Concurrently, the patient was consulted for toothache. No acute symptomatic seizures, epileptic seizures, or status epilepticus was seen in the cohort. However, it was reported in the news that at least 1 patient was told by their physician that the diagnosis was conversion disorder,also known as functional neurological disorder (FND). To investigate new-onset neurologic impairments associated with coronavirus disease 2019 (COVID-19). Definition of Psychology: Psychology is the study of behavior in an individual, or group. With this treatment, all complaints including facial, and jaw and tooth pain were recovered. The .gov means its official. Irresponsible stories like this only contribute to anti-science paranoia, and unjustly demonize pharmaceutical companies that are measurably improving billions of lives ever day. Unexplained liver test elevations after SARS-CoV-2 vaccination. The spread of these videos could fuel vaccine hesitancy by giving an overly simplistic impression of potential links between the vaccine and major neurological symptoms, says Perez, the pieces senior author. Evidence of direct acute insult of severe acute respiratory syndrome coronavirus 2 to the CNS is lacking. 2021; Havla et al. How severe was Occipital neuralgia and when was it recovered: Occipital neuralgia in Nurtec odt; Expand to all the drugs that have ingredients of rimegepant sulfate: Occipital neuralgia and drugs with ingredients of rimegepant sulfate; Alternative drugs to, pros and cons of Nurtec odt: Ohtake M, Suenaga J, Akimoto T, Ikeuchi H, Muroya A, Ohata H, Kubota Y, Chiku M, Hamano T, Yamamoto T. Cureus. Meo SA, Bukhari IA, Akram J, Meo AS, Klonoff DC. Vaccines and Functional Neurological Disorder: A Complex Story. Narasimhalu K, Lee WC, Salkade PR, De Silva DA. We defined critical events as disorders of consciousness, cerebrovascular accidents, CNS infection, seizures, or status epilepticus. Onoda K, Sashida R, Fujiwara R, Wakamiya T, Michiwaki Y, Tanaka T, Shimoji K, Suehiro E, Yamane F, Kawashima M, Matsuno A. J Neurosurg Case Lessons. With the public being vaccinated, there have recently been videos circulating on social media about major neurologic adverse events after administration of the COVID-19 vaccine. National Library of Medicine In no way can pharma or anyone else claim these RNA gene therapies are safe. doi: 10.2196/19087. The authors report no disclosures relevant to this work. and transmitted securely. National Library of Medicine Finally, she was treated a tapering course of oral prednisolone. official website and that any information you provide is encrypted One had ischemic stroke before the delirium (patient 6), and 2 had stroke after the delirium (patients 1 and 5). Its destroying millions of lives; it is the root cause of Americas 6 million homeless population. Print 2022 Apr 18. Occipital Neuralgia - Conditions - Peripheral Nerve Surgery Program Eight others showed that the virus was confined to the hypothalamus and cortex in brain autopsy without neurologic impairment reported.14,15 Neurologic symptoms were also reported in 4 people during or after Middle East respiratory syndrome, which is also caused by a human coronavirus.29 The pathogenetic role of SARS-CoV-2 in neurologic impairment is unclear and needs more investigation. J Neurol. 2020;12(383):19201931. In the treatment of various chronic headaches, the greater occipital nerve (GON) block is often used as a safe and effective method. Unable to load your collection due to an error, Unable to load your delegates due to an error. Please go to our Submission Site to add or update your Disclosure information. In conclusion, neurological complications including TN can be observed in a COVID-19 vaccination. Epub 2020 Sep 3. As a detailed travel history was taken and they had investigations including chest CT and virus testing, they were promptly channeled into COVID-19 treatment paths. This site needs JavaScript to work properly. New-onset neurologic events as assessed by neurology consultants based on manifestations, clinical examination, and investigations were noted, in which critical events included disorders of consciousness, stroke, CNS infection, seizures, and status epilepticus. CJC Open. Genetics articles related to neuroscience research will be listed here. The authors thank Dr. G.S. How long are we going to allow anti-science cults like Scientology and their many anti-psychiatry newspapers and fronts, in collusion with insurance companies try to cut costs, dictate state policy and medical definitions? Lumbar puncture was performed in 1 individual (patient 1) with suspected CNS infection, 1 (patient 11) with occipital neuralgia, and 1 with unexplained headache. An independent