Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights

Q: Can You Get Vaccinated After Facial Nerve Paralysis? Expert Insights

Hello, Ms. <br>Hsiao-Mi： "Having a history of facial nerve palsy" is not a contraindication for vaccination. <br>In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a r

Can someone who has had facial nerve paralysis receive a vaccine?

In early 2019, I experienced stiffness on the right side of my face, which made it difficult to close my eye and caused my mouth to appear slightly crooked.
After receiving injections, medication, heat therapy, and facial exercises, my condition improved over the course of about one to two months.
However, since then, nearly three years later, I still experience unusual sensations on the right side of my face, such as stiffness and tightness, and occasional twitching.
When I smile, the left side appears natural, while the right side feels tight.
In summary, the sensations on both sides of my face are different! I have consulted with clinics, and some doctors suggested that I could receive a vaccine, while others advised against it.
I would like to ask, given my current situation, can I receive a vaccine? Which type of vaccine would be appropriate? How should I make this decision? Additionally, if I cannot receive a vaccine, are there any other protective injections I can consider? I am hesitant to get vaccinated due to potential side effects such as facial nerve paralysis and thrombosis, which have left me fearful of vaccination to this day.

Xiao Mi, 20~29 year old female. Ask Date: 2022/01/09

Dr. Jiang Junyi reply Neurology

Hello, Ms.
Hsiao-Mi: "Having a history of facial nerve palsy" is not a contraindication for vaccination.
In the outpatient clinic, many patients with this condition have already received two doses of the vaccine (including AZ, BNT, and Medigen), and none have reported a recurrence of facial nerve palsy.
Given the current situation with domestic infection cases, it is advisable to get vaccinated as soon as possible.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Jun-Yi, Taoyuan Medical Center, cares about you.

Reply Date: 2022/01/09

More Info

When considering vaccination after experiencing facial nerve paralysis, it's essential to weigh the potential benefits against any concerns regarding side effects. Facial nerve paralysis, such as Bell's palsy, can lead to lingering symptoms, including stiffness or abnormal sensations in the affected side of the face. However, these symptoms do not typically contraindicate vaccination.

The primary concern regarding vaccination and facial nerve issues stems from rare reports linking certain vaccines, particularly mRNA vaccines (like Pfizer-BioNTech and Moderna), to facial nerve paralysis. However, these occurrences are exceedingly rare and must be considered in the context of the overall benefits of vaccination, especially in light of the ongoing COVID-19 pandemic.

1. Vaccination Eligibility: Generally, individuals with a history of facial nerve paralysis can receive vaccines. The Centers for Disease Control and Prevention (CDC) and other health authorities recommend vaccination for individuals with prior neurological conditions unless there are specific contraindications. If you have lingering symptoms from your previous facial nerve paralysis, it is advisable to consult with a healthcare provider who can assess your specific situation and provide personalized recommendations.

2. Types of Vaccines: If you are considering vaccination, you may have options such as mRNA vaccines (Pfizer-BioNTech, Moderna) or viral vector vaccines (Johnson & Johnson). The choice of vaccine can depend on availability and personal health considerations. It is crucial to discuss with your healthcare provider which vaccine may be most appropriate for you, considering your medical history and any potential risks.

3. Monitoring for Side Effects: After vaccination, it is standard practice to monitor for any adverse reactions. Most side effects are mild and temporary, such as soreness at the injection site, fatigue, or mild fever. Serious side effects, such as severe allergic reactions or neurological issues, are rare. If you experience any concerning symptoms post-vaccination, it is essential to seek medical attention promptly.

4. Alternative Protective Measures: If you are hesitant about vaccination due to concerns about side effects, consider discussing alternative protective measures with your healthcare provider. These may include monoclonal antibody treatments or other preventive strategies, especially if you are at high risk for severe illness from COVID-19.

5. Consultation with Specialists: Given your history of facial nerve paralysis and ongoing symptoms, it may be beneficial to consult with a neurologist or a specialist in infectious diseases. They can provide insights into the safety of vaccination in your case and help you weigh the risks and benefits based on your health status.

In summary, while there are some concerns regarding vaccination after facial nerve paralysis, the consensus among health experts is that vaccination is generally safe and recommended. The benefits of vaccination, particularly in preventing severe illness from COVID-19, often outweigh the risks of potential side effects. Always consult with your healthcare provider to make an informed decision tailored to your health needs.

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