Radiology

Pathology

Pediatrics

Disease

Diplopia

Coronavirus disease 2019 (COVID-19)

Infectious disease (medical specialty)

Magnetic resonance imaging

Surgery

Virology

Vaccination

Alternative medicine

Abducens nerve

Palsy

Sixth nerve palsy

Medicine

Journal of American Association for Pediatric Ophthalmology and Strabismus

We report the case of a healthy 59-year-old woman who presented with an acute abducens nerve palsy 2 days after receiving the Pfizer-BioNTech COVID-19 vaccine. In adults, such palsies are typically caused by microvascular disease or compressive tumors, although they have also been described after routine vaccinations. Given the temporal relationship between vaccination and the onset of symptoms, the lack of preexisting medical conditions, and unremarkable magnetic resonance imaging, the patient's abducens nerve palsy was felt to be related to her vaccination.

Acute abducens nerve palsy following COVID-19 vaccination