Health ministry issues guidelines on handling COVID-19 vaccine blood clots

The Vietnamese Ministry of Health has recently issued guidelines on protocols for diagnosis and treatment of rare brain/abdomen blood clots in the setting of low levels of blood platelets occurring after COVID-19 vaccinations.

Health ministry issues guidelines on handling COVID-19 vaccine blood clots hinh anh 1

Medical staff at Soc Trang General Hospital in the southern province of Soc Trang receive COVID-19 vaccines 

It stressed that these incidents are serious, but a very rare and unusual complication that seems to occur more among women younger than 60 years old.

The incidents that take place after administering COVID-19 vaccines by AstraZeneca and Johnson & Johnson were documented by drug authorities and vaccine safety monitoring agencies in many countries, the ministry noted.

The clinical symptoms – including lasting serious headaches, seizures, breathing difficulties and chest pains, abdominal pains, pain and oedema of the lower extremities, but rarely bleeding or skin haemorrhage or internal bleeding – show within four to 28 days after being administered the vaccine.

Imaging diagnostics – such as ultrasound and pulse doppler – of sites with clinical manifestations such as abdomen or the limbs can show thrombosis. X-raying and computed tomography (CT) or magnetic resonance imaging (MRI) scans at suspected sites such as in the brain, lung, or painful areas etc. can show signs of thrombosis or bleeding.

The Ministry of Health said that commune- and ward-level health stations and district-level medical centres must monitor people who have received the COVID-19 vaccines, and if the injected person shows any of clinical symptoms, medical staff must perform “emergency measures” and transfer the patient to the higher-level health facilities.

Health centres are also told to conduct a platelet count, imaging and X-rays on suspected patients to diagnose the underlying conditions, and contact experts for those with abnormal symptoms.

Vaccinated persons who suffer from severe headaches, localised neurological symptoms, seizures, difficulty breathing, chest pain, life-threatening bleeding should also be transferred to higher level.

Provincial- and municipal-level health facilities need to conduct tests and treatment of probable conditions that may be encountered in line with diagnosis and treatment guidelines of the Ministry of Health. If the patient’s condition progresses beyond the capacity of their diagnosis and treatment, it is necessary to consult a specialist or to refer to the higher-level medical facilities.

Central-level hospitals are supposed to receive the patients with severe reactions to vaccinations, and consult experts for treatment if necessary.

Minister of Health Nguyen Thanh Long issued Decision No. 1888/QĐ-BYT on April 15 to establish a steering committee for safe COVID-19 vaccination, which comprises of senior officials from the ministry and leaders of the ministry’s related departments along with Vietnam’s leading experts and scientists in diverse fields from immunisation, infection, emergency resuscitation, intensive care, to haematology, cardiology and neurology.

 

The steering committee is tasked with guiding medical establishments in performing screening, monitoring and handling of adverse events following COVID-19 vaccinations and promptly assist localities in handling all situations safely.

Dao Xuan Co, Chairman of the Vietnam National Association of Emergency, Intensive Care Medicine and Clinical Toxicology, and Deputy Director of Bach Mai Hospital, the largest first-tier public hospital in the northern region, said that post-vaccination blood clot incidents could be handled just like any other commonly occurred blood clot.

Co reassured that the public could have “peace of mind” for receiving the COVID-19 vaccine given the very small risk, and even if such an incident does happen, the expertise of leading scientists would be available to intervene in a timely manner.

However, given the nature of the COVID-19 vaccine approved for emergency use, Vietnam has been quite cautious in its vaccination drive.

“We do screening and counselling before the administration of the vaccine," Co said.

"The injected person is monitored at the vaccination site for at least 30 minutes, then continues to be monitored at home for at least 24 hours and follow-up observations for another three weeks after injection. Hospitals are always ready to prevent severe reactions after injection.”

According to a report of the National Expanded Programme on Immunisation released on April 27, a record of 50,104 people were inoculated on April 26.

Nearly 260,000 people – mostly frontline workers and medical staff – in 42 provinces and cities have been inoculated using AstraZeneca vaccines since the national vaccination drive began on March 8.

No rare blood clot incidents have been recorded so far, while the typical reactions (tiredness, mild fever, muscle pains, etc.) were reported in about 30 percent of the vaccinated, even lower than the advisory from the manufacturer or European authorities’ reports.

The country currently has nearly 1 million doses of AstraZeneca vaccine (combined deliveries from the manufacturer and supplied via the COVAX Facility), along with 1,000 doses of Sputnik V vaccine as gift from Russia./. VNS

 
 

Other News

.
Up to 118 new COVID-19 cases recorded on June 15 morning
Up to 118 new COVID-19 cases recorded on June 15 morning
SOCIETYicon  15/06/2021 

The national tally of COVID-19 infections rose to 10,999 after 118 more locally-transmitted cases were confirmed in the past six hours to 12pm on June 15, according to the Ministry of Health (MoH).

Hanoi's relocation of universities, hospitals, industrial establishment still slow
Hanoi's relocation of universities, hospitals, industrial establishment still slow
SOCIETYicon  15/06/2021 

Relocating universities, hospitals, and polluted production facilities to reduce population pressure on the central areas of Hanoi is an important goal of the six residential planning projects in four core inner-city districts.

Health Ministry sets up standing COVID-19-prevention unit in HCM City
Health Ministry sets up standing COVID-19-prevention unit in HCM City
SOCIETYicon  15/06/2021 

The Ministry of Health has decided to establish a standing division for COVID-19 prevention and control in Ho Chi Minh City, which is headed by its Deputy Minister Nguyen Truong Son.

