Death after being vaccinated, how will’causality’ be considered…

Daejeon Jung-gu mayor Park Yong-gap is receiving the AstraZeneca Corona 19 vaccine at the Jung-gu Health Center on the 6th. Mayor Park Gu received a vaccination as a manpower at the Disaster Countermeasure Headquarters to relieve residents’ anxiety. Provided by Daejeon Jung-gu Office

On the 8th, it will be the first to announce the association with vaccination in cases of deaths that have occurred since the government started vaccination against the novel coronavirus infection (Corona 19). In the case of the flu (influenza) vaccine last year, 110 deaths were reported after vaccination, but no case was recognized for causality. Experts believe that a similar conclusion is likely to be drawn as the causal relationship between vaccine and death has never been recognized worldwide.

Damage investigation team reviews adverse reactions through closed meeting on the 7th

According to the Corona 19 Vaccination Response Promotion Team on the 7th, the Korea Centers for Disease Control and Prevention (KCDC) held a meeting of the vaccination damage investigation group on that day, and analyzed the clinical course of severe adverse reactions reported after the Corona 19 vaccination, and reviewed the relationship with vaccination. The Agency for Disease Control and Prevention plans to announce the interim conclusions that came out on the 8th.

As of 0 o’clock on the 7th, 3,643 cases of adverse reactions were reported. Among them, 33 cases were suspected of anaphylaxis, and 5 were classified as serious suspected cases such as convulsions. There were a total of 9 death cases, including one that occurred this afternoon (a woman admitted to a nursing hospital in her 60s). The rest were mostly mild cases such as headache, fever, nausea, and vomiting.

It is reported that the damage investigation team intensively reviewed cases of death and serious suspicion at the first meeting of the day. The damage investigation group consists of up to 10 experts, including clinicians and forensic experts, and the interim conclusion on the relevance of vaccines based on the first causal evaluation conducted by the city-province public-private rapid response team, including preventive medicine experts, etc. Will be lowered.

The underlying disease and the relevance are the key…

According to the guidelines for the management of adverse reactions after COVID-19 vaccination, causal evaluation is concluded by sequentially reviewing: ① Is there a clear basis for other causes, ② whether there is a known causal relationship with vaccinations or vaccines, and ③ whether there is a strong negative basis for the causal relationship. Will be lowered. Jung Ji-won, a professor of infectious medicine at Chung-Ang University Hospital, said, “We will mainly look at the patient’s condition at the time of vaccination, medical records, reactions after vaccination, and clinical test results.”

The key seems to be the link between the underlying disease and vaccination. The age range of the 9 deaths was 1 in their 20s, 1 in their 40s, 4 in their 50s, and 3 in their 60s, all suffering from underlying diseases and were admitted to nursing hospitals. To date, the underlying diseases of these people are known as myocardial infarction or epilepsy (epilepsy).

Eun-mi Chun, professor of respiratory medicine at Ewha University Mokdong Hospital, said, “When a patient with a low immunity or an infectious disease gets a vaccine, there may be a reaction such as a drop in blood pressure or shortness of breath. If it was not done, the data would not be sufficient,” he said. “It is not easy to reveal a causal relationship, so there is a high possibility that a conclusion that is not relevant will come out.”

Also look at the concentration of deaths in specific places or products

In addition to the clinical records of individual patients with adverse reactions, it is also necessary to consider whether deaths have occurred intensively after administration of a vaccine with the same specific hospital or serial number. This is because if there are multiple deaths among those who received a vaccine at a specific institution or received a specific product, the possibility that other factors, such as contamination of the site or product, may have influenced the occurrence of adverse reactions cannot be ruled out.

There have been reports of deaths after the COVID-19 vaccination abroad, but there has never been a case in which a causal relationship has been proven since all of them were judged as sporadic deaths. Domestic flu vaccine vaccinations during the 2020-2021 season, which had 13.76 million cases as of 0 o’clock on the 1st of this month, also reported 110 deaths after vaccination, but all of them were not recognized for causality.

“It is important to compare the number of deaths before and after vaccination at a nursing facility or nursing hospital,” said Um Joong-sik, a professor of infectious medicine at Gachon University Gil Hospital. I won’t.”

Yu Hwan-gu reporter

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