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Vestibular neuronitis after COVID-19 vaccination.

Solange Bramer¹, Yvette Jaffe¹, Aravinth Sivagnanaratnam²

¹Faculty of Medicine, Imperial College London, London, UK.

BMJ Case Reports

|June 6, 2022

Summary

A rare case of vestibular neuronitis occurred in a woman shortly after her first Pfizer-BioNTech COVID-19 vaccine dose. She fully recovered with standard treatment, highlighting the need for awareness of potential neurological side effects.

Keywords:

COVID-19 Cranial nerves Neurology (drugs and medicines)Public health Unwanted effects / adverse reactions

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Area of Science:

Neurology
Vaccinology

Background:

The Pfizer-BioNTech COVID-19 vaccine is widely administered.
Neurological adverse events following vaccination are rare but documented.
Vestibular neuronitis is an inner ear disorder causing vertigo.

Observation:

A woman in her 50s developed acute vertigo and vomiting within 72 hours of receiving the Pfizer-BioNTech COVID-19 vaccine.
The primary neurological finding was an impaired vestibulo-ocular reflex with horizontal nystagmus.
The patient was diagnosed with vestibular neuronitis.

Findings:

The patient experienced a full recovery after 6 weeks of symptomatic management and vestibular rehabilitation.
A temporal association was noted between COVID-19 vaccination and the onset of vestibular neuronitis.
The second vaccine dose was administered without complications.

Implications:

Healthcare professionals should be aware of potential neurological side effects of COVID-19 vaccines, including vestibular neuronitis.
Timely diagnosis and management, consistent with non-vaccine-associated cases, are crucial.
Further investigation is needed to clarify the relationship between COVID-19 vaccination and vestibular neuronitis.