Risk of blood clotting after COVID-19 is higher than after getting vaccine: UK study

The risk of rare blood clotting after receiving COVID-19 jabs is far lower than the virus, a large-scale study by researchers from the University of Oxford found Friday.

Fears over rare cases of clotting conditions have prompted some countries to rule out or limit the rollout of the Oxford-developed AstraZeneca jab, with the UK recommending that healthy people under 40 get alternative vaccines.

The study published in the BMJ medical journal examined data on almost 30 million people in England first vaccinated between December and April.

It found a minimal increased risk of some clotting conditions that could lead to hospitalization or death shortly after the first doses of the AstraZeneca and Pfizer vaccines.

But it concluded that risks of most conditions were “substantially higher and more prolonged” after COVID-19 infection.

The issue came to the fore this week as a coroner on Thursday found that a 44-year-old BBC presenter, Lisa Shaw, died from a blood clot in her head as a rare complication from a first AstraZeneca dose.

The study’s lead scientist Julia Hippisley-Cox, professor of clinical epidemiology at the University of Oxford, told BBC Radio 4 that Shaw’s death was “unfortunate,” but “these are sporadic cases, and the vast majority of patients will be excellent with these vaccines.”

Reports have focused on the AstraZeneca jab’s link to cerebral venous sinus thrombosis (CVST), or blood clots in the brain.

The study estimated that there were seven additional cases for 10 million people who received the AstraZeneca jab compared to 20 in people with Covid infection.

For blood clotting in a vein (venous thromboembolism), scientists estimated 66 additional cases among 10 million who received the AstraZeneca jab but 12,614 among those with the virus.

The study found that the AstraZeneca jab was associated with excess cases of thrombocytopenia, or low levels of blood-clotting platelets, with 107 additional cases per 10 million people. But the figure for those infected with the virus was 934.

The Pfizer vaccine was linked to an estimated 143 excess stroke cases per 10 million, while Covid was linked to 1,699 excess strokes.

Hippisley-Cox stressed that increased risks associated with the jabs were short-term only, while virus infection was associated with increased risk for the whole of the 28-day period examined.

For example, the Pfizer jab increased stroke risk for 15 to 21 days, she said.