Table 1

Summary of clinical characteristics

NoSex/age (years)Vaccine (dose)LateralityDays from vaccination to symptom onset/nadirWeakest muscle strength at nadir (MRC)MRICSF analysis*TreatmentOutcome
1M/31JanssenIpsilateral6/7IIIProminent ipsilateral axillary and cervical lymph nodesWBC 0, protein 70NoneFull recovery by week 1
2M/37JanssenIpsilateral14/14IV+NormalNDOral prednisolone, gabapentinNear-full recovery by week 10
3M/71AstraZeneca
(first dose)
Ipsilateral16/35IIISignal changes and enlargement from the C8 root to the inferior trunk, prominent ipsilateral cervical and axillary lymph nodesWBC 2, protein 57Oral prednisolone, gabapentinPoor recovery by week 15
4M/63AstraZeneca
(first dose)
Ipsilateral14/14IIINDNDNonePoor recovery by week 4, lost to follow-up thereafter
5F/65AstraZeneca
(first dose)
Ipsilateral5/6IIIProminent ipsilateral axillary lymph nodesNDNoneFull recovery within 2 months
6M/61AstraZeneca
(second dose)
Ipsilateral2/3IISignal changes and enlargement from the C8 root to the inferior trunk and medial cord, prominent cervical and axillary lymph nodesNDOral prednisolonePartial recovery by month 5
7F/31Cross-vaccination (AstraZeneca and then Pfizer)†Ipsilateral2/10IVProminent ipsilateral axillary and cervical lymph nodesNDNoneFull recovery by week 3
8F/50Pfizer
(first dose)
Contralateral4/16IIINormalNDNSAIDs, fentanyl patch, IVMPGood response to IVMP
9M/58Pfizer
(first dose)
Ipsilateral5/30IINDNDOral prednisolone, pregabalinPoor recovery by week 8
10F/23Pfizer
(first dose)
Ipsilateral10/11VND
(ipsilateral axillary lymphadenopathy in ultrasonography)
NDOral prednisolone, pregabalinPartial recovery within week 6
11F/81Pfizer
(first dose)
Bilateral15 NAIVNormalNDPregabalin, nortriptyline, NSAIDsPoor recovery by month 6
12M/39Moderna
(first dose)
Ipsilateral7/14IVProminent ipsilateral axillary lymph nodesWBC 1, protein 76IVMP followed by oral prednisolone, gabapentinPoor recovery by week 8
  • *Values were expressed as cells/μL (WBC) and mg/dL (protein).

  • †Parsonage-Turner syndrome occurred 2 days after Pfizer vaccination following initial AstraZeneca vaccination.

  • CSF, cerebrospinal fluid; F, female; IVMP, intravenous methylprednisolone; M, male; MRC, Medical Research Council; ND, not done; NSAIDs, non-steroidal anti-inflammatory drugs; WBC, white blood cell.