Vaccination-related thrombosis: when to go to the emergency room?

Many people who receive the AstraZeneca vaccine go to the emergency room as soon as symptoms appear, fearing they will develop a thrombosis.

• Read also: Third case of thrombosis associated with AstraZeneca vaccine in Quebec

However, they don’t always need to travel to the hospital, and simply taking paracetamol or ibuprofen can soothe symptoms, ”Dr. Gilbert Boucher told LCN.

“It was a very hot topic this week in our emergency room. From 5 to 10% of all our visits were from people who were afraid of the AstraZeneca vaccine, ”says an emergency doctor at the Montreal Heart Institute.

Dr. Boucher recalls that it is normal for symptoms such as pain, minor headaches and stiffness to appear within four days of vaccination.

“Don’t worry, this is one of the common side effects of the AstraZeneca vaccine. […] You can take Tylenol or ibuprofen and wait a few hours, ”he says.

“The symptoms of a person with a blood clot will not go away after taking paracetamol or ibuprofen,” says Dr. Boucher.

Symptoms to Watch Out for

While most symptoms resolve with medication, others justify the patient’s admission to the emergency room.

“What is dangerous is a severe headache, chest pains, limb pain that does not last 15 minutes, but will last for a long time. These are the things that we need to report to the emergency room and for which we will do tests, ”says Dr. Boucher.

When should you go to the emergency room?

If a person develops symptoms after being vaccinated with AstraZeneca vaccine, they do not need to go to the emergency room immediately.

“We still have a little time. That’s why I’m telling you that it’s perfectly reasonable to take Tylenol or ibuprofen, wait an hour or two and see how the pain goes away, ”says the emergency room doctor.

The latter found that most patients who went to the emergency department, fearing they had a blood clot, were able to walk away after taking these drugs.

“I would tell you that most of the time this week in the waiting rooms we gave such small doses, things were going, and that solved the problem,” he says.

“I think if people followed these measures, it would save us a lot of visits to emergency departments,” he adds.

It is still necessary to consult if symptoms persist despite taking paracetamol or ibuprofen, cautions Dr. Boucher.

“You should come for a consultation, not necessarily while running, but within 6-12 hours of the onset of symptoms, you should come to us,” he says.

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