tetano
Editor, Senior Moderator
J Korean Med Sci
. 2022 Jun 27;37(25):e201.
doi: 10.3346/jkms.2022.37.e201.
Bilateral Vocal Fold Paralysis After COVID-19 mRNA Vaccination: A Case Report
Soo Ah Son[SUP] 1 [/SUP], Yeon Ji Kim[SUP] 1 [/SUP], So Yun Lim[SUP] 1 [/SUP], Hyun Bum Kim[SUP] 2 [/SUP]
Affiliations
Abstract
Since severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was noted to cause coronavirus disease 2019 (COVID-19) in 2019, there have been many trials to develop vaccines against the virus. Messenger ribonucleic acid (mRNA) vaccine as a type of the vaccine has been developed and commercialized rapidly, but there was not enough time to verify the long-term safety. An 82-year-old female patient was admitted to the emergency room with dyspnea accompanied by stridor three days after the 3rd COVID-19 mRNA vaccination (Comirnaty, Pfizer-BioNTech, USA). The patient was diagnosed with bilateral vocal fold paralysis (VFP) by laryngoscope. Respiratory distress was improved after the intubation and tracheostomy in sequence. The brain, chest, and neck imaging tests, serological tests, cardiological analysis, and immunological tests were performed to evaluate the cause of bilateral VFP. However, no definite cause was found except for the precedent vaccination. Because bilateral VFP can lead to a fatal condition, a quick evaluation is necessary in consideration of VFP when dyspnea with stridor occurs after vaccination.
Keywords: COVID-19 Vaccine; Vocal Palsy; Vocal Paralysis; mRNA Vaccine.
. 2022 Jun 27;37(25):e201.
doi: 10.3346/jkms.2022.37.e201.
Bilateral Vocal Fold Paralysis After COVID-19 mRNA Vaccination: A Case Report
Soo Ah Son[SUP] 1 [/SUP], Yeon Ji Kim[SUP] 1 [/SUP], So Yun Lim[SUP] 1 [/SUP], Hyun Bum Kim[SUP] 2 [/SUP]
Affiliations
- PMID: 35762144
- DOI: 10.3346/jkms.2022.37.e201
Abstract
Since severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was noted to cause coronavirus disease 2019 (COVID-19) in 2019, there have been many trials to develop vaccines against the virus. Messenger ribonucleic acid (mRNA) vaccine as a type of the vaccine has been developed and commercialized rapidly, but there was not enough time to verify the long-term safety. An 82-year-old female patient was admitted to the emergency room with dyspnea accompanied by stridor three days after the 3rd COVID-19 mRNA vaccination (Comirnaty, Pfizer-BioNTech, USA). The patient was diagnosed with bilateral vocal fold paralysis (VFP) by laryngoscope. Respiratory distress was improved after the intubation and tracheostomy in sequence. The brain, chest, and neck imaging tests, serological tests, cardiological analysis, and immunological tests were performed to evaluate the cause of bilateral VFP. However, no definite cause was found except for the precedent vaccination. Because bilateral VFP can lead to a fatal condition, a quick evaluation is necessary in consideration of VFP when dyspnea with stridor occurs after vaccination.
Keywords: COVID-19 Vaccine; Vocal Palsy; Vocal Paralysis; mRNA Vaccine.