Vietnam confirms 71 new COVID-19 infections
Vietnam confirms 71 new COVID-19 infections
SOCIETYicon  15/06/2021 

Vietnam reported 71 more COVID-19 infections, including one imported case, in the last 12 hours to 6am on June 15, according to the Ministry of Health.

HCM City extends social distancing order for two more weeks as COVID-19 outbreaks grow
HCM City extends social distancing order for two more weeks as COVID-19 outbreaks grow
SOCIETYicon  14/06/2021 

Chairman of HCM City People's Committee Nguyen Thanh Long on Monday agreed to prolong city-wide social distancing in line with the Government's Directive No 15 until the end of June, amid developments of coronavirus outbreaks in the city.

HCM City universities adjust enrollment plans for academic year
HCM City universities adjust enrollment plans for academic year
SOCIETYicon  14/06/2021 

Many universities in HCM City have changed enrollment plans for the upcoming academic year because of the ongoing COVID-19 outbreak.

The bumpy road of a 25-year-old female teacher elected to the National Assembly
The bumpy road of a 25-year-old female teacher elected to the National Assembly
FEATUREicon  15/06/2021 

Nang Xo Vi, the first Brau ethnic minority female teacher elected to the NA, said she is grateful to the people of Dak Me hamlet, who contributed packages of seasoning powder and shampoo as well as emotional support so that Vi could go to school.

Vietnamese in Southeast Asia’s COVID epicentres stay calm and optimistic
Vietnamese in Southeast Asia’s COVID epicentres stay calm and optimistic
SOCIETYicon  14/06/2021 

Nguyen Trung Dong, a Vietnamese engineer working in Vientiane, Laos, received the first shot of Sinopharm’s COVID-19 vaccine two weeks ago.

COVID-19 vaccine fund receives over 211.3 million USD in cash donations so far
COVID-19 vaccine fund receives over 211.3 million USD in cash donations so far
SOCIETYicon  14/06/2021 

The national COVID-19 vaccine fund has received more than 4.85 trillion VND (211.35 million USD) worth of donations from 291,818 organisations and individuals as of 5pm on June 13, according to the fund's management board.

COVID-19: 92 new cases reported on June 14 morning
COVID-19: 92 new cases reported on June 14 morning
SOCIETYicon  14/06/2021 

The Ministry of Health confirmed 91 new locally-transmitted and one imported COVID-19 cases in the past 12 hours to 6am on June 14, including 73 detected in quarantined or locked down areas.

Bac Ninh eases social distancing, Quang Ninh reboots tourism
Bac Ninh eases social distancing, Quang Ninh reboots tourism
SOCIETYicon  13/06/2021 

The northern province of Bac Ninh eased social distancing measures in several areas, starting from 0am on June 13.

103 more COVID-19 cases recorded in Vietnam, daily caseload at 297
103 more COVID-19 cases recorded in Vietnam, daily caseload at 297
SOCIETYicon  13/06/2021 

Vietnam has confirmed an additional 103 locally transmitted coronavirus cases in five localities during the past six hours, raising its daily count to 297, according to the Ministry of Health (MoH).

Over 93,000 students enter 10th grade entrance exam in Hanoi
Over 93,000 students enter 10th grade entrance exam in Hanoi
SOCIETYicon  13/06/2021 

More than 93,000 students throughout Hanoi took part in the 10th grade entrance exam for the upcoming school year on June 12.

Temporary blockade imposed on HCMC Hospital for Tropical Diseases
Temporary blockade imposed on HCMC Hospital for Tropical Diseases
SOCIETYicon  13/06/2021 

The municipal Department of Health decided to impose a temporary blockade on the HCMC Hospital for Tropical Diseases in the evening of June 12 after some healthcare workers in the hospital tested positive for Covid-19.

Vietnam’s top leaders consider vaccine passport
Vietnam’s top leaders consider vaccine passport
SOCIETYicon  13/06/2021 

Vietnam vows to pursue the twin goal of containing Covid-19 and developing the economy to serve the recovery plans.

Businesses face difficulties in vaccine imports
Businesses face difficulties in vaccine imports
SOCIETYicon  13/06/2021 

The Government has created conditions for localities and businesses to stimulate the import of Covid-19 vaccines, however, no proposals have been sent to the relevant agencies.

Tropical low depression develops into storm
Tropical low depression develops into storm
SOCIETYicon  13/06/2021 

A tropical low-pressure system has developed into a storm, internationally named Koguma, becoming the second hitting the East Sea since the beginning of this year.

Most of fresh Covid-19 cases linked to industrial parks
Most of fresh Covid-19 cases linked to industrial parks
SOCIETYicon  13/06/2021 

The Ministry of Health this morning, June 13, confirmed 96 Covid-19 cases in seven localities, with 67 cases linked to previous patients in industrial parks.

VIETNAM NEWS HEADLINES JUNE 12
VIETNAM NEWS HEADLINES JUNE 12
SOCIETYicon  12/06/2021 

UNICEF welcomes Vietnam's approval of programme on child protection online

Methamphetamine use on the rise in Vietnam: UNODC
Methamphetamine use on the rise in Vietnam: UNODC
SOCIETYicon  12/06/2021 

The number of methamphetamine users in Vietnam increased by nine times from 2016 to 2020, a new report has found.

 
 
 
Leave your comment on an article

OR QUICK LOGIN