{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:29:56Z","timestamp":1782602996511,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,5,23]]},"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:p>A woman in her 50s presented with acute vertigo and vomiting within 72 hours of receiving the Pfizer-BioNTech COVID-19 vaccine. The only neurological deficit was an impaired vestibulo-ocular reflex with horizontal nystagmus. The patient was subsequently diagnosed with vestibular neuronitis. She was managed symptomatically with prochlorperazine and betahistine, and underwent vestibular rehabilitation for 6 weeks. She made a full recovery and experienced no further symptoms. She received the second dose of the vaccine without complications.<\/jats:p>\n               <jats:p>This case demonstrates a temporal association between COVID-19 vaccination and vestibular neuronitis. Neurological adverse events are rare but recognised side effects of COVID-19 vaccines and healthcare professionals should be aware of them. This ensures timely management of patients with such presentations. Treatment should be the same as for non-vaccine-associated vestibular neuronitis. The nature of the relationship between COVID-19 vaccination and vestibular neuronitis remains unclear and patients therefore require investigations to exclude other recognised causes of vestibular neuronitis.<\/jats:p>","DOI":"10.1136\/bcr-2021-247234","type":"journal-article","created":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T11:25:28Z","timestamp":1654514728000},"page":"e247234","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Vestibular neuronitis after COVID-19 vaccination"],"prefix":"10.1136","volume":"15","author":[{"given":"Solange","family":"Bramer","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvette","family":"Jaffe","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3848-0009","authenticated-orcid":false,"given":"Aravinth","family":"Sivagnanaratnam","sequence":"additional","affiliation":[{"name":"Stroke, London North West University Healthcare NHS Trust, Harrow, Middlesex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,6,6]]},"reference":[{"key":"2025082712565890000_15.6.e247234.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2034577"},{"key":"2025082712565890000_15.6.e247234.2","article-title":"Neurological complications of COVID-19: Guillain-Barre syndrome following pfizer COVID-19 vaccine","volume":"92","author":"Waheed","year":"2021","journal-title":"Cureus"},{"key":"2025082712565890000_15.6.e247234.3","first-page":"143","article-title":"Peripheral facial nerve palsy following BNT162b2 (COVID-19) vaccination","volume":"23","author":"Shemer","year":"2021","journal-title":"Isr Med Assoc J"},{"key":"2025082712565890000_15.6.e247234.4","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1016\/S0140-6736(21)00762-5","article-title":"Thromboembolism and the Oxford\u2013AstraZeneca COVID-19 vaccine: side-effect or coincidence?","volume":"397","author":"\u00d8stergaard","year":"2021","journal-title":"The Lancet"},{"key":"2025082712565890000_15.6.e247234.5","doi-asserted-by":"crossref","unstructured":"Lu L , Xiong W , Mu J . The potential neurological effect of the COVID-19 vaccines: a review. Acta Neurol Scand 2021.","DOI":"10.1111\/ane.13417"},{"key":"2025082712565890000_15.6.e247234.6","unstructured":"Buntz B . Dizziness among common COVID-19 vaccine side effects 2021. Available: https:\/\/www.drugdiscoverytrends.com\/dizziness-among-common-covid-19-vaccine-side-effects\/"},{"key":"2025082712565890000_15.6.e247234.7","unstructured":"Agency MHpR . Coronavirus vaccine - weekly summary of Yellow Card reporting, 2021. Available: https:\/\/www.gov.uk\/government\/publications\/coronavirus-covid-19-vaccine-adverse-reactions\/coronavirus-vaccine-summary-of-yellow-card-reporting"},{"key":"2025082712565890000_15.6.e247234.8","article-title":"Tinnitus, sudden sensorineural hearing loss, and vestibular neuritis as complications of the ASTRA ZENECA COVID-19 vaccine","volume":"14","author":"Canales Medina","year":"2022","journal-title":"Cureus"},{"key":"2025082712565890000_15.6.e247234.9","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.ijid.2021.10.025","article-title":"Sudden sensorineural hearing loss after COVID-19 vaccination","volume":"113","author":"Jeong","year":"2021","journal-title":"Int J Infect Dis"},{"key":"2025082712565890000_15.6.e247234.10","article-title":"Sudden sensorineural hearing loss following the second dose of COVID-19 vaccine","volume":"13","author":"Tsetsos","year":"2021","journal-title":"Cureus"},{"key":"2025082712565890000_15.6.e247234.11","article-title":"A case of COVID-19-Induced vestibular neuritis","volume":"382","author":"Malayala","year":"2020","journal-title":"Cureus"},{"key":"2025082712565890000_15.6.e247234.12","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1354598"},{"key":"2025082712565890000_15.6.e247234.13","unstructured":"Smith T , Rider J , Cen S . Vestibular neuronitis. Treasure Island (FL): StatPearls Publishing, 2021."},{"key":"2025082712565890000_15.6.e247234.14","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1241040"},{"key":"2025082712565890000_15.6.e247234.15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/459048","article-title":"Is vestibular neuritis an immune related vestibular neuropathy inducing vertigo?","volume":"2014","author":"Greco","year":"2014","journal-title":"J Immunol Res"},{"key":"2025082712565890000_15.6.e247234.16","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1007\/s00415-020-10108-x","article-title":"Immune-Mediated neurological syndromes in SARS-CoV-2-infected patients","volume":"268","author":"Guilmot","year":"2021","journal-title":"J Neurol"},{"key":"2025082712565890000_15.6.e247234.17","doi-asserted-by":"crossref","first-page":"212","DOI":"10.3390\/audiolres12030024","article-title":"Audiovestibular disorders after COVID-19 vaccine: is there an association?","volume":"12","author":"Pisani","year":"2022","journal-title":"Audiol Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-247234","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:57:05Z","timestamp":1756324625000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-247234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2022,6,6]]},"published-print":{"date-parts":[[2022,6]]}},"alternative-id":["10.1136\/bcr-2021-247234"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-247234","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6]]}}}