neurologist reviewed the notes of people with new-onset neurologic events. We report a lower rate of noncritical or overall neurologic events and this is partly explainable. ECGs recorded afterwards were normal. The prevalence of noncritical events was 0.8%. Occipital neuralgia after COVID-19 vaccination: a report of two cases Although important postmarketing surveillance is ongoing, it is currently highly effective and safe, with adverse effects including transient symptoms such as fever/chills, headache, fatigue, myalgia/arthralgia, lymphadenopathy, nausea, or local effects of swelling, erythema, or pain. The search was carried out in the electronic databases PubMed, Scopus, Embase, and LILACS with the following keywords . Clinical staff might have put themselves at risk by continuing to work with them under the assumption that they did not have COVID-19 had they not been tested. Considering previous efforts to create these types of injections over the last 2 decades have failed miserably, there should be no rush to inject the world where actual proven deaths, not assumed deaths, from covid is below one tenth of one percent. Brain CT and bedside screening tools, which can detect such events, are key for this purpose, especially for people who are unconscious, have a stroke history, or are on mechanical ventilation. eCollection 2022 Oct. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. What is neurology? This is neglect of historic proportions, and future generations will look at anti-empirical fraud in American medicine today as a crime comparable to the Holocaust. The frequency of new-onset critical neurologic events was 3.5% (32/917) overall and 9.4% (30/319) among those with severe or critical COVID-19. Epub 2022 Mar 10. Records of those identified as having had a critical neurologic event were then reviewed and confirmed by 2 other neurologists. We enrolled 917 people with average age 48.7 years and 55% were male. Epub 2020 May 2. Accessibility The onset of functional movement disorders after COVID-19: A case series. Materials and methods: A literature review was performed with a focus on data from recent studies. Major news networks wont touch their story (doesnt fit the narrative promoting the vaccines), and they are being silenced by social media. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. (Exception: original author replies can include all original authors of the article). COVID-19 Vaccine and Neuromuscular Disease Page 2 of 19 exacerbations in patients with NMDs; 2. Brain CT may be particularly useful given the high prevalence of critical comorbidities such as coagulopathy, venous thromboembolism, and cardiac arrhythmia in people with critical COVID-19,25,,27 which all increase the chance of stroke. Pain Behind the Ear: Symptoms, Causes, Treatments - Verywell Health One major tv doctor program was going to tell their stories but suddenly they were dropped and his program instead focused on promoting the vaccines. The city became the epicenter of the first outbreak of what would become known as coronavirus disease 2019 (COVID-19), caused by a novel type of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A case of trigeminal neuralgia developing after a COVID-19 vaccination Ten people had cerebrovascular accidents (e-table 2, available from Dryad; doi.org/10.5061/dryad.nk98sf7qx). Eur Rev Med Pharmacol Sci. and apply to letter. Sign up to receive our recent neuroscience headlines and summaries sent to your email once a day, totally free. (EG) Images of patient 2 showing multifocal cerebral watershed infarction. Of the others, 2 were discharged (patients 8 and 10), 3 died (patients 35), and 3 were still hospitalized in a critical condition by study end. We also found delirium to be present in nearly a tenth of people with critical disease, and it required prompt intervention. In the literature, Narasimhalu et al. Occipital neuralgia was noted in one man (patient 11) in his 40s (table 3). Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment. A standardized clinical report form was designed to extract data on clinical features, test results, and medical history (e-Methods, doi.org/10.5061/dryad.nk98sf7qx), and investigators completed this form using an online platform (wjx.cn/jq/73405304.aspx). The authors declare no competing interests. For those with stroke, detailed findings are provided in e-table 2 (available at doi.org/10.5061/dryad.nk98sf7qx) and figure 2. After a cruise he had new-onset, self-limiting paroxysmal burning-like severe pain in his neck that radiated to his scalp. Ocular manifestations after receiving COVID-19 vaccines may appear on the eyelid, cornea and ocular surface, retina, uvea, nerve, and