CVT) in the two weeks following COVID-19 diagnosis(N=513,284), or influenza (N=172,742), or receipt of the BNT162b2 or mRNA-1273 COVID-19 vaccines(N=489,871). The incidence of portal vein thrombosis (PVT) was also assessed in these groups, as well as the baselineCVTincidence over a two-week period. The incidence of CVT after COVID-19 diagnosis was 39.0 per million people (95% CI, 25.2–60.2). This was higher than the CVT incidence after influenza (0.0 per million people, 95% CI 0.0–22.2, adjusted RR=6.73, P=.003) or after receiving BNT162b2 or mRNA-1273 vaccine (4.1 per million people, 95% CI 1.1–14.9, adjusted RR=6.36, P<.001). The relative risks were similar if a broader definition of CVT was used. For PVT, the incidence was 436.4 per million people (382.9-497.4) after COVID-19, 98.4 (61.4-157.6) after influenza, and 44.9 (29.7-68.0) after BNT162b2 or mRNA-1273. The incidence of CVT following COVID-19 was higher than the incidence observed across the entire health records network (0.41 per million people over any 2-week period). Laboratory test results, available in a subset of the COVID-19 patients, provide preliminary evidence suggestive of raised D-dimer, lowered fibrinogen, and an increased rate of thrombocytopenia in the CVT and PVT groups. Mortality was 20% and 18.8% respectively. These data show that the incidence of CVT is significantly increased after COVID-19, and greater than that observed with BNT162b2 and mRNA-1273 COVID-19 vaccines. The risk of CVT following COVID-19 is also higher than the latest estimate from the European Medicines Agency for the incidence associated withChAdOx1 nCoV-19 vaccine (5.0 per million people, 95% CI 4.3–5.8). Although requiring replication and corroboration, the present data highlight the risk of serious thrombotic events in COVID-19, and can help contextualize the risks and benefits of vaccination in this regard.

Author(s): Maxime Taquet, Masud Husain, John R Geddes, Sierra Luciano, Paul J Harrison

Date Accessed: 19 April 2021

Publication Site: OSFHOME

Blood clots as prevalent with Pfizer and Moderna vaccine as with AstraZeneca’s: study

Link: https://www.marketwatch.com/story/blood-clots-as-prevalent-with-pfizer-and-moderna-vaccine-as-with-astrazenecas-report-2021-04-15

Excerpt:

study by Oxford University found the number of people who receive blood clots after getting vaccinated with a coronavirus vaccine are about the same for those who get Pfizer PFE, 2.43% and Moderna MRNA, 6.67% vaccines as they are for the AstraZeneca AZN, -0.16% vaccine that was produced with the university’s help. According to the study, 4 in 1 million people experience cerebral venous thrombosis after getting the Pfizer or Moderna vaccine, versus 5 in 1 million people for the AstraZeneca vaccine. The risk of getting CVT is much higher for those who get COVID-19 — 39 in a million patients — than it is for those who get vaccinated. AstraZeneca’s vaccine use has been halted or limited in many countries on blood clot concerns.

Author(s): Steve Goldstein

Publication Date: 15 April 2021

Publication Site: Marketwatch

Detroit Mayor Is Wrong To Turn Down J&J COVID-19 Vaccines

Excerpt:

The Detroit Free Press reports that the mayor declined to accept a shipment of 6,200 doses of the Johnson & Johnson one-shot vaccine. Why? At a press conference on Tuesday, the mayor asserted, “Johnson & Johnson is a very good vaccine. Moderna and Pfizer are the best. And I am going to do everything I can to make sure the residents of the city of Detroit get the best.”

What does the mayor mean by “best”? Duggan stated, “The Moderna and Pfizer vaccines are 95% effective if you get two shots. Johnson & Johnson is one shot, which is nicer, but it’s about 67% effective.”

Actually, in the United States arm of the Johnson & Johnson (J&J) clinical trial, the vaccine’s ability to prevent moderate to severe infection was 72 percent and it is 85 percent effective at preventing severe disease.In addition, the J&J vaccine has been shown to be effective against the new, more contagious COVID-19 variants that are now spreading across the country. And it is likely that many citizens would prefer the convenience of getting a one-and-done J&J shot as opposed to waiting nearly a month to get a second Moderna or Pfizer/BioNTech shot.

Author(s): Ronald Bailey

Publication Date: 5 March 2021

Publication Site: Reason

UK finds vaccines 80% effective at preventing hospitalisations in over-80s

Link: https://www.reuters.com/article/uk-health-coronavirus-britain-vaccines/uk-finds-vaccines-80-effective-at-preventing-hospitalisations-in-over-80s-idUSKCN2AT38I

Excerpt:

The Pfizer and AstraZeneca vaccines are more than 80% effective at preventing hospitalisations from COVID-19 in those over 80 after one dose of either shot, Public Health England (PHE) said on Monday, citing a pre-print study.

Author(s): Alistair Smout

Publication Date: 2 March 2021

Publication Site: Reuters

Why aren’t kids getting vaccinated?

Link: https://www.technologyreview.com/2021/02/08/1017621/why-arent-kids-getting-vaccinated/

Excerpt:

While much of the world is engaged in a frantic scramble to get vaccinated against covid-19, there’s one group noticeably absent from the queues of people at vaccine clinics: children.

