Pharmacist Barbara Violo arranges all the empty vials of the Oxford-AstraZeneca COVID-19 vaccines at the Junction Chemist during the COVID-19 pandemic in Toronto, on Monday, April 19, 2021. THE CANADIAN PRESS/Nathan Denette

Pharmacist Barbara Violo arranges all the empty vials of the Oxford-AstraZeneca COVID-19 vaccines at the Junction Chemist during the COVID-19 pandemic in Toronto, on Monday, April 19, 2021. THE CANADIAN PRESS/Nathan Denette

Impatience, lack of clarity as clock ticks on AstraZeneca expiry date

Rare, fatal blood clots have led several provinces to stop giving the COVID-19 shot

Impatience and a lack of clarity persisted Thursday over the fate of thousands of doses of the Oxford-AstraZeneca vaccine set to expire in the coming weeks but answers could be coming within days.

Several provinces have stopped giving the COVID-19 shot over concerns of rare, fatal blood clots. Health authorities were still trying to decide whether to resume its use and if using a different vaccine for second shots makes sense.

At the same time, Ottawa has been distributing hundreds of thousands of AstraZeneca doses to the provinces, some of which are sitting on soon-to-expire stockpiles. Deputy chief public health officer Dr. Howard Njoo said vaccine wastage was largely an issue for the provinces to sort out.

Justin Bates, head of the Ontario Pharmacists Association, said an announcement that had been expected on Thursday would now likely happen in the coming days. The association, he said, was in confidential discussions with the province about using the AstraZeneca, something he said should be done.

“Absolutely. We have a shared objective with the ministry to ensure that we use, wherever appropriate and feasible, all of the AstraZeneca remaining doses.”

Ontario is banking on a steady increase in vaccinations for its three-phased reopening to start, tentatively in mid-June. Health Minister Christine Elliott indicated on Thursday the province was leaning toward using AstraZeneca for second doses.

“We are waiting for the final recommendations (from experts) on what we should do with the AstraZeneca vaccine,” Elliott said. “Data from the U.K. indicate that any problems with the second shot are far less.”

Quebec, which on Thursday said it just received 148,000 doses from the federal government, has stopped using the vaccine for a first shot. The province did say the new shipment would likely be reserved for second doses for people aged 45 and older but it was not clear when that would happen.

Dr. Deena Hinshaw, chief medical officer in Alberta, said the province had about 7,000 doses, expiring at the end of June.

Federal Health Minister Patty Hajdu said earlier this week the vaccines would not go to waste but Ontario, which has about 31,000 unused doses, is up against a May 31 expiry date. Similarly, Manitoba has also reported having about 7,000 AstraZeneca doses that need to be used before month’s end.

“Provinces and territories are weighing their options very closely in terms of second doses for those people who have received AstraZeneca for a first dose,” Hajdu said.

Bates said it would take a concerted effort to get the shots in arms, if approved, before expiry involving reaching out patients to schedule an appointment. They would also need to provide informed consent around dosage intervals and relative risks, which he said were far outweighed by the potential benefits.

“We’re just waiting for direction,” Bates said. “We can move quickly.”

More than 2.1 million people have had AstraZeneca. Health authorities said there were about two-dozen confirmed cases of vaccine-induced thrombotic thrombocytopenia, or VITT, the rare but serious blood-clotting disorder.

The National Advisory Committee on Immunization, known as NACI, was still awaiting data from a study on giving a so-called mRNA vaccine as a second dose for AstraZeneca.

Njoo said advice on whether provinces can mix and match vaccine brands should be ready in the first week of June.

It was up to the provinces to decide whether to offer a second dose of AstraZeneca, an mRNA, or a choice between the two. Preliminary results from the U.K. study on mixing and matching were promising, he said.

“It bodes well for individuals who have received the first dose of AstraZeneca having that choice, and at the end of the day it comes down to making an informed decision,” he said.

Brig. Gen. Krista Brodie, in charge of the federal distribution program, said Health Canada would destroy any expired doses.

Dr. Irfan Dhalla, an internal medicine specialist in Toronto, said this week people should be able to choose whether to get AstraZeneca, either as a first or second dose, or wait for another brand known as an mRNA vaccine. They might have good reasons to choose AstraZeneca for one or both shots, he said.

-Colin Perkel, The Canadian Press, with files from Holly McKenzie-Sutter in Toronto and Catherine Levesque and Mia Rabson in Ottawa.