vessel. Additionally, other physical examinations were normal and the laboratory values were unremarkable. Ocular Manifestations after Receiving COVID-19 Vaccine: A - PubMed 2022 Jun 27;4(10):894-904. doi: 10.1016/j.cjco.2022.06.008. Results: Magnetic Resonance Imaging Scan of the Brain After Mild COVID-19 Infection. ), UCL Queen Square Institute of Neurology, Queen Square, London, UK; Chalfont Centre for Epilepsy (J.W.S. 2022 Apr;215:107190. doi: 10.1016/j.clineuro.2022.107190. These were impaired consciousness (n = 25) or stroke (n = 10). New-onset neurologic events as assessed by neurology consultants based on manifestations, clinical examination, and investigations were noted, in which critical events included disorders of consciousness, stroke, CNS infection, seizures, and status epilepticus. Most people experience pain relief with the right treatment. Submitted comments are subject to editing and editor review prior to posting. Neurologcal Complcatons and Potental Effects of Covd-19: Symptoms and Concevable Mechansms. Candice Kung, MD, is a forensic psychiatry fellow at the University of Toronto. official website and that any information you provide is encrypted The remaining individual with impaired consciousness had cerebral herniation secondary to a preexisting brain tumor and was still hospitalized (GCS 3, 5, 6) at study end. In addition, Molina-Gil et al. Objective To investigate new-onset neurologic impairments associated with coronavirus disease 2019 (COVID-19). This may provide a more representative picture of the incidence and spectrum of neurologic manifestations of COVID-19. Bells palsy following vaccination with mRNA (BNT162b2) and inactivated (CoronaVac) SARS-CoV-2 vaccines: a case series and nested case-control study. Vaccines (Basel). Unauthorized use of these marks is strictly prohibited. Impaired consciousness was attributed to brain insult secondary to septic shock in 5 people, to cardiogenic shock in 3, to hypovolemic shock in 2, to hyperosmolar hyperglycemia in 2, and to cardiac arrest in 1. Researchers say some of the cases could be related to functional neurological disorder, a common neuropsychological condition. Neurol Sci. 2018;38:1211. Previously, neurological involvements have been reported after vaccinations (Fenichel 1982). and transmitted securely. The patient was completely recovered with steroid treatment. PMC Methods: Guardiola J, Lammert C, Teal E, Chalasani N. J Hepatol. COVID-19; Trigeminal; Vaccination. The .gov means its official. FND can, however, be treated with education, physical rehabilitation and psychotherapy. This may help clinicians optimize treatment and management of such individuals, improving their prognosis. Central nervous system complications associated with SARS-CoV-2 infection: integrative concepts of pathophysiology and case reports. People admitted who met the agreed national guideline (Chinese national guideline, 6th edition) for symptomatic COVID-19 were enrolled consecutively.16 In Sichuan and Chongqing, enrollment was between January 18 and March 3, 2020, and in Wuhan, between January 18 and March 20, 2020. On arrival, GCS was 10. Molina-Gil J, Gonzlez-Fernndez L, Garca-Cabo C (2021) Trigeminal neuralgia as the sole neurological manifestation of COVID19: a case report Headache. Go to Neurology.org/N for full disclosures. As well as acute neurologic impairments, one should also be aware of potential long-term sequelae. Clipboard, Search History, and several other advanced features are temporarily unavailable. Evidence of direct acute insult of severe acute respiratory syndrome coronavirus 2 to the CNS is lacking. Some of these can be self-managed, while others may . Instead, these are symptoms of a real, brain-based disorder that sits at the intersection of neurology and psychiatry., FND is a disruption in the brains normal mechanisms for controlling the body and can be triggered by physical or emotional events, including head injury, a medical or surgical procedure, and vaccinations. 