The Mercury News

New CDC study finds COVID-19 far riskier than vaccines.

Report says the remote possibilit­y of serious side effects shouldn’t sway people from shots

- By John Woolfolk jwoolfolk@bayareanew­sgroup.com

How risky are COVID-19 vaccines? A new study by the U.S. Centers for Disease Control and Prevention found that the risk of illness, hospitaliz­ation and death following the shots is far lower than the danger from becoming infected with the highly contagious and often deadly virus.

Three health threats have surfaced among some vaccinated people: Blood clots and the Guillain-Barre Syndrome neurologic disorder after the Johnson & Johnson shot, and heart inflammati­on after the Pfizer or Moderna shots, which use a messenger-RNA technology.

But the CDC analysis found that the risk in adults from the vaccines to be minimal compared to the virus that causes COVID-19, which has infected 35 million Americans and killed more than 614,000.

Federal health authoritie­s briefly paused use of the J&J vaccine in April after reports of rare blood clots, mostly among adult women, a controvers­ial move that some critics say has needlessly hampered the effort to get more people vaccinated. Just over half of all Americans and almost 59% of those ages 12 and older who are eligible for at least one of the three authorized vaccines have been fully vaccinated.

Health authoritie­s did not suspend use of the Johnson & Johnson shots after reports of Guillain-Barre Syndrome, a serious

condition in which the body’s immune system attacks its nerves. Health authoritie­s also did not suspend use of Pfizer and Moderna shots after heart inflammati­on reports. Warnings of those potential risks since have been added to all three vaccines.

After 12.6 million doses of the one-shot J&J vaccine were administer­ed through June, the CDC report cited 98 new cases of GuillainBa­rre Syndrome within 42 days of receiving the shot. One patient died.

The report cited 38 confirmed cases of blood clotting within 15 days of receiving the J&J vaccine, and four deaths.

The CDC study cited 497 reports of myocarditi­s, or heart inflammati­on, and no deaths after 141 million second doses of the twoshot Pfizer and Moderna

vaccines had been given to adults through June.

“Based on a comprehens­ive review of existing data,” the report said, “the benefits of vaccinatin­g all recommende­d age groups with either … vaccine outweigh the risks for vaccinatio­n.”

The report noted that risk of any of the serious side effects varied by age and sex. The overall risk of Guillain-Barre Syndrome was 7.8 per million doses, but was highest — 15.6 per million doses — for men ages 50-64, and lowest for women ages 18-29. The overall blood clot rate was 3 per million doses, but highest among women ages 30-49, at 8.8 per million doses.

The overall risk of heart inflammati­on in adults following second doses of the Pfizer or Moderna vaccine was 3.5 per million doses, but it was highest among men ages 18-29, at 24.3 per million.

The report did not assess

risk in teens — the Pfizer shot is authorized for children as young as 12, while the Moderna and J & J vaccines are recommende­d for adults 18 and older. The CDC has separately assessed reports of heart inflammati­on in adolescent­s and teens after the Pfizer shot, including at least one possible death, but has also concluded they are more at risk from the virus.

Putting that into perspectiv­e against the risk of the disease, the report found that for men ages 5064 getting the J & J vaccine, there is an estimated risk of 14-17 cases of Guillain-Barre Syndrome and 1-2 cases of blood clots, but shots would also prevent 1,800 COVID-19 hospitaliz­ations and 140 deaths, per million doses.

For women ages 3049 getting the Johnson & Johnson shot, there is an estimated risk of 6-7 cases of Guillain-Barre Syndrome and 8-10 cases of blood clots, but the shots

would prevent 900 COVID-19 hospitaliz­ations and 20 deaths, per million doses.

With the Pfizer and Moderna vaccines, for every million second doses among men ages 18-29, there would be an estimated 22-27 cases of

heart inflammati­on, but the shots would prevent 300 hospitaliz­ations and 3 deaths.

The CDC’s Advisory Committee on Immunizati­on Practices has met three times to review reports of dangerous side effects and continues to recommend the shots for those who are eligible. The report noted that “with the delta variant” of the virus, which is far more contagious, “this is more urgent than ever.”

 ?? RAY CHAVEZ STAFF ARCHIVES ?? A medical assistant administer­s a COVID-19 vaccine at a La Clinica testing and vaccinatio­n site on Fruitvale Avenue and East 12th Street in Oakland on June 15.
RAY CHAVEZ STAFF ARCHIVES A medical assistant administer­s a COVID-19 vaccine at a La Clinica testing and vaccinatio­n site on Fruitvale Avenue and East 12th Street in Oakland on June 15.

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