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Study linking bivalent vaccines with stroke: Govt says no signals of concern seen in India

Last week, the CDC and US FDA had said that Pfizer and BioNTech's updated (bivalent) COVID-19 vaccines could be linked to a type of brain (ischemic) stroke in people aged 65 and older

January 16, 2023 / 17:27 IST
Representative image.

Days after a study on bivalent vaccines signalled a potential linkage to brain strokes in the United States, government officials in India said the analysis of adverse events following immunisation through COVID-19 vaccines in the country has showed no signals of concern.

“We haven’t administered the mRNA vaccines in India. So, any link of this study with Indians would be vague. However, if you talk about the adverse event following immunisation (AEFI), analysis has shown no signals of concerns in the country,” a senior official from the National Technical Advisory Group on Immunisation (NTAGI) told Moneycontrol.

Last week, the US Centres for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA) had flagged that Pfizer and BioNTech's updated (bivalent) COVID-19 vaccines could be linked to a type of brain (ischemic) stroke in people aged 65 and older.

Also read: Serum Institute to start free COVID vaccine supply to government, other manufacturers await order

“Although the totality of the data currently suggests that it is very unlikely that the signal in VSD (Vaccine Safety Datalink) represents a true clinical risk, we believe it is important to share this information with the public,” the FDA said in a statement.

COVID-19 Vaccine

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How does a vaccine work?

A vaccine works by mimicking a natural infection. A vaccine not only induces immune response to protect people from any future COVID-19 infection, but also helps quickly build herd immunity to put an end to the pandemic. Herd immunity occurs when a sufficient percentage of a population becomes immune to a disease, making the spread of disease from person to person unlikely. The good news is that SARS-CoV-2 virus has been fairly stable, which increases the viability of a vaccine.

How many types of vaccines are there?

There are broadly four types of vaccine — one, a vaccine based on the whole virus (this could be either inactivated, or an attenuated [weakened] virus vaccine); two, a non-replicating viral vector vaccine that uses a benign virus as vector that carries the antigen of SARS-CoV; three, nucleic-acid vaccines that have genetic material like DNA and RNA of antigens like spike protein given to a person, helping human cells decode genetic material and produce the vaccine; and four, protein subunit vaccine wherein the recombinant proteins of SARS-COV-2 along with an adjuvant (booster) is given as a vaccine.

What does it take to develop a vaccine of this kind?

Vaccine development is a long, complex process. Unlike drugs that are given to people with a diseased, vaccines are given to healthy people and also vulnerable sections such as children, pregnant women and the elderly. So rigorous tests are compulsory. History says that the fastest time it took to develop a vaccine is five years, but it usually takes double or sometimes triple that time.

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The FDA has said this preliminary signal has not been identified with Moderna’s bivalent COVID-19 vaccine. The CDC and FDA said it will continue to evaluate additional data from these and other vaccine safety systems.

COVID vaccines 1601_001

Another key official from the AEFI committee also said the government’s signal review meeting has been looking at the international reports, but no such report linked to a type of brain stroke in India has been seen.

“We have largely seen minor adverse events like fever and headache and nausea being reported in India. Among the major events, the thrombocytopenia syndrome (TTS) has been seen in the country,” the official said.

Also read: Drug contamination reports hurt Indian pharma, government must find a way: Experts

The official added that no alarming signals were identified in India after assessing the global data of adverse events.

“We had signal review meetings in December and January to assess the adverse events being seen at the global level,” the official part of AEFI said.

The official said that the adverse event committee was also looking at cases of deaths due to sudden heart attacks in India.

Noting that the mRNA vaccines have been linked with myocarditis, Rajeev Jayadevan, Co-Chairman, National IMA COVID Task Force, said it has not yet been translated into a significant number of deaths in peer-reviewed published studies.

“Unfortunately, such data are being used by anti-vaxxers to generate universal fear of COVID vaccines, and this eventually will affect other vaccinations too. The vaccines used in India are different. Myocarditis is not a concern with these vaccines,” he added.

Ayushman Kumar
Ayushman Kumar Covers health and pharma for MoneyControl.
first published: Jan 16, 2023 05:26 pm

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