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Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands
An agency of the European Union
Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us
Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000
© European Medicines Agency, 2021. Reproduction is authorised provided the source is acknowledged.
23 April 2021 Corr1
EMA/234525/2021
European Medicines Agency
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
Table of contents
1. Introduction ............................................................................................ 2
2. COVID-19 hospitalisations prevented with Vaxzevria compared with
unusual blood clots with low platelets......................................................... 3
High infection rate ......................................................................................................3
Medium infection rate..................................................................................................4
Low infection rate .......................................................................................................5
3. COVID-19 ICU admissions prevented with Vaxzevria compared with
unusual blood clots with low platelets......................................................... 6
High infection rate ......................................................................................................6
Medium infection rate..................................................................................................7
Low infection rate .......................................................................................................8
4. COVID-19 deaths prevented with Vaxzevria compared with unusual
blood clots with low platelets...................................................................... 9
High infection rate ......................................................................................................9
Medium infection rate................................................................................................10
Low infection rate .....................................................................................................11
5. Acknowledgements ............................................................................... 12
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 2/3
1. Introduction
To support national authorities making decisions on how to best use the vaccine in their territories,
EMA’s human medicines committee (CHMP) has further analysed available data to put the risks of very
rare blood clots (thrombosis with thrombocytopenia syndrome, TTS) in the context of the benefits for
different age groups and different rates of infection.
The analysis will inform national decisions on the roll out of the vaccine, taking into account the
pandemic situation as it evolves and other factors, such as vaccine availability. The analysis could
change as new data become available.
The Committee analysed the benefits and the risk of unusual blood clots with low platelets in different
age groups in the context of the monthly1
infection rate: low (55 per 100,000 people), medium (401
per 100,000 people) and high (886 per 100,000 people).
The analysis looked at prevention of hospitalisations, ICU admissions and deaths due to COVID-19,
considering an 80% vaccine effectiveness over a period of four months. The details of the full analysis
and methodology are available in the assessment report which will be published shortly.
1 Correction on page 2 to state that the infection rates were monthly and not daily rates
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 3/4
2. COVID-19 hospitalisations prevented with Vaxzevria
compared with unusual blood clots with low platelets
High infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 4/5
Medium infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 5/6
Low infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 6/7
3. COVID-19 ICU admissions prevented with Vaxzevria
compared with unusual blood clots with low platelets
High infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 7/8
Medium infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 8/9
Low infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 9/10
4. COVID-19 deaths prevented with Vaxzevria compared with
unusual blood clots with low platelets
High infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 10/11
Medium infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 11/12
Low infection rate*
Annex to Vaxzevria Art.5.3 - Visual risk contextualisation
EMA/234525/2021 Page 12/12
5. Acknowledgements
These visuals are based on similar ones produced by the Winton Centre for Risk and Evidence
Communication. Additional risk-communication experts and healthcare professional representatives
were consulted during the preparation of these visuals:
John Aston - Winton Centre for Risk and Evidence Communication, United Kingdom
Frederic Bouder - University of Stavanger, Norway
Carine Dochez – University of Antwerp, Belgium
Alexandra Freeman - Winton Centre for Risk & Evidence Communication, United Kingdom
Wolfgang Gaissmaier - University of Konstanz, Germany
Barbara Gallani - European Food Safety Authority, Italy
Heidi Larson - London School of Hygiene and Tropical Medicine, United Kingdom
Anita Simonds - European Respiratory Society (ERS)
David Spiegelhalter - Winton Centre for Risk and Evidence Communication, United Kingdom
Tiago Villanueva - European Union of General Practitioners (UEMO)

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COVID-19 hospitalizations, ICU admissions and deaths prevented by Vaxzevria compared to rare blood clots

  • 1. Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands An agency of the European Union Address for visits and deliveries Refer to www.ema.europa.eu/how-to-find-us Send us a question Go to www.ema.europa.eu/contact Telephone +31 (0)88 781 6000 © European Medicines Agency, 2021. Reproduction is authorised provided the source is acknowledged. 23 April 2021 Corr1 EMA/234525/2021 European Medicines Agency Annex to Vaxzevria Art.5.3 - Visual risk contextualisation Table of contents 1. Introduction ............................................................................................ 2 2. COVID-19 hospitalisations prevented with Vaxzevria compared with unusual blood clots with low platelets......................................................... 3 High infection rate ......................................................................................................3 Medium infection rate..................................................................................................4 Low infection rate .......................................................................................................5 3. COVID-19 ICU admissions prevented with Vaxzevria compared with unusual blood clots with low platelets......................................................... 6 High infection rate ......................................................................................................6 Medium infection rate..................................................................................................7 Low infection rate .......................................................................................................8 4. COVID-19 deaths prevented with Vaxzevria compared with unusual blood clots with low platelets...................................................................... 9 High infection rate ......................................................................................................9 Medium infection rate................................................................................................10 Low infection rate .....................................................................................................11 5. Acknowledgements ............................................................................... 12
  • 2. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 2/3 1. Introduction To support national authorities making decisions on how to best use the vaccine in their territories, EMA’s human medicines committee (CHMP) has further analysed available data to put the risks of very rare blood clots (thrombosis with thrombocytopenia syndrome, TTS) in the context of the benefits for different age groups and different rates of infection. The analysis will inform national decisions on the roll out of the vaccine, taking into account the pandemic situation as it evolves and other factors, such as vaccine availability. The analysis could change as new data become available. The Committee analysed the benefits and the risk of unusual blood clots with low platelets in different age groups in the context of the monthly1 infection rate: low (55 per 100,000 people), medium (401 per 100,000 people) and high (886 per 100,000 people). The analysis looked at prevention of hospitalisations, ICU admissions and deaths due to COVID-19, considering an 80% vaccine effectiveness over a period of four months. The details of the full analysis and methodology are available in the assessment report which will be published shortly. 1 Correction on page 2 to state that the infection rates were monthly and not daily rates
  • 3. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 3/4 2. COVID-19 hospitalisations prevented with Vaxzevria compared with unusual blood clots with low platelets High infection rate*
  • 4. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 4/5 Medium infection rate*
  • 5. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 5/6 Low infection rate*
  • 6. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 6/7 3. COVID-19 ICU admissions prevented with Vaxzevria compared with unusual blood clots with low platelets High infection rate*
  • 7. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 7/8 Medium infection rate*
  • 8. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 8/9 Low infection rate*
  • 9. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 9/10 4. COVID-19 deaths prevented with Vaxzevria compared with unusual blood clots with low platelets High infection rate*
  • 10. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 10/11 Medium infection rate*
  • 11. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 11/12 Low infection rate*
  • 12. Annex to Vaxzevria Art.5.3 - Visual risk contextualisation EMA/234525/2021 Page 12/12 5. Acknowledgements These visuals are based on similar ones produced by the Winton Centre for Risk and Evidence Communication. Additional risk-communication experts and healthcare professional representatives were consulted during the preparation of these visuals: John Aston - Winton Centre for Risk and Evidence Communication, United Kingdom Frederic Bouder - University of Stavanger, Norway Carine Dochez – University of Antwerp, Belgium Alexandra Freeman - Winton Centre for Risk & Evidence Communication, United Kingdom Wolfgang Gaissmaier - University of Konstanz, Germany Barbara Gallani - European Food Safety Authority, Italy Heidi Larson - London School of Hygiene and Tropical Medicine, United Kingdom Anita Simonds - European Respiratory Society (ERS) David Spiegelhalter - Winton Centre for Risk and Evidence Communication, United Kingdom Tiago Villanueva - European Union of General Practitioners (UEMO)