Sudden sensorineural hearing loss after receiving an inactivated viral vaccine, Sinopharm: Two-case report

The prevalence of Coronavirus Disease 2019 is a global threat. Due to the high mortality rate caused by this disease, the vaccination is mandatory to protect patients against it and reduce the mortality. Rapid development and widespread use of vaccines have raised the possibility of adverse side effects over the course of administration and follow-up. In this study, we investigated an adverse event of sudden sensorineural hearing loss in two patients receiving first dose of Sinopharm, an inactivated viral vaccine. Both patients experienced sudden hearing loss in their left ear some days after receiving the first dose of the Sinopharm and had normal otoscopic examinations in both ears and mild to severe sensorineural hearing loss was reported in the left ear. After imaging evaluation with magnetic resonance imaging which showed no pathologic points. Two patients were treated with prednisolone and valacyclovir. Both patients experienced response and had good prognosis in their follow-up. Our study showed that there is no direct evidence of an association between Coronavirus Disease 2019 vaccination. A viral infection can cause sudden sensorineural hearing loss and should be considered as a possible side effect after vaccination. Although the number of side effects reported in clinical trials has been very low, long-term follow-up of patients is needed to assess the vaccine’s safety, given the incidence of these cases.

[1]  G. Piatti,et al.  Audiological and vestibular symptoms following SARS-CoV-2 infection and COVID-19 vaccination in children aged 5–11 years , 2022, American Journal of Otolaryngology.

[2]  C. Barbato,et al.  Sudden Sensorineural Hearing Loss after Third Dose Booster of COVID-19 Vaccine Administration , 2022, Diagnostics.

[3]  A. Moaty,et al.  Audiovestibular and vaccination complications of COVID-19 , 2022, The Egyptian Journal of Otolaryngology.

[4]  Zhiyuan Wang,et al.  Adverse event of Sinovac Coronavirus vaccine: Deafness , 2021, Vaccine.

[5]  Hyun Seung Choi,et al.  Sudden sensorineural hearing loss after COVID-19 vaccination , 2021, International Journal of Infectious Diseases.

[6]  E. Woo,et al.  Use of COVID-19 Vaccines After Reports of Adverse Events Among Adult Recipients of Janssen (Johnson & Johnson) and mRNA COVID-19 Vaccines (Pfizer-BioNTech and Moderna): Update from the Advisory Committee on Immunization Practices — United States, July 2021 , 2021, MMWR. Morbidity and mortality weekly report.

[7]  Helena Wichova,et al.  Otologic Manifestations After COVID-19 Vaccination: The House Ear Clinic Experience , 2021, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[8]  E. Pras,et al.  Association of COVID-19 Vaccination and Facial Nerve Palsy: A Case-Control Study. , 2021, JAMA otolaryngology-- head & neck surgery.

[9]  K. Bashir,et al.  Bell’s Palsy After 24 Hours of mRNA-1273 SARS-CoV-2 Vaccine , 2021, Cureus.

[10]  Daniel Q. Sun,et al.  Preliminary Analysis of Association Between COVID-19 Vaccination and Sudden Hearing Loss Using US Centers for Disease Control and Prevention Vaccine Adverse Events Reporting System Data. , 2021, JAMA otolaryngology-- head & neck surgery.

[11]  M. Roustit,et al.  Association of Facial Paralysis With mRNA COVID-19 Vaccines: A Disproportionality Analysis Using the World Health Organization Pharmacovigilance Database. , 2021, JAMA internal medicine.

[12]  K. Munro,et al.  One year on: an updated systematic review of SARS-CoV-2, COVID-19 and audio-vestibular symptoms , 2021, International journal of audiology.

[13]  H. Ouhabi,et al.  A unique association of bifacial weakness, paresthesia and vestibulocochlear neuritis as post-COVID-19 manifestation in pregnant women: a case report , 2021, The Pan African medical journal.

[14]  J. Mascola,et al.  Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine , 2020, The New England journal of medicine.

[15]  P. Dormitzer,et al.  Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine , 2020, The New England journal of medicine.

[16]  J. DiNicolantonio,et al.  Relationships between hyperinsulinaemia, magnesium, vitamin D, thrombosis and COVID-19: rationale for clinical management , 2020, Open Heart.

[17]  Y. Çağ,et al.  Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss , 2020, International Journal of Infectious Diseases.

[18]  P. Song,et al.  COVID-19: Real-time dissemination of scientific information to fight a public health emergency of international concern. , 2020, Bioscience trends.

[19]  David M. Kelley,et al.  Clinical Practice Guideline: Sudden Hearing Loss (Update) , 2019, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[20]  E. Reisinger,et al.  Bilateral deafness two days following influenza vaccination: a case report , 2018, Human vaccines & immunotherapeutics.

[21]  F. Massoni,et al.  Post Vaccinal Temporary Sensorineural Hearing Loss , 2018, International journal of environmental research and public health.

[22]  Christopher Joseph Chin,et al.  Sudden sensorineural hearing loss , 2017, Canadian Medical Association Journal.

[23]  R. Baxter,et al.  Sudden-Onset Sensorineural Hearing Loss after Immunization , 2016, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[24]  R. Fox,et al.  Sudden onset unilateral sensorineural hearing loss after rabies vaccination , 2015, BMJ Case Reports.

[25]  O. Güçlü,et al.  Sudden hearing loss after rabies vaccination. , 2013, Balkan Medical Journal.

[26]  K. Mansfield,et al.  International seroepidemiology of adenovirus serotypes 5, 26, 35, and 48 in pediatric and adult populations. , 2011, Vaccine.

[27]  Jamil A. Shaikh,et al.  Sudden Sensorineural Hearing Loss , 2011, Trends in amplification.

[28]  Ta-Jen Lee,et al.  Bilateral sudden deafness following H1N1 vaccination , 2010, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[29]  G. Duigou,et al.  The Cellular Localization Pattern of Varicella-Zoster Virus ORF29p Is Influenced by Proteasome-Mediated Degradation , 2006, Journal of Virology.

[30]  W. Halford,et al.  ICP0, ICP4, or VP16 Expressed from Adenovirus Vectors Induces Reactivation of Latent Herpes Simplex Virus Type 1 in Primary Cultures of Latently Infected Trigeminal Ganglion Cells , 2001, Journal of Virology.

[31]  James A Levine Deafness , 1988, The Lancet.