Responses

Download PDFPDF

Acute immune thrombocytopenic purpura post first dose of COVID-19 vaccination
Free
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on:
    The impossible choices we ask patients to make
    • oscar,m jolobe, retired geriatrician British Medical Association. Also a member, but not an affilliate of the Manchester Medical Society

    This remarkable account of the successful treatment of two cases of Vaccine Induced Thrombosis with Thrombocytopenia(VITT) aged 86 and 38, respectively(1), is also remarkable for the fact that the second patient, aged 38, did not qualify for receipt of a vaccine other than the AstraZeneca vaccine. She failed to qualify because , either in April or in May 2021, Public Health England and Joint Committee on Vaccination and Immunisation(JCVI) issued a directive which stated "JCVI currently advises that it is preferable for adults aged < 30 years without underlying health conditions that put them at higher risk of severe COVID-19 disease, to be offered an alternative COVID vaccine, if available"(2)(3). However, this recommendation did not apply to people aged 30-40(the age group of patient )(1), notwithstanding the fact that, on the 6th May 2021, headlines in the Independent had declared "Under 40s to be offered alternative to AstraZeneca vaccine over increased clot risk"(4).

    By the 30th July 2021, 411 cases of VITT had been documented, including 73 fatalities. In the age group 30-39 there were 51 cases of VITT, including 11 deaths(5). By the time this patient had been vaccinated, however, the BNT162b2(Pfizer) vaccine, and probably also the mRVA-1273(Moderna) vaccine must have been available as potential alternatives to the AstraZeneca vaccine. The Pfizer vaccine is 95% effective in preventing Covid-19(95% credible interval, 90.3 to 97.6).

    T...

    Show More
    Conflict of Interest:
    None declared.