Can I Get Vaccinated with Cervical Nerve Compression and Mitral Valve Prolapse? - Neurology

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Cervical nerve compression


Hello, I am 42 years old and have recently discovered that cervical spine compression is causing numbness and tingling in my hands and feet.
I am currently taking medication (B12 and a nerve stabilizer) and undergoing rehabilitation (heat therapy, electrical stimulation, and neck stretching).
Additionally, I have mild mitral valve regurgitation and occasionally experience palpitations that resolve within 1-2 minutes.
I would like to ask the doctor if it is suitable for me to receive the vaccine in light of these two conditions.
Will there be any discomfort? Thank you.

Xiao Chen, 40~49 year old female. Ask Date: 2022/05/03

Dr. Jiang Junyi reply Neurology


Dear Ms.
Hsiao-Chen,
You mentioned cervical nerve root compression and mitral valve insufficiency.
Neither of these conditions is a contraindication for receiving the COVID-19 vaccine.
The reactions that may occur after vaccination are mostly mild and include pain and swelling at the injection site, fatigue, headache, muscle aches, elevated temperature, chills, joint pain, and nausea, which typically resolve within a week.
Common side effects of the BNT vaccine include fatigue, nausea, headache, muscle aches, and pain at the injection site, which usually improve over time.

If symptoms persist despite taking antipyretics and are accompanied by chest tightness, chest pain, difficulty breathing, exercise intolerance, or dizziness, these may be signs of myocarditis or pericarditis.
A rare side effect of the BNT vaccine is facial nerve paralysis.
After the second dose of the Moderna vaccine, systemic side effects such as fever, chills, fatigue, and headache are more common.

It is recommended to stay hydrated and rest.
If fever persists or if you experience other discomforts, please seek medical attention and inform your physician of your symptoms, their onset, and the timing of your vaccination.
It may be helpful to have some single-ingredient acetaminophen (avoid combination products) on hand for any discomfort.

I hope your vaccination goes smoothly.
Thank you for your inquiry, and feel free to discuss further.
Wishing you good health, peace, and joy.
Dr.
Jiang Jun-Yi
Department of Neurology
Taoyuan Hospital

Reply Date: 2022/05/03

More Info


When considering vaccination with cervical nerve compression and mitral valve prolapse, it is essential to evaluate both conditions and their potential interactions with the vaccination process.

Cervical nerve compression, often resulting from conditions like herniated discs or cervical spondylosis, can lead to symptoms such as pain, numbness, and weakness in the arms and hands. You mentioned that you are currently managing this condition with medications (such as vitamin B12 and a nerve stabilizing agent) and physical therapy (including heat therapy, electrical stimulation, and neck traction). These treatments indicate that you are actively addressing your symptoms, which is a positive sign regarding your overall health status.

Mitral valve prolapse (MVP), particularly when classified as mild, typically does not pose significant risks for most individuals. Many people with MVP lead normal, healthy lives without any complications. Occasional palpitations, as you described, are common and usually benign, especially if they resolve quickly. However, it is crucial to monitor any changes in your symptoms, particularly if they become more frequent or severe.

Regarding vaccination, the Centers for Disease Control and Prevention (CDC) generally recommends that individuals with stable chronic conditions, including mild mitral valve prolapse and cervical nerve compression, can receive vaccines safely. Vaccines, including those for COVID-19, influenza, and others, are essential for preventing serious illnesses and complications, especially in individuals with underlying health conditions.

Here are some considerations for your vaccination:
1. Consult Your Healthcare Provider: Before getting vaccinated, it is advisable to discuss your specific health conditions with your healthcare provider. They can assess your overall health, review your current medications, and determine if there are any specific contraindications or precautions you should be aware of.

2. Monitor Symptoms: After vaccination, it is common to experience mild side effects, such as soreness at the injection site, fatigue, or mild fever. Given your cervical nerve compression, you should monitor for any exacerbation of your symptoms post-vaccination. If you notice increased pain or neurological symptoms, contact your healthcare provider.

3. Heart Health Considerations: While MVP is generally not a contraindication for vaccination, if you experience significant heart symptoms (like prolonged palpitations or chest pain), it is essential to discuss these with your doctor. They may recommend further evaluation or monitoring.

4. Vaccination Timing: If you are currently undergoing treatment for your cervical nerve compression, consider timing your vaccination when you feel stable and your symptoms are well-managed. This approach may help minimize any potential discomfort or complications.

5. Stay Informed: Keep up with any new guidelines or recommendations regarding vaccinations, especially if you have any changes in your health status or if new vaccines become available.

In summary, based on your current health conditions—mild cervical nerve compression and mitral valve prolapse—it is generally safe for you to receive vaccinations. However, it is crucial to have a thorough discussion with your healthcare provider to ensure that your specific health needs are addressed and to monitor your symptoms closely before and after vaccination. Vaccination is an important step in protecting your health, especially in the context of underlying conditions.

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