The Pfizer-BioNTech vaccine is still approved for use only in those aged 16 years or older, and the Moderna vaccine is only for adults. Both are now in trials for younger age groups, and results are expected by the summer. The Oxford-AstraZeneca and Johnson & Johnson vaccines are also due to start trials in children soon. But in a world where most vaccines are given to children under two, why is it that during a global pandemic, children are being left behind? And what does it mean for how the pandemic will unfold in adults? 

One reason children are not yet priorities for vaccination is that they are much less affected by SARS-CoV-2 infection than adults. Children make up nearly 13% of all cases reported in the United States so far, but less than 3% of all reported hospitalizations and less than 0.21% of all covid-19 deaths. When they have symptoms, they are similar to adults’—cough, fever, sore throat, and runny nose—but less severe.

Author(s): Bianca Nogrady

Publication Date: 8 February 2021

Publication Site: MIT Tech Review

Pfizer’s Covid-19 Vaccine Is Equally Effective for Young and Old, Israeli Study Finds

Link: https://www.wsj.com/articles/israeli-study-finds-pfizer-shot-equally-effective-for-young-and-old-11614204008

Excerpt:

The Covid-19 vaccine from Pfizer Inc. and BioNTech SE is equally effective across all age groups, including those over 60, according to a new Israeli study, in a boost of confidence to global vaccine efforts.

The Pfizer vaccine provided around 94% protection against developing coronavirus symptoms across all age groups above 16 a week after the second shot of a recommended two-dose regimen, according to a study by researchers from Israel’s Clalit Research Institute and Harvard University. The study also found the vaccine is 92% effective in preventing severe disease.

The results are in line with the vaccine maker’s own clinical trial, but the large size of the study, which covered nearly 1.2 million people, provides more precise insight into older age groups that were sparsely covered by the drugmaker’s trial, according to the study’s authors.

Author(s): Dov Lieber

Publication Date: 24 February 2021

Publication Site: Wall Street Journal

A leaked report shows Pfizer’s vaccine is conquering covid-19 in its largest real-world test

Link: https://www.technologyreview.com/2021/02/19/1019264/a-leaked-report-pfizers-vaccine-conquering-covid-19-in-its-largest-real-world-test/

Excerpt:

A leaked scientific report jointly prepared by Israel’s health ministry and Pfizer claims that the company’s covid-19 vaccine is stopping nine out of 10 infections and the country could approach herd immunity by next month.

The study, based on the health records of hundreds of thousands of Israelis, finds that the vaccine may sharply curtail transmission of the coronavirus. “High vaccine uptake can meaningfully stem the pandemic and offers hope for eventual control of the pandemic as vaccination programs ramp up across the rest of the world,” according to the authors.

The nationwide study was described by the Israeli news website Ynet on Thursday, and a copy was obtained by MIT Technology Review.

Author(s): Joshua Mitnick, Antonio Regalado

Publication Date: 19 February 2021

Publication Site: MIT Technology Review

Pfizer’s COVID-19 vaccine may curb transmission, decrease symptomatic coronavirus cases, Israeli research shows

Link: https://www.abc.net.au/news/health/2021-02-19/covid-19-pfizer-biontech-vaccine-viral-load-drops-first-dose/13156116

Excerpt:

Israeli researchers have found that having just one shot of the Pfizer coronavirus vaccine may lead to lower viral loads, making it harder to transmit COVID-19 if someone becomes infected after the first dose.

And it’s not the only positive research about the Pfizer jab to come out of Israel recently.

A separate independent Israeli study, from the country’s largest healthcare provider Clalit, found a 94 per cent drop in symptomatic COVID-19 infections among 600,000 people who received two doses of the Pfizer vaccine.

Researchers also found the fully inoculated group was 92 per cent less likely to develop severe illness from the virus.

Author(s): Lauren Roberts

Publication Date: 18 February 2021

Publication Site: Australian Broadcasting Commission News

North Korea Reportedly Tried to Hack Pfizer Servers to Steal Coronavirus Vaccine

Link: https://slate.com/news-and-politics/2021/02/north-korea-kim-jong-un-hack-steal-pfizer-coronavirus-covid-vaccine.html

Excerpt:

North Korea, along with the usual suspects of Russia and China, have all been accused of trying to swipe vaccine data from pharmaceutical companies, researchers, and others. “Although it claims to be free of the virus, North Korea has requested coronavirus vaccines and is set to receive nearly two million doses of the AstraZeneca-Oxford vaccine, according to the Gavi Alliance, part of the United Nations-backed Covax effort which aims to deliver vaccines to the world’s most vulnerable people,” the Washington Post reports. “The statement by South Korean officials is the latest in a string of accusations against North Korean hackers for attempting to steal vaccine technology, highlighting Pyongyang’s ongoing campaign to obtain sensitive information through nefarious means and its growing cyber capabilities.”

Author(s): Elliot Hannon

Publication Date: 16 February 2021

Publication Site: Slate

COVID-19 Vaccine Developers Ask the SEC to Help Keep the Secret of How They Set Prices

Link: https://www.newsweek.com/covid-19-vaccine-developers-ask-sec-help-keep-secret-how-they-set-prices-1565904

Excerpt:

When the U.S. government awarded over $10 billion in contracts and advance- purchase commitments to drug companies working on COVID-19 vaccine and treatments, it did not require the recipients of government money to agree to offer their products at fair prices or share intellectual property rights to enable faster production.

Now, two of the companies awarded those contracts—Pfizer and Johnson & Johnson—are trying to prevent shareholders from voting on resolutions to require the companies to disclose information about the impact of government funding on vaccine access.

Author: Julia Rock

Publication Date: 1 February 2021

Publication Site: Newsweek