10.1111/head.14075. More guidelines and information on Disputes & Debates, Prospective Long-term Follow-up of Focused Ultrasound Unilateral Subthalamotomy for Parkinson Disease, Neurology | Print ISSN:0028-3878 The three ladies I saw interviewed who are suffering with this neurological adverse effect are experiencing much more than just the adverse effect itself. doi: 10.1136/bcr-2021-242344. On the treatment, she continued to experience attacks of pain and noticed it was triggering with brushing her teeth and putting on makeup. The millions of people watching these videos might conclude that the vaccine is either quite dangerous to produce such symptoms or that the people in the videos are faking their symptoms. In humans, following injection of mRNA vaccines, it would take decades and 3_4 generations to exclude negative consequences. Appointments 866.588.2264. Helping people understand FND will bring this disorder into mainstream medical conversations, and transparently addressing concerns will better allow people to make informed decisions for themselves on receiving the COVID-19 vaccine, says Perez. Results: Most of such patients are women under 60 years of age and who had received ChAdOx1 nCoV-19 vaccine. * These authors contributed equally to this work. The outbreak quickly evolved into a global pandemic. the contents by NLM or the National Institutes of Health. Methods A retrospective multicenter cohort study was conducted between January 18 and March 20, 2020, including people with confirmed COVID-19 from 56 hospitals officially designated in 3 Chinese regions; data were extracted from medical records. Herein, we report a patient with trigeminal neuritis following the vaccination, incidentally treated with steroid. I think the whole thing sticks. We reviewed the most promising COVID-2 vaccines with a particular . The major factor associated with neurologic complications was age over 60, which was also a strong risk factor for mortality.18 When we compared people with COVID-19 infections at the same level of severity, new-onset neurologic critical events increased the risk of death by sixfold. Initially, they were attributed to the general side effects of the vaccination; a nonsteroid anti-inflammatory drug was administered. Submit only on articles published within 6 months of issue date. The study was approved by the Ethics Board of West China Hospital, Sichuan University (approval 2020[100]). Careers. In some people, especially those with a history of epilepsy (none knowingly in the cohort) or findings suggestive of seizures, this could help differentiate delirium from nonconvulsive status epilepticus or focal dyscognitive seizures. Unauthorized use of these marks is strictly prohibited. Encephalitis as a clinical manifestation of COVID-19, Miller Fisher syndrome and polyneuritis cranialis in COVID-19, COVID-19-associated acute hemorrhagic necrotizing encephalopathy: CT and MRI features, Neuromuscular disorders in severe acute respiratory syndrome, Multiple organ infection and the pathogenesis of SARS, Detection of severe acute respiratory syndrome coronavirus in the brain: potential role of the chemokine mig in pathogenesis, National Health Commission of the People's Republic of China, Diagnosis and Treatment Protocol for COVID-19 (Trial Version 6) [online], New-onset acute symptomatic seizure and risk factors in coronavirus disease 2019: a retrospective multicenter study, Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study, Cardiovascular implications of fatal outcomes of patients with coronavirus disease 2019 (COVID-19), Association of cardiac injury with mortality in hospitalized patients with COVID-19 in Wuhan, China, Low-dose nocturnal dexmedetomidine prevents ICU delirium: a randomized, placebo-controlled trial, Pharmacologic prevention and treatment of delirium in intensive care patients: a systematic review, Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU, Neurologic complications in the intensive care unit, Anticoagulant treatment is associated with decreased mortality in severe coronavirus disease 2019 patients with coagulopathy, Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: a meta-analysis, Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China, Comparison of in-hospital mortality in patients with COPD, asthma and asthma-COPD overlap exacerbations, Neurological complications during treatment of Middle East respiratory syndrome, Neuromusculoskeletal disorders following SARS: a case series, Long-term cognitive impairment after acute respiratory distress syndrome: a review of clinical impact and pathophysiological mechanisms, The Novel Coronavirus Pneumonia Emergency Response Epidemiology Team, The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID-19) in China, 2020, Clinical features of severe pediatric patients with coronavirus disease 2019 in Wuhan: a single center's observational study, https://n.neurology.org/lookup/doi/10.1212/WNL.0000000000010034, medrxiv.org/content/10.1101/2020.03.16.20035105v1, nhc.gov.cn/yzygj/s7653p/202002/8334a8326dd94d329df351d7da8aefc2/files/b218cfeb1bc54639af227f922bf6b817.pdf, Potential Neurologic Manifestations of COVID-19, Presentations and mechanisms of CNS disorders related to COVID-19, A Prospective Study of Neurologic Disorders in Hospitalized Patients With COVID-19 in New York City, Neurologic manifestations in hospitalized patients with COVID-19, Neurology: Neuroimmunology & Neuroinflammation. What is neuroscience? Neuroscience News posts science research news from labs, universities, hospitals and news departments around the world. Doser AK, Hartmann K, Fleisch F, Kuhn M (2002) Suspected neurological side-effects after tick-born encephalitis vaccination. Your role and/or occupation, e.g. We performed statistical analyses using Stata 15 for Windows (StataCorp, College Station, TX). There have been reports of mostly nonspecific neurologic symptoms in COVID-19, including headache, dizziness, and myalgia.1,2 There also have been reports of a wide clinical spectrum of more severe symptoms such as acute stroke, acute myelitis, pneumonia complicated by tuberculous meningitis, rhabdomyolysis, Guillain-Barr syndrome, Miller Fisher syndrome, polyneuritis cranialis, and acute hemorrhagic necrotizing encephalopathy.3,,12 The prevalence of such cases and a causal relationship with the virus is unknown. Greater Occipital Nerve Block for Acute Treatment of Migraine Headache: A Large Retrospective Cohort Study. (D) Image of patient 8 showing ischemic stroke of right temporal occipital junction and parahippocampal gyrus. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. (A, B) Images of patient 1 showing multifocal ischemic stroke in both hemispheres. Results We enrolled 917 people with average age 48.7 years and 55% were male. On examination, only tenderness of the greater occipital nerve area found and cranial CT and lumbar puncture were unremarkable. Unfortunate. Due to the circumstances and the retrospective nature of the study, the need for informed consent was waived provided data were anonymized. Half had new-onset cardiac arrhythmia (n = 3) or venous thromboembolism (n = 3), and they all had stroke in the late course of COVID-19. Doctors say the landmark UK study provides further. Neurologists and other health care professionals have an obligation to explain FND to the public, say the authors. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Accessibility government site. 2021). 61:560562. Despite these limitations, new-onset critical neurologic events were identified in fewer than 5% of people during acute COVID-19 infections and this was highly associated with a poor outcome. Federal government websites often end in .gov or .mil. Comparison of the clinical efficacy of bilateral and unilateral GON blockade at the C2 level in chronic migraine. Current or previous neck injury Previous surgery to the head or neck It was of short duration and localized to the right of the face. Your email address, e.g. Praxis (Bern 1994) 91:15962. Neurologists who study illnesses like transverse myelitis say they are rareoccurring at a rate of perhaps 1 in 250,000 peopleand strike most often as a result of the body's immune response to a. Findings from lumbar puncture in 3 with suspected CNS infection, unexplained headache, or severe occipital neuralgia were unremarkable. FOIA Peripheral neuropathy has a link to the COVID vaccine. official website and that any information you provide is encrypted MeSH Brain CT in 28 people led to new findings in 9. Pressure and routine assays were normal and PCR panel testing for meningitis/encephalitis pathogens and SARS-CoV-2 were negative. Conclusions: The visual analogue scale (VAS) values and the number of analgesic usage of patients were recorded before and after the blockade on the 1st and 10th days. You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid 2020 Jun;61(6):e49-e53. They push new drugs through the process as the generics are not financially viable anymore. 8600 Rockville Pike Once that evidence exists, then one could reasonably suggest caution rarely. New-onset critical neurologic events are detailed in table 3 and table e-2, doi.org/10.5061/dryad.nk98sf7qx). We further grouped specific new-onset neurologic events into critical and noncritical new neurologic events. FOIA These articles focus mainly on neurology research. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). and transmitted securely. People (n = 304) in this cohort enrolled prior to February 18, 2020, were reviewed for seizure-related incidents and this subgroup of the cohort was previously reported elsewhere.17. Springer Nature - PMC COVID-19 Collection, https://www.uptodate.com/contents/trigeminal-neuralgia?search=trigeminalneuralgia&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1. The risk of critical neurologic events was highly associated with age above 60 years and previous history of neurologic conditions. Bethesda, MD 20894, Web Policies Recombinant human plasma gelsolin reverses increased permeability of the blood-brain barrier induced by the spike protein of the SARS-CoV-2 