RELATED: B.C. man required emergency surgery after AstraZeneca vaccination

RELATED: Experts call on Canada to use COVAX doses of AstraZeneca or give them back

Coronavirusvaccines

Just Posted

File photo
Leduc RCMP request assistance to identify armed robbery suspect

Leduc RCMP are looking for male responsible for an armed robbery at Super Car and RV Wash in Leduc.

Alberta Premier Jason Kenney arrives at the 2021 budget in Edmonton on Thursday, Feb. 25, 2021.THE CANADIAN PRESS/Jason Franson
Alberta launches COVID vaccine lottery with million-dollar prizes to encourage uptake

The premier says the lottery will offer three prizes worth $1 million a piece, as well as other prizes

The City of Red Deer sits at 249 active cases of the virus, after hitting a peak of 565 active cases on Feb. 22. (Black Press file image)
Red Deer down to 119 active COVID-19 cases

Province identifies 179 new cases Saturday

Member Terry Parsons’ custom built track vehicle.
Forestburg’s Area 53 Racetrack gears up for action-packed season

Site will also host a portion of the ‘Miles of Mayhem’ event in July

Sabrina Wilde in front of a recently purchased monster truck. Submitted.
Thorsby business women a finalist for 2021 Alberta Women’s Entrepreneurship Award

Sabrina Wilde with Lone Wolf Mechanical is a finalist for the entrepreneurial award.

Canadian Prime Minister Justin Trudeau participates in a plenary session at the G7 Summit in Carbis Bay, England on Friday June 11, 2021. THE CANADIAN PRESS/Adrian Wyld
Canada donating 13M surplus COVID-19 vaccine doses to poor countries

Trudeau says the government will pay for 87 million shots to be distributed to poor countries

Calgary Stampeders’ Jerome Messam leaps over a tackle during second half CFL western semifinal football action in Calgary, Sunday, Nov. 15, 2015.THE CANADIAN PRESS/Jeff McIntosh
CFL football will be played this summer in Canada

Governors vote unanimously in favour to start the ‘21 campaign on Aug. 5

Citizenship Minister Marco Mendicino holds a press conference in Ottawa on Thursday, Nov. 12, 2020. The federal government is announcing that Indigenous people can now apply to reclaim their names on passports and other government documents. THE CANADIAN PRESS/Sean Kilpatrick
Indigenous people can now reclaim traditional names on their passports and other ID

Announcement applies to all individuals of First Nations, Inuit and Métis background

This undated photo provided by Girl Scouts of New Mexico Trails shows a scout donating cookies to firefighters in Rio Rancho, New Mexico, as part of the Hometown Heroes program. As the coronavirus pandemic wore into the spring selling season, many Girl Scout troops nixed their traditional cookie booths for safety reasons. That resulted in millions of boxes of unsold cookies. (Girl Scouts of New Mexico Trails via AP)
Thinner Mints: Girl Scouts have millions of unsold cookies

Since majority of cookies are sold in-person, pandemic made the shortfall expected

In this artist’s sketch, Nathaniel Veltman makes a video court appearance in London, Ont., on June 10, 2021 as Justice of the Peace Robert Seneshen (top left) and lawyer Alayna Jay look on. THE CANADIAN PRESS/Alexandra Newbould
Terror charges laid against London attack suspect

Crown says Nathaniel Veltman’s four counts of first-degree murder constitute an act of terrorism

Indigenous Services Minister Marc Miller is seen during a news conference, Wednesday May 19, 2021 in Ottawa. THE CANADIAN PRESS/Adrian Wyld
Indigenous child-welfare battle heads to court despite calls for Ottawa to drop cases

Feds are poised to argue against two Canadian Human Rights Tribunal rulings

The Great Ogopogo Bathtub Race has been held in Summerland as a fundraising event. Do you know which Canadian city introduced this sport? (Black Press file photo)
QUIZ: A summer’s day at the water

How much do you know about boats, lakes and water?

Flowers and cards are left at a makeshift memorial at a monument outside the former Kamloops Indian Residential School to honour the 215 children whose remains are believed to have been discovered buried near the city in Kamloops, B.C., on Monday, May 31, 2021. THE CANADIAN PRESS/Darryl Dyck
‘Pick a Sunday:’ Indigenous leaders ask Catholics to stay home, push for apology

Indigenous leaders are calling on Catholics to stand in solidarity with residential school survivors by not attending church services

“They will never be forgotten, every child matters,” says Sioux Valley Chief Jennifer Bone in a video statement June 1. (Screen grab)
104 ‘potential graves’ detected at site of former residential school in Manitoba

Sioux Valley Dakota Nation working to identify, repatriate students buried near former Brandon residential school

Most Read