The European Medicines Agency (EMA) concluded that “a warning about unusual blood clots with low blood platelets should be added to the product information” about the shot given to patients.
“All cases occurred in people under 60 years of age within three weeks after vaccination, the majority in women,” the EMA said. “Based on the currently available evidence, specific risk factors have not been confirmed.”
The agency said that “the combination of blood clots and low blood platelets is very rare, and the overall benefits of COVID-19 Vaccine Janssen in preventing COVID-19 outweigh the risks of side effects.”
The agency’s findings are nonetheless a setback for the pharmaceutical giant, and come as it awaits the results of similar investigations by regulators in the United States.
The vaccine was paused in the country on April 13 after the reports came to light, and Johnson & Johnson decided to “proactively delay” the rollout of the shot in Europe on the same day.
Following the European Medicines Agency’s assessment, Johnson & Johnson said it will resume shipments of its Covid-19 vaccine to the European Union, Norway and Iceland.
The company said in a statement it will update its Covid-19 vaccine leaflet to include information about how to diagnose and manage rare blood clots.
“We appreciate the rigorous review of the PRAC and share the goal of raising awareness of the signs and symptoms of this very rare event to ensure the correct diagnosis and appropriate treatment,” Dr. said Paul Stoffels, chief scientific officer at Johnson & Johnson, referring to the EMA’s committee responsible for assessing and monitoring the safety of medicines.
The US Centers for Disease Control and Prevention (CDC) is looking at a “handful” of reported adverse events after people received the vaccine, it said on Monday, and it is expected to announce its own conclusions on Friday.
The company will now seek to claw back confidence both in the United States and Europe. Inoculation programs have ramped up in both regions in recent weeks; the US is vaccinating millions of people each day, while the EU’s rollout has improved after a bumpy start.
Johnson & Johnson’s shot had been authorized for use by the EMA on March 11, but was not yet in widespread use.
The vaccine has been touted as a potential game-changer in the pandemic because it is given in one shot; most of the other approved vaccines around the world are given in two doses, spaced at least a few weeks apart.
Multiple health regulators have stressed that the overall benefits of the AstraZeneca vaccine still outweigh the risks, but some European countries are restricting use of the shot to older age groups while UK authorities advised that people under 30 are given different vaccines.