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. 2022 Apr 1;61(7):1067–1069. doi: 10.2169/internalmedicine.8851-21

Table.

Cases with Miller Fisher Syndrome and Guillain-Barré Syndrome after mRNA COVID-19 Vaccination without Infection and Other Vaccination.

Diagnosis Country Age
(years)/
Sex
Vaccine type Number of dose Days from inoculation to onset Neurological symptoms CSF cells (/μL)/
Protein (mg/dL)
Anti-ganglioside antibody NC study Treatment Outcome Reference
MFS Japan 30/M BNT162b2 Second 7 Bilateral lateral gaze palsy, areflexia, and ataxic gait 1/30.8 GQ1b GT1a Normal IVIg Recovered Present case
GBS Qatar 73/M BNT162b2 Second 16 Muscle weakness, areflexia Normal/80 N.D. Absent H reflexes IVIg Recovered 2
GBS US 82/F BNT162b2 First 14 Muscle weakness, sensory loss, areflexia 4/88 N.D. N.D. IVIg Improved 1
GBS US 86/F BNT162b2 First 1 Muscle weakness, areflexia 2/162 N.D. N.D. IVIg Recovered 3
GBS US 65/M BNT162b2 First 2 Bilateral facial palsy, muscle weakness, sensory loss, areflexia 1/107 N.D. AIDP IVIg Improved 5
GBS Mexico 31/M BNT162b2 First 11 Muscle weakness, areflexia Not performed N.D. AIDP IVIg Improved 4
GBS Mexico 67/F BNT162b2 First 4 Muscle weakness, areflexia, respiratory failure 22/30 N.D. AMAN IVIg Dead 4

MFS: Miller Fisher syndrome, GBS: Guillain-Barré syndrome, N.D.: not detected, AIDP: acute inflammatory demyelinating polyneuropathy, AMAN: acute motor axonal neuropathy, CSF: cerebrospinal fluid