Table 1.
(a) Demographic and clinical characteristics of patients presenting within 60 days of COVID-19 vaccination | Patients with CNS inflammatory event, n = 38 |
---|---|
Age at symptom onset, median years (range) | 39 (20–82) |
Female, n (%) | 23 (60.5) |
Pre-existing immune-mediated disease, n (%) | |
RRMS | 4 (10.5) |
Retrospective MS relapse | 1 (2.6) |
Overlap syndrome (RA/SLE) | 1 (2.6) |
None | 32 (84.2) |
Vaccine received, n (%) | |
Pfizer-BioN-Tech | 26 (68.4) |
Moderna | 10 (26.3) |
Oxford-AstraZeneca | 1 (2.6) |
Unknown | 1 (2.6) |
Symptom onset following, n (%) | |
First dose | 13 (34.2) |
Second dose | 16 (42.1) |
Third dose | 7 (18.4) |
Fourth dose | 2 (5.3) |
Time of symptom onset post-vaccine, median days (range) | 15 (0-55) |
Presenting symptoms, n (%) | |
Numbness | 25 (65.8) |
Weakness | 19 (50.0) |
Sphincter dysfunction | 8 (21.1) |
Vision loss | 6 (15.8) |
Ataxia | 6 (15.8) |
Dysarthria | 5 (13.2) |
Diplopia | 1 (2.6) |
Aphasia | 1 (2.6) |
Vertigo | 1 (2.6) |
EDSS at symptom nadir, median (range) | 2.5 (0–7) |
Clinical syndrome, n (%) | |
Transverse myelitis | 24 (63.2) |
Hemispheric | 7 (18.4) |
Optic neuritis | 6 (15.8) |
Brainstem | 4 (10.5) |
Cerebellar | 3 (7.9) |
Thalamic | 1 (2.6) |
Multifocal presentation, n (%) | 6 (15.8) |
(b) Demographic and clinical characteristics of patients presenting within 30 days of COVID-19 vaccination. | Patients with CNS inflammatory event, n = 24 |
Age at symptom onset, median years (range) | 44 (20–82) |
Female, n (%) | 15 (62.5) |
Pre-existing immune-mediated disease, n (%) | |
RRMS | 3 (12.5) |
Retrospective MS relapse | 1 (4.2) |
Overlap syndrome (RA/SLE) | 1 (4.2) |
None | 19 (79.2) |
Vaccine received, n (%) | |
Pfizer-BioN-Tech | 16 (66.7) |
Moderna | 6 (25.0) |
(b) Demographic and clinical characteristics of patients presenting within 30 days of COVID-19 vaccination. | Patients with CNS inflammatory event, n = 24 |
Oxford-AstraZeneca | 1 (4.2) |
Unknown | 1 (4.2) |
Symptom onset following, n (%) | |
First dose | 11 (45.8) |
Second dose | 9 (37.5) |
Third dose | 4 (16.7) |
Time of symptom onset post-vaccine, median days (range) | 7 (0–30) |
Presenting symptoms, n (%) | |
Numbness | 18 (75.0) |
Weakness | 10 (41.7) |
Sphincter dysfunction | 6 (25.0) |
Vision loss | 4 (16.7) |
Dysarthria | 4 (6.7) |
Ataxia | 2 (8.3) |
Vertigo | 1 (4.2) |
EDSS at symptom nadir, median (range) | 2.5 (0–7) |
Clinical syndrome, n (%) | |
Transverse myelitis | 16 (66.7) |
Hemispheric | 4 (16.7) |
Optic neuritis | 4 (16.7) |
Brainstem | 3 (12.5) |
Cerebellar | 2 (8.3) |
Multifocal presentation, n (%) | 4 (16.7) |
Abbreviations: CNS: central nervous system; RRMS: relapsing remitting multiple sclerosis; RA: rheumatoid arthritis; SLE: systemic lupus erythematosus; EDSS: expanded disability status scale.