If You’re Concerned About the J&J Vaccine, Let’s Also Discuss Birth Control

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Earlier this week, the FDA and CDC announced a pause in the distribution of the Johnson & Johnson vaccine after six women aged 18 to 48 experienced rare blood clots within two weeks of vaccination. Prior to this pause, about 6.8 million doses had been administered, making the odds of this reaction about one in a million.

As reported by The New York Times, one of the women is currently hospitalized, and another has sadly passed away. While I appreciate the CDC’s commitment to public safety, I believe that many individuals are reacting with excessive and unfounded fear. The suspension of the vaccine has only added to public anxiety and confusion. Given those low odds, the panic feels somewhat unwarranted.

It’s crucial to keep these situations in perspective. For instance, let’s consider the risks associated with oral contraceptives. While birth control itself doesn’t directly cause blood clots, it significantly increases the likelihood of developing them. Why haven’t we raised alarms about birth control all these years?

According to the National Blood Clot Alliance, women taking birth control face three to four times the risk of developing blood clots, with approximately 1 in 1,000 women experiencing this complication annually. In contrast, the risk of blood clots from the J&J vaccine is one in a million. While we must acknowledge those affected by clots, if we consider clots from birth control a low-risk side effect, why is a much rarer event leading to a vaccine pause?

It’s important to differentiate the types of clots involved. The clots associated with the J&J vaccine are referred to as cerebral venous sinus thrombosis (CVST), which occurs in the brain, while those linked to birth control typically manifest as deep vein thrombosis (DVT) in the legs. Although DVT can sometimes travel to the lungs, that occurrence is rare. Approximately five people per million develop CVST each year, and women on birth control are at a higher risk of this specific type of clot than men or women not on the pill.

The FDA and CDC’s concern stems not from the number of clot cases but from the fact that the affected women had low blood platelet levels. Blood platelets are crucial for stopping bleeding. As Dr. Melanie Swift, an internist and vaccine expert at the Mayo Clinic, noted, the number of individuals exhibiting this combination of symptoms is too small to draw significant conclusions. Thus, J&J is exercising caution by pausing the vaccine to curb any potential anti-vaccine sentiments.

Dr. Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research, stated that this specific combination of low platelets and blood clots is exceedingly rare, having been observed only in unique autoimmune situations in the past.

Another concern is that this particular combination of symptoms is challenging to treat. The CDC and FDA indicated that the conventional treatment, heparin, would be dangerous in these cases. If standard treatment options are not viable, alternative approaches may not be readily available.

Investigating the cause of these clots is vital, particularly since only women seem to be affected at this time. It’s encouraging to see the FDA and CDC prioritize women’s health, but the rarity of these cases makes it frustrating to see the public react with alarm, especially when COVID-19 continues to claim lives daily.

If you’ve received the Johnson & Johnson vaccine, there’s no need to panic about clot development. Timing does matter. Dr. Paul Geopfert, a professor of medicine at the University of Alabama at Birmingham, suggests that if it has been over two weeks since your vaccination, there’s no reason for concern, as the issues appear to arise earlier. For those vaccinated in the last two weeks, be alert for severe headaches, confusion, or loss of consciousness, which are symptoms of CVST.

Interestingly, attending a gender reveal party poses a greater risk than receiving the Johnson & Johnson vaccine. In March, two pilots tragically died in Mexico when their plane crashed while carrying a “it’s a girl” sign. This year alone, four individuals have lost their lives during gender reveal events—three more than those who have died from the vaccine.

While the CDC and FDA acted prudently in pausing the J&J vaccine to investigate further, the odds of developing a blood clot are extremely low—better chances exist of being struck by a bus than experiencing this rare side effect. We must take scientific guidelines seriously but also recognize when fear responses may be exaggerated.

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In summary, while the J&J vaccine pause may seem alarming, it’s essential to weigh the actual risks against those associated with other medical interventions, like birth control. Understanding the context and scientific data can help alleviate fear and promote informed decision-making.

Keyphrase: J&J vaccine and blood clots

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