Risk for Facial Palsy after COVID-19 Vaccination, South Korea, 2021–2022

Autor: Dongwon Yoon, Kyungyeon Jung, Ju Hwan Kim, Hwa Yeon Ko, Byeol-A Yoon, Ju-Young Shin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Emerging Infectious Diseases, Vol 30, Iss 11, Pp 2313-2322 (2024)
Druh dokumentu: article
ISSN: 1080-6040
1080-6059
DOI: 10.3201/eid3011.240610
Popis: We conducted a self-controlled case series study to investigate the association between COVID-19 vaccination and facial palsy (FP) in South Korea. We used a large immunization registry linked with the national health information database. We included 44,564,345 patients >18 years of age who received >1 dose of COVID-19 vaccine (BNT162b2, mRNA-1273, ChAdOx1 nCoV-19, or Ad.26.COV2.S) and had an FP diagnosis and corticosteroid prescription within 240 days postvaccination. We compared FP incidence in a risk window (days 1–28) with a control window (the remainder of the 240-day observation period, excluding any risk windows). We found 5,211 patients experienced FP within the risk window and 10,531 experienced FP within the control window. FP risk increased within 28 days postvaccination, primarily after first and second doses and was observed for both mRNA and viral vaccines. Clinicians should carefully assess the FP risk-benefit profile associated with the COVID-19 vaccines and monitor neurologic signs after vaccination.
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