virus. reported the first case of TN with cervical radiculitis following COVID-19 vaccination (Pfizer-BioNtech) (Narasimhalu et al. Concurrent facial and trigeminal nerve palsies in a child following COVID-19 vaccination with the Pfizer vaccine. We have not identified any individual with epilepsy but they could have been missed in view of our methodology. Neuroscience News is an online science magazine offering free to read research articles about neuroscience, neurology, psychology, artificial intelligence, neurotechnology, robotics, deep learning, neurosurgery, mental health and more. Data were complete for all assessed variables and outcomes. People with COVID-19 present with a wide spectrum of symptoms, of which the most frequent are fever, dry cough, and shortness of breath. 2022 May 24;14:11795735221102747. doi: 10.1177/11795735221102747. Thirty-two of these were critical, and all but 2 of them had severe or critical COVID-19 (tables 2 and 3). This study was approved by the institutional ethics board of West China Hospital, Sichuan University (approval 2020[100]). Four used oxygen masks and 9 used noninvasive positive-pressure ventilation (NIPPV). In such cases, corticosteroids should be considered as a choice of therapy. Also, TN may sometimes be confused with dental causes of pain requiring dental examination (www. SARS-CoV-2 identification was negative in the CSF of all cases tested and systemic condition explained most of them. Appointments & Locations. Mandal N, De N, Jana P, Sannigrahi A, Chattopadhyay K. ACS Chem Neurosci. The https:// ensures that you are connecting to the Another human coronavirus, SARS-CoV, was found in the brain of an individual with encephalopathy in a postmortem study. 2020 Sep 16;11(18):2789-2792. doi: 10.1021/acschemneuro.0c00546. While the former often requires at least 1014days to develop, the latter needs less time to develop than it. FOIA Headache on Left Side of Head: Symptoms, Causes, Treatment (C) Image of patient 1 taken 10 days after the images in panels A and B, showing the onset of intraventricular bleeding. Two individuals (patients 5 and 6) who had strokes early in the course of COVID-19 recovered and were discharged with only minor neurologic sequelae. In the medical history, the patient had no chronic diseases and did not experience any serious side effects after childhood vaccinations. This stems from rare reports of people experiencing neuropathy symptoms after receiving one of the vaccines. We did not record EEGs. Neurologists should work closely with other specialties via a multidisciplinary approach to protect the nervous system from short-term and possible long-term impairments. Despite the mainstream media, government, and medical world all aggressively PUSHING the vaccine onto our populace, these ladies experience shows we are not all in this together. With a serious adverse effect, they are very much on their own with their quality of life utterly destroyed. As well as we know, this is the first study of "COVID19 associated headache treated with GON blockade". Intergroup differences in the frequencies of categorical variables were assessed using 2 tests (or Fisher exact test if the values were <5). Meo SA, Fahad Al-Jassir F, Al-Qahtani S, Albarrak R, Usmani AM, Klonoff DC. A headache on the left side of your head can be due to a primary headache disorder, like migraine or cluster headache. E-table-1 in the appendix (doi.org/10.5061/dryad.nk98sf7qx) provides a list of participating hospitals and the number of people reported by each. Comparison of greater occipital nerve and greater occipital nerve + supraorbital nerve block effect in chronic medication overuse headache. Bookshelf Until then, every symptom here could be explained by common transient symptoms of weakness and disorientation following vaccines, if the videos are real in the first place. Early detection of impaired consciousness and delirium may help treatment escalation. In case of uncertainty, attending physicians or neurologists were contacted. Mental illnesses are brain diseases. It is lower than the previous reports of people with COVID-19 who experienced delirium while in the intensive care unit (ICU).4 Several reasons could explain this. Many patients also report nonspecific symptoms of fatigue, headache, and myalgia,1,2 which are presumably due to the systemic disorder and usually resolve without specific treatment. 2021 Aug 18;29(6):1200-1206. doi: 10.1080/09273948.2021.1961815. government site. Doser AK, Hartmann K, Fleisch F, Kuhn M (2002) Suspected neurological side-effects after tick-born encephalitis vaccination. government site.
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occipital neuralgia and covid vaccine