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Aseptic Meningitis after BNT-162b2 COVID-19 Vaccination: Case Report and Literature Review
Yuji Kato1, Takashi Osada1, Nobuo Araki2
1Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center, Hidaka, Japan.
Abstract:
We encountered a-27-year-old female patient who developed refractory severe headache and photophobia after the first dose of COVID-19 vaccine. Despite her prior history of migraine, we diagnosed COVID-19 vaccine-induced aseptic meningitis. Symptoms were significantly resolved after methylprednisolone therapy. On reviewing the literature, we could find only nine similar cases, with over half of them affecting women aged 20-40 years. Although uncommon, aseptic meningitis should be suspected in patients with persistent or delayed onset of headache following COVID-19 vaccination.
Insights
Aseptic meningitis, a rare side effect, can occur after COVID-19 vaccination. Early diagnosis and treatment with methylprednisolone can resolve severe symptoms like headache and photophobia.
Area of Science:
- Neurology
- Immunology
- Vaccinology
Background:
- COVID-19 vaccines have been associated with various neurological side effects.
- Aseptic meningitis is a rare but serious condition characterized by inflammation of the membranes surrounding the brain and spinal cord.
Conclusions:
- Aseptic meningitis is an uncommon but potential adverse event following COVID-19 vaccination.
- Persistent or delayed headache after vaccination warrants suspicion for aseptic meningitis.
- Prompt diagnosis and corticosteroid therapy can lead to favorable outcomes.
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