Unilateral Isolated Peripheral Facial Paralysis as a Presenting Finding of COVID-19 in Two Previously Vaccinated Patients Case Reports

To report on two patients with COVID-19 after presenting unilateral isolated peripheral facial palsy; both had previously double doses of vaccination against coronavirus-2 (SARS-CoV-2) infection. Two female presented symptoms progressive labial deviation, lagophthalmos, and drooling. Both prophylactic vaccine, Pfizer-BioNTech 6 months, Sinovac/CoronaVac 12 months previously. The diagnosis paralysis was made, short-term daily oral methylprednisolone (1mg/kg) started for weeks. A week later, complained various signs COVID-19. Acute nerve involvement is frequently associated viral infections, may be the first only finding infection even if are vaccinated pandemic.