The nature of the relationship between COVID-19 vaccination and vestibular neuronitis remains unclear and patients therefore require investigations to exclude other recognised causes of vestibular neuronitis. None of the COVID vaccines uses a weakened form of the SARS-CoV-2 virus all train the body to recognize a piece of the virus known as the spike protein and generate antibodies that can attack the virus in case of a real infection. After the first dose, I experienced the typical sore arm, two days of intense fatigue and body aches, and a pounding. Of course reactions to the vaccine vary, seemingly down to the individual. I got the Pfizer version, administered at my local Walmart. Audio-vestibular symptoms can include hearing loss, tinnitus, vertigo, and imbalance. Cases of vaccine-induced paralysis occurred between one and four weeks after vaccination. The first dose of the vaccine I received was in March, on the 12th. In light of expected third dose, large-scale and well-designed studies are needed to better define possible adverse reactions of the COVID-19 vaccine. Treatment should be the same as for non-vaccine-associated vestibular neuronitis. ES: COVID-19 infection can affect the inner ear. However, due to the small sample size, a definite cause-effect relationship between vaccination and vertigo cannot be inferred. This ensures timely management of patients with such presentations. Neurological adverse events are rare but recognised side effects of COVID-19 vaccines and healthcare professionals should be aware of them. The Liberal reports that the Irish Health Products Regulatory Authority (HPRA) included tinnitus and vertigo as side effects of the Janssen (Johnson & Johnson) vaccine. This case demonstrates a temporal association between COVID-19 vaccination and vestibular neuronitis. She received the second dose of the vaccine without complications. She made a full recovery and experienced no further symptoms. She was managed symptomatically with prochlorperazine and betahistine, and underwent vestibular rehabilitation for 6 weeks. The patient was subsequently diagnosed with vestibular neuronitis. The only neurological deficit was an impaired vestibulo-ocular reflex with horizontal nystagmus. A woman in her 50s presented with acute vertigo and vomiting within 72 hours of receiving the Pfizer-BioNTech COVID-19 vaccine.
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