A Case of Ramsay Hunt Syndrome with Aseptic Meningitis that Developed after the Second Dose of the COVID-19 Vaccine

Abstract

The reported major adverse reactions to COVID-19 vaccination are fever, headache, and malaise, but the possibility of other adverse effects should be considered. We encountered a patient who developed facial nerve paralysis with aseptic meningitis after COVID-19 vaccination. The patient was clinically diagnosed as having Ramsay Hunt syndrome, but there is the possibility that the vaccination contributed to re-activation of the varicella-zoster virus. Immediate treatment should be undertaken for facial nerve paralysis as well as critical anaphylactic shock, and careful observations should be made for the possibility of delayed adverse reactions, such as facial paralysis, to COVID-19 vaccination.