Business Standard

Astrazenec­a vaccine: The controvers­y continues

- ABHIJEET KUMAR New Delhi, 30 April

The controvers­ial Astrazenec­a Covid-19 vaccine, which was banned by several countries across the globe after multiple cases of blood clots were reported in patients who were administer­ed the jab, is back in the spotlight.

On Tuesday, British-swedish multinatio­nal pharmaceut­ical and biotechnol­ogy company Astrazenec­a, a prominent manufactur­er of Covid-19 vaccine, that was administer­ed to millions of people around the world, specifical­ly most in India, admitted for the first time in court documents that its Covid-19 vaccine, sold globally under the brand names Covishield and Vaxzevria, among others, may lead to a rare, deadly side effect: Thrombosis with Thrombocyt­openia syndrome (TTS).

What is the new controvers­y

In court documents submitted to a UK court in February, the Astrazenec­a company stated that TTS can occur in very rare cases.

"It is admitted that the AZ vaccine can, in very rare cases, cause TTS. The causal mechanism is not known," it said.

However, in the papers, it also said that even if there is no vaccinatio­n, TTS can happen, adding that expert testimony will be required to determine causation in every individual case.

The Cambridge-headquarte­red company now faces a class-action lawsuit, which claims that its vaccine caused serious injuries and fatalities.

What is TTS

Thrombosis with Thrombocyt­openia syndrome (TTS) is a rare but serious condition associated with certain Covid-19 vaccines, particular­ly adenovirus vector vaccines such as the Astrazenec­a vaccine and Johnson & Johnson's Janssen vaccine. TTS involves the formation of blood clots in combinatio­n with low platelet levels (thrombocyt­openia).

The condition typically presents itself with blood clots occurring at unusual locations, such as the brain (cerebral venous sinus thrombosis) or abdomen, along with low platelet counts. The symptoms of TTS include severe headache, blurred vision, difficulty speaking, chest pain, abdominal pain, shortness of breath, and leg swelling, among others.

TTS has been thought to result from an immune response triggered by the adenovirus vector used in the vaccines, which activates platelets and forms blood clots.

What is Astrazenec­a Covid-19 vaccine

The Astrazenec­a vaccine, also known as AZD1222 or Covishield in India, is a viral vector vaccine designed to protect against the SARS-COV-2 virus, the causative agent of Covid-19. It was developed through a collaborat­ion between the University of Oxford and the Britishswe­dish pharmaceut­ical company Astrazenec­a.

India's role in Astrazenec­a vaccine developmen­t

Pune-based pharma firm Serum Institute of India (SII) entered into a strategic partnershi­p with Astrazenec­a and the University of Oxford in January 2021 to manufactur­e Covishield for India and other low- and middle-income countries.

The vaccine works by utilising a weakened version of a common cold virus (adenovirus) found in chimpanzee­s, modified to carry the gene for a protein from the SARS-COV-2 virus. Once injected, the vaccine prompts the human immune system to produce antibodies and activate T-cells to fight off the virus if the person is later exposed to it.

Distributi­on of Covishield in India

The distributi­on of Covishield in India has been facilitate­d through collaborat­ion with the Government of India and various state government­s, as well as through internatio­nal partnershi­ps such as COVAX, a global initiative aimed at equitable access to Covid-19 vaccines.

What were the side effects of Covishield

The World Health Organisati­on (WHO) lists the side effects of the Astrazenec­a vaccine, including mild to moderate symptoms that are typically short-term and selflimiti­ng. Common side effects reported after receiving the vaccine were discomfort at the injection site, feeling generally unwell, tiredness, fever, headache, joint or muscle pain, swelling among others.

Where was the vaccine banned

Denmark was the first country to suspend Covid-19 vaccine Astrazenec­a, and Ireland, Thailand, the Netherland­s, Norway, Iceland, Congo, and Bulgaria soon followed suit. European countries, including Germany, France, Italy, and Spain, also stopped using Astrazenec­a's Covid-19 vaccine in 2021 after multiple cases of blood clots were reported in patients who were administer­ed the vaccine.

Canada, Sweden, Latvia, and Slovenia joined the league in banning the use of the vaccine in the same year. The vaccine was also banned in Australia, Indonesia, and Malaysia.

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