Miller–Fisher syndrome following vaccination against influenza virus A/H1N1 in an AIDS patient

Miller-Fisher Syndrome and Guillain-Barre Syndrome overlap syndrome in a patient post Oxford-AstraZeneca SARS-CoV-2 vaccination

“…11 15-20 All cases presented with symptoms from 5 days to 14 days postvaccination, except in one patient with HIV in which symptom onset was 40 days postseasonal influenza vaccine and 34 days post-H1N1 vaccine, respectively. 17 All previous cases of post-vaccination MFS had raised CSF protein of under 1 g/L. Our case is distinct in this respect, with a CSF protein of 2.99 g/L, but consistent with cases of the BFP variant post-Oxford-AstraZeneca Vaccine.…”

“…The following keywords, [“Miller Fisher Syndrome”] AND [“vaccine” OR “post vaccination” OR “SARS-CoV-2” OR “COVID-19”], were used in the search strategy. There have been six prior case reports of postvaccination MFS: two following combined diphtheria, tetanus and pertussis vaccine (Tdap), one following seasonal influenza vaccine, one following combined Pneumovax and seasonal influenza vaccine, two following combined seasonal influenza and H1N1 vaccine, and one following H1N1 vaccine alone 11 15–20. All cases presented with symptoms from 5 days to 14 days postvaccination, except in one patient with HIV in which symptom onset was 40 days postseasonal influenza vaccine and 34 days post-H1N1 vaccine, respectively 17…”

Miller Fisher syndrome following vaccination

“…To the Editor, Recently, Annunziata et al [1] reported a case of Miller Fisher syndrome (MFS) with positive anti-GQ1b antibodies in a patient with acquired immunodeficiency syndrome (AIDS) following receipt of the seasonal influenza and influenza A (H1N1) vaccines during the 2009-2010 season. At the 2011 Annual Meeting of the American Academy of Neurology, we presented the case of a 77-year-old immunocompetent woman who developed MFS 13 days following vaccination with seasonal influenza and influenza A (H1N1) vaccines during the same 2009-2010 season [2,3].…”