Can Vaccines Cause Neurological Issues? Eye and Muscle Twitches - Neurology

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Can vaccination cause neurological issues?


Hello doctor, I had no issues after receiving the first two doses of the AstraZeneca vaccine.
However, after my third dose of Moderna, I started experiencing frequent twitching in my left lower eyelid about a week later, occurring 2-5 times an hour.
This has been going on for almost three weeks now, and since I have never experienced this before, it inevitably makes me think about the vaccine.
Additionally, one night, I also had twitching near my left knee that lasted all night, but it stopped by morning.
Occasionally, I experience twitching in other areas as well, but only the eyelid twitching has been persistent.
I found online that some others have reported similar experiences.
Could this be related to the vaccine?

Nǐ hǎ, 30~39 year old female. Ask Date: 2022/03/18

Dr. Jiang Junyi reply Neurology


Hello, Sir: You mentioned that "after receiving the third dose of Moderna, my left lower eyelid started twitching frequently, 2-5 times an hour, and it has been nearly three weeks." Your symptoms do not seem to indicate a serious adverse reaction.
There have been many reports regarding reactions related to the COVID-19 vaccine, and neurological inflammation has also been frequently reported.
You can refer to the following statistical review: https://onlinelibrary.wiley.com/doi/full/10.1111/ane.13550.
Symptoms occurring 5-24 days after vaccination may be related to immune responses in the body.
If your symptoms are severe, it is advisable to report the adverse reaction to the vaccine for expert evaluation to determine if it is a serious adverse reaction.

In fact, eyelid twitching is mostly physiological and not caused by any disease.
The eye muscles may be under stress and stimulated, leading to persistent twitching, which can last for several hours or days.
Possible causes include an irregular lifestyle, such as insufficient sleep, staying up late, excessive eye strain, high stress, or prolonged use of electronic devices.
This can lead to inflammation of the small nerves around the eyes, making it difficult to control eyelid movements, resulting in twitching.
I recommend consulting a neurologist or ophthalmologist for discussion, examination, and treatment.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health, peace, and joy.
Dr.
Jiang Junyi, Taoyuan Hospital, cares about you.

Reply Date: 2022/03/18

More Info


The concerns you have regarding potential neurological issues following vaccination, particularly in relation to eye and muscle twitches, are valid and warrant careful consideration. While vaccines, including those for COVID-19, have undergone rigorous testing for safety and efficacy, some individuals may experience side effects that can be perplexing or concerning.

Firstly, it is important to understand that muscle twitches, also known as fasciculations, can occur for a variety of reasons. They are often benign and can be triggered by factors such as stress, fatigue, caffeine intake, dehydration, or even electrolyte imbalances. In your case, the onset of these twitches following your third dose of the Moderna vaccine raises questions about a possible correlation, but it is essential to approach this with a balanced perspective.

Vaccines work by stimulating the immune system to recognize and combat pathogens. In some cases, this immune response can lead to temporary side effects, including fatigue, headaches, and muscle aches. However, serious neurological complications from vaccines are exceedingly rare. The Centers for Disease Control and Prevention (CDC) and other health organizations continuously monitor vaccine safety and have not established a direct link between the COVID-19 vaccines and persistent neurological issues.

The timing of your symptoms—specifically, the eye twitching and muscle spasms—could be coincidental. Stress and anxiety, particularly in the context of receiving a vaccine during a pandemic, can exacerbate muscle tension and lead to twitching. Additionally, if you have been experiencing increased stress or changes in your routine, this could also contribute to the symptoms you are describing.

If the eye twitching persists or worsens, it would be prudent to consult a healthcare professional. They may recommend a neurological evaluation to rule out other potential causes, such as benign essential blepharospasm, which is a condition characterized by involuntary blinking or twitching of the eyelids. Other neurological conditions, while less common, could also be considered based on your symptoms and medical history.

In the meantime, there are several strategies you can employ to help manage your symptoms. Ensuring you are well-hydrated, maintaining a balanced diet rich in electrolytes, and managing stress through relaxation techniques such as mindfulness or yoga may provide some relief. Additionally, reducing caffeine intake and ensuring adequate sleep can also help mitigate muscle twitching.

In conclusion, while your symptoms following vaccination are understandably concerning, they are likely not indicative of a serious neurological issue. However, it is essential to monitor your symptoms and seek medical advice if they persist or if you experience any new or unusual symptoms. Your health and well-being are paramount, and a healthcare provider can offer personalized guidance and reassurance.

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