Factbox-Some countries limit AstraZeneca vaccine use amid concern over blood clots

(Reuters) -Some countries are restricting use of the AstraZeneca vaccine against COVID-19 while others have resumed inoculations, as investigations into reports of rare, and sometimes severe, blood clots continue.

FILE PHOTO: A vial labelled with the AstraZeneca coronavirus disease (COVID-19) vaccine is seen in this illustration picture taken March 19, 2021. REUTERS/Dado Ruvic/Illustration

The European Medicines Agency and the World Health Organization have said the benefits outweigh the risks, but are monitoring the situation.

AstraZeneca said in March its vaccine was 76% effective in preventing symptomatic infections in a U.S. trial, and that studies did not indicate higher risks of clotting.

VACCINE BEING USED, WITH OR WITHOUT RESTRCTIONS

AUSTRALIA:

Will continue its inoculation programme with the shot despite a blood clotting case reported on April 2, health officials said on April 3.

AUSTRIA:

Resumed use.

BULGARIA:

Resumed inoculations from March 19.

CYPRUS:

Cyprus resumed inoculations on March 19.

CANADA:

To pause offering vaccine to people aged under 55 and require a new analysis of the shot’s benefits and risks based on age and gender.

FRANCE:

Approved resumed use of the vaccine on March 19, but said it should only be given to people aged 55 and over.

FINLAND:

Resumed using the AstraZeneca vaccine from March 29, but will only give it to people aged 65 and over.

GEORGIA:

Has limited the use of the vaccine after a nurse died of anaphylactic shock, and vaccinations will continue only in full-fledged medical centres, news agency TASS reported on March 19.

GERMANY:

From March 31, Germany limited use of the shot to people over 60 and high-priority groups, following further reports of a rare brain blood disorder. On April 1, Germany’s vaccine commission recommended that people under 60 who have had a first shot of AstraZeneca’s vaccine should receive a different product for their second dose.

ICELAND:

Resumed use on March 25 after suspending it on March 11.

INDONESIA:

Resumed using the vaccine on March 22 but warned against the use of the vaccine in people with a low blood platelet count.

IRELAND:

Resumed use after EMA recommendation.

ITALY:

Resumed use on March 19, and Italians who decline to be inoculated with it will be given an alternative later.

LATVIA:

Said would restart administering the shots from March 19.

LITHUANIA:

Restarted use on March 19.

NETHERLANDS:

Currently using the vaccine only for over 60s, either at a doctors’ surgery or by a doctor at nursing homes.

NORTH MACEDONIA:

Health Minister Venko Filipce said on March 31 that AstraZeneca shots would be limited to people aged over 60 as a precautionary measure.

ROMANIA:

Resumed use after the EMA assessment after temporarily stopping vaccinating people with one batch of the vaccine on March 11.

SOUTH KOREA:

President Moon Jae-in received the vaccine on March 23 ahead of an overseas trip, as the country inoculates senior citizens and health workers.

SPAIN:

Spain said on March 30 it would use the vaccine for people aged 55-65, and a day later said it would extend the vaccination to essential workers aged over 65.

SWEDEN:

Resumed use of the vaccine on March 25 for people aged 65 and older, but restrictions are in place for Swedes under 65.

THAILAND:

Began use on March 15, with Prime Minister Prayuth Chan-ocha the first to be inoculated, after delaying rollout the week before.

USE SUSPENDED

CAMEROON:

Suspended administration of the vaccine it was scheduled to receive on March 20 as part of the global vaccines sharing scheme COVAX, the health ministry said.

DENMARK:

Will prolong its suspension of the shot by three weeks pending further investigations after its two-week pause ended on March 25. A local survey indicated that one in three Danes would decline to get the shot.

NORWAY:

Norway will delay a decision over the use of the vaccine, authorities said on March 26, with a decision expected by April 15.

Reporting by Pushkala Aripaka, Yadarisa Shabong, Manas Mishra, Vishwadha Chander, Amruta Khandekar and Mrinalika Roy in Bengaluru; Editing by Josephine Mason and Alison Williams

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