Table 1 Characteristics of the Patients
Characteristics | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 |
|---|---|---|---|---|---|---|---|---|
Age (year) | 24 | 24 | 42 | 48 | 47 | 29 | 29 | 40 |
Sex | Female | Male | Female | Female | Male | Female | Female | Female |
Past medical history | – | – | – | – | Hypertension | Graves’ Disease | endometriosis | SLE |
History of migraine Current medication (s) | Yes | Yes | Yes | – | -candesartan, atenolol | -methimazole | -contraceptive pills | Yes hydroxychloroquine |
BMI | 32.8 | 37.18 | 39.04 | 24.03 | 37.58 | 19.14 | 20.02 | 18.9 |
Symptom onset after vaccination | 20 min | 1 day | 7 h | 1 day | 2 h | 7 days | 7 days | 6 h |
Side of injection | Left | Left | Left | Left | Left | Left | Left | Left |
Type of vaccine | CoronaVac | CoronaVac | CoronaVac | CoronaVac | CoronaVac | CoronaVac | CoronaVac | CoronaVac |
Side of neuro deficit | Left | Left | Right | Left | Right | Right | Left | Left |
Symptoms & signs | ||||||||
Sensory: location | Tingling progress to numbness at Lt. arm, leg | Numbness Lt. side of face, neck, arm | – | Numbness Lt. Side of face, neck, arm | Tingling progress to numbness at Rt. fingertips, hand, perioral, foot | Rt. side of face, perioral and Rt. leg numbness | Tingling and numbness at Lt. face, perioral, arm, leg | Tingling at Lt. arm progress to numbness perioral, Lt. cheek |
Sensory: progression | 15 mins | Within 1 h | – | Not known | 6 h | Few mins | 10 mins | 1 h |
Motor | Lt. hemiparesis grade 3 | Lt hemiparesis grade 4 | Rt. Hemiparesis grade 4 | Lt. arm monoparesis grade 4 | – | Asymmetric nasolabial folds | – | – |
Headache | Lt. temporal pulsatile headache 1 day later | Lt. temporal & occipital headache 1 day later | Rt. temporal & periorbital headache 1 day later | Occipital headache on the same day | – | – | – | – |
Nausea/vomiting | Yes | Yes | – | – | – | – | – | – |
Dizziness/vertigo | Yes | – | – | – | – | – | – | – |
Visual phenomena | flashing light | blurred vision | – | – | – | – | – | – |
Symptom duration (days) | 10 | 2 | 3 | 14 | 4 | 4 | 5 | 12 |
MRI | no infarction | no infarction | no infarction | no infarction | no infarction | no infarction | no infarction | no infarction |
MRA | mild irregularity | no abnormalities | no abnormalities | no abnormalities | no abnormalities | no abnormalities | no abnormalities | no abnormalities |