Can Getting The Coronavirus Vaccine Lead To Bell’s Palsy?
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Dispelling health myths, fads, exaggerations and misconceptions.

In the FDA reviews of both the Pfizer and Moderna Covid-19 vaccines, each company included reports of several participants who developed facial weakness or paralysis, commonly known as Bell’s palsy. In the Moderna group, four individuals out of 30,000 reported facial paralysis, three who had received the vaccine, and one who received the placebo. Four of the 43,000 participants in the Pfizer trial developed facial nerve paralysis. All of these were in the vaccine arm of the trial. Bell’s palsy, which is a specific form of sudden weakness in one side of the face (and very rarely both sides), occurs for various reasons, and is due to swelling of the facial nerve, which is responsible for moving many muscles of the face. The facial nerve is the seventh of twelve cranial nerves, each of which are responsible for specific functions in the head and neck, either for movement or sensation. The first cranial nerve is the olfactory nerve, which is responsible for sense of smell. Inflammation of this nerve with Covid-19 infections contributes to the commonly seen issue of anosmia, or loss of sense of smell, as an early and potentially lasting symptom of coronavirus infections.

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Typically, Bell’s palsy appears somewhat suddenly, with weakening and a drooping appearance of the facial muscles, almost always (but not exclusively) on just one side of the face. As the facial nerve supplies movement to the forehead, eyelid, cheek, mouth, and lower lip, paralysis, or even slight weakening, known as paresis, can be quite distressing and physically noticeable.

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https://jardineriaplantasyflores.com/wegex/ggg-v-szeremeta-fights-free-tv201ds.html Many may think that it is a sign of a stroke, as the facial droop seen as a result of a stroke looks quite similar. From a health standpoint, the inability to completely close one’s eye due to inability to close the upper eyelid during both blinking and sleeping can lead to too much exposure of the cornea and conjunctiva, which, in turn, can lead to eye irritation, conjunctivitis, corneal abrasions or corneal ulcers.

In the general population, having nothing to do with Covid-19 nor the Covid-19 vaccine, approximately 40,000 individuals develop Bell’s palsy annually in the United States, or approximately 1 in 10,000. In both groups of vaccine trial participants, the rate (1 in 10,000) was commensurate with the incidence of sudden facial paralysis in the general population. While the exact cause is often not identifiable, it is most likely caused by viral inflammation of the nerve. Typically the herpesvirus lives in a dormant state in the nerve, and may become activated and cause the nerve to swell in times of stress or illness. The bacteria that causes Lyme disease can also cause dysfunction and resultant weakness or paralysis of the facial nerve. In many cases, the paralysis resolves spontaneously over weeks. But in some cases, some or all of the weakness remains.

Dr. Irene Kim, Assistant Professor of Head and Neck Surgery and Director of the Facial Nerve Center in the Division of Facial Plastic Surgery at UCLA, notes that “80–90% of patients recover completely from Bell’s palsy within six weeks to three months, and treatment usually involves corticosteroids and antiviral medications.” In the small percentage of patients where nerve function does not resume, Dr. Kim discusses options for therapy: “For those patients in whom weakness persists, there are a number of surgical options that include nerve or muscle transfers which can help restore facial strength. Many Bell’s palsy patients also develop “synkinesis” after facial nerve recovery; this is a neurological condition in which voluntary muscle contraction of one part of the face causes unwanted, simultaneous involuntary contraction of other areas. This can be treated with neuromodulator toxin therapy (such as Botox) or surgical interventions.”

Botox injection to forehead

Does Dr. Kim envision seeing more patients with Bell’s palsy as a result of the coronavirus vaccine administration? Probably not, but it’s early to tell: “The information we have is insufficient to say that there is a causal relationship between Bell’s palsy and the vaccine. If we look at the incidence of Bell’s palsy among both Moderna’s and Pfizer’s participants, the number is, as the FDA mentioned, “consistent with the expected background rate in the general population”. It is too early to say if Bell’s palsy is related to the [vaccine].”

As the incidence of Bell’s palsy in both the Pfizer and Moderna vaccine trial participants was similar to the incidence of Bell’s palsy in the general U.S. population, it’s very likely not an issue of causality. But again, it’s very early in the vaccine roll-out to the non-study-trial population. “At this time, there is no determined causal relationship between Bell’s palsy and the vaccine, and the benefits of vaccination likely outweigh the potential risk of facial paresis,” stated Dr. Kim. And as has been the case with all issues related to the coronavirus, she notes, “we will have more information in the coming weeks.”