Can Patients with Facial Nerve Paralysis Receive the BNT Vaccine?

Facial nerve paralysis

Hello Dr.
Jiang, I would like to ask if a patient with facial nerve paralysis can receive the first dose of the BNT vaccine at this time.
The BNT vaccine has a rare side effect of facial nerve paralysis, which may make it difficult to distinguish between the two conditions.
It has been 2.5 weeks since the onset of the facial nerve paralysis, and the condition of the eyes and mouth is gradually improving.
How long do you recommend waiting before getting vaccinated? Thank you.

Xiao Lin, 30~39 year old female. Ask Date: 2021/10/21

Dr. Jiang Junyi reply Neurology

Dear Mr.
Hsiao-Lin,
Facial nerve paralysis is not a contraindication for receiving the BNT vaccine.
It is not recommended to administer the vaccine within two weeks of an acute infection.
Based on the current domestic epidemic situation, vaccination can be considered one month after the condition stabilizes.
It is advisable to supplement with B vitamins and maintain adequate hydration, along with sufficient rest to enhance the body's healing capacity.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Chien-Yi Jiang, Taoyuan Medical Center

Reply Date: 2021/10/21

More Info

Patients with facial nerve paralysis can indeed receive the BNT (BioNTech/Pfizer) vaccine, but there are important considerations to keep in mind. According to the guidance provided by healthcare professionals, facial nerve paralysis is not a contraindication for receiving the BNT vaccine. However, it is crucial to assess the overall health status of the patient and the timing of the vaccination in relation to the onset of the paralysis.

In your case, since you have been experiencing facial nerve paralysis for 2.5 weeks and are noticing gradual improvement in your symptoms, it is advisable to wait until your condition stabilizes. The recommendation is to consider vaccination approximately one month after the onset of symptoms, provided that your health is stable and you are no longer experiencing acute symptoms. This waiting period allows your body to recover and minimizes the risk of any potential complications or adverse reactions that could be difficult to distinguish from your existing condition.

It is also worth noting that while there have been reports of rare side effects associated with the BNT vaccine, including facial nerve paralysis (specifically Bell's palsy), these occurrences are extremely uncommon. The benefits of vaccination, particularly in the context of the ongoing COVID-19 pandemic, generally outweigh the risks for most individuals. Vaccination is essential not only for personal protection but also for community health.

In addition to considering the timing of the vaccine, it is beneficial to support your recovery through proper nutrition and rest. Taking vitamin B complex and staying hydrated can help enhance your body's healing processes. Engaging in physical therapy or facial exercises, as advised by your healthcare provider, may also aid in the recovery of facial nerve function.

If you have any concerns about the vaccination or your current health status, it is always best to consult with your healthcare provider. They can provide personalized advice based on your medical history and current condition. They may also monitor your progress and determine the most appropriate time for you to receive the vaccine.

In summary, while patients with facial nerve paralysis can receive the BNT vaccine, it is essential to wait until your condition has stabilized, ideally around one month after the onset of symptoms. Always consult with your healthcare provider for tailored advice and to ensure that you are making the best decision